{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,4]],"date-time":"2022-04-04T06:20:02Z","timestamp":1649053202600},"reference-count":0,"publisher":"ARAN Ediciones","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutr Hosp"],"abstract":"<jats:p>La acidosis D-l\u00e1ctica es una patolog\u00eda infrecuente, habitualmente descrita en pacientes con s\u00edndrome de intestino corto. Se caracteriza por episodios recurrentes de encefalopat\u00eda con D-lactato s\u00e9rico elevado y, generalmente, acidosis metab\u00f3lica. Para su desarrollo es necesario el sobrecrecimiento de bacterias productoras de D-lactato en el colon. Otros factores, como la ingesta abundante de carbohidratos o la disminuci\u00f3n de la motilidad intestinal, pueden favorecer una acidosis D-l\u00e1ctica. Presentamos un caso cl\u00ednico de acidosis D-l\u00e1ctica recurrente en una ni\u00f1a de 5 a\u00f1os con s\u00edndrome de intestino corto secundario a un v\u00f3lvulo de intestino medio. Recibi\u00f3 tratamiento antibi\u00f3tico para el sobrecrecimiento bacteriano y restricci\u00f3n de carbohidratos enterales, pese a lo que present\u00f3 recurrencias. Posteriormente se sustituy\u00f3 un 25% de su f\u00f3rmula de nutrici\u00f3n enteral por otra con aporte exclusivo de fructosa, y se restringieron los aportes de otros az\u00facares fermentables. La evoluci\u00f3n a los 16 a\u00f1os ha sido satisfactoria, sin presentar nuevas recurrencias.<\/jats:p>","DOI":"10.20960\/nh.1453","type":"journal-article","created":{"date-parts":[[2018,3,7]],"date-time":"2018-03-07T12:42:26Z","timestamp":1520426546000},"source":"Crossref","is-referenced-by-count":1,"title":["Tratamiento diet\u00e9tico con fructosa en una ni\u00f1a de 5 a\u00f1os con acidosis D-l\u00e1ctica recurrente"],"prefix":"10.20960","author":[{"given":"Lourdes","family":"Travieso Su\u00e1rez","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pilar","family":"Quijada Fraile","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Consuelo","family":"Pedr\u00f3n Giner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"8588","published-online":{"date-parts":[[2018,3,1]]},"container-title":["Nutrici\u00f3n Hospitalaria"],"original-title":[],"deposited":{"date-parts":[[2018,3,7]],"date-time":"2018-03-07T12:42:31Z","timestamp":1520426551000},"score":1,"resource":{"primary":{"URL":"http:\/\/revista.nutricionhospitalaria.net\/index.php\/nh\/article\/view\/1453"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3,1]]},"references-count":0,"URL":"https:\/\/doi.org\/10.20960\/nh.1453","relation":{},"ISSN":["1699-5198","0212-1611"],"issn-type":[{"value":"1699-5198","type":"electronic"},{"value":"0212-1611","type":"print"}],"subject":[],"published":{"date-parts":[[2018,3,1]]}}}