ALLERGIC PROCTOCOLITIS IN INFANTS: analysis of the evolution of the nutritional status

ALLERGIC PROCTOCOLITIS IN INFANTS: analysis of the evolution of the nutritional status

Allergic proctocolitis is a disease that affects infants in the first months. The change in feed is the primary factor for clinical improvement and maintenance of the nutritional status of the infant. Study the anthropometric evolution of infants with allergic proctocolitis at diagnosis and 1 to 6 m...

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Bibliographic Details
Published in:Arquivos de gastroenterologia Vol. 53; no. 4; pp. 262 - 266
Main Authors: Camargo, Ludmilla S, Silveira, Jonas Ac, Taddei, José Aac, Fagundes, Neto, Ulysses
Format: Journal Article
Language:English
Published: Brazil Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia e Outras Especialidades - IBEPEGE 01-10-2016
Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia (IBEPEGE)
Subjects:
Aleitamento materno
Anthropometry
Breast Feeding
Colite
Early Diagnosis
Female
GASTROENTEROLOGY & HEPATOLOGY
Hipersensibilidade a leite
Humans
Infant
Infant Nutrition Disorders - etiology
Infant Nutrition Disorders - therapy
Male
Milk Hypersensitivity
Nutritional Status
Nutrição do lactente
Proctocolitis - complications
Proctocolitis - diagnosis
Proctocolitis - therapy
Retrospective Studies
Nutrição do lactente
Milk hypersensitivity
Colites
Colite
Aleitamento materno
Breast feeding
Infant nutrition
Hipersensibilidade a leite
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Summary:Allergic proctocolitis is a disease that affects infants in the first months. The change in feed is the primary factor for clinical improvement and maintenance of the nutritional status of the infant. Study the anthropometric evolution of infants with allergic proctocolitis at diagnosis and 1 to 6 months after nutritional intervention. A retrospective cohort of infants with allergic proctocolitis diagnosis followed at the Pediatric Gastroenterology Institute of São Paulo (IGASTROPED), Brazil. The database with clinical, therapeutic and anthropometric data was obtained from medical records of outpatient infants. The therapeutic intervention was characterized by 1) exclusive breastfeeding with maternal exclusion diet of the six allergens (EBF-MED) or 2) no breastfeeding and use of hypoallergenic formulas. Of the 44 infants diagnosed with allergic proctocolitis, 23 were female. The median age of the infants was 3.5 months at the time of admission and 6 months after the intervention. The main clinical complaint was hematochezia with or without other symptoms of allergic proctocolitis. No difference was shown in the infants anthropometric evaluation between the two diets. The duration of the allergic proctocolitis did not induce worsening of the infants nutritional status. Importantly, both nutritional interventions were able to keep the infants within the growth channel and resulted in the total clinical symptoms remission. Considering the fundamental mother-child link promoted by breastfeeding, the present data highlights the beneficial role of EBF-MED on the nutritional status of infants diagnosed with allergic proctocolitis in addition to the lower cost that breastfeeding brings compared the use of hypoallergenic formulas.
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ISSN:0004-2803
1678-4219
1678-4219
0004-2803
DOI:10.1590/S0004-28032016000400010