Titut S. Pusponegoro, Titut S.
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Problems and Solution of Malabsorption Syndrome in Indonesia Suharjono, Suharjono; Sunoto, Sunoto; Budiarso, Aswitha; Pusponegoro, Titut S.; Tumbelaka, W.A.F.J.
Paediatrica Indonesiana Vol 18 No 1-2 (1978): January 1978
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (244.144 KB) | DOI: 10.14238/pi18.1-2.1978.11-6

Abstract

I. Problems of malabsorption syndrome in developing countries like lndonesia are associated especially with :(1) Protein Calorie Malnutrition(2) Low Birth Weight(3) Gastroenteritis(4) Post bowel surgery(5) Being unused to drink milk after weaning.They show a big difference with those in developed countries where they usually are correlated with a.o. coeliac disease, cystic fibrosis, etc.II. Solving the problems :a. Since in diarrhoeal patients, with or without PCM, sugar intolerance and or fat malabsorption usually occur, a formula consisting of low or freelactose with easily absorbable fats i.e. MCT or UFA, might be the best solution as a refeeding regimen.b. Besides treating the malabsorption syndrome, other measures are much more important i.e correction of fluid and electrolyte imbalance and treatment of predisposing condition.
Treatment of Acute Infantile Gastroenteritis Dehydration Acidosis with Ringer's Lactate and Glucose-Electrolyte Solution Hernawan, Hernawan; Sunoto, Sunoto; Pusponegoro, Titut S.; Suharjono, Suharjono
Paediatrica Indonesiana Vol 18 No 3-4 (1978): March 1978
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (298.014 KB) | DOI: 10.14238/pi18.3-4.1978.83-90

Abstract

Fifty patients hospitalized with severe gastroenteritis - dehydration with acidosis were investigated. The age average was 8 months with the range of 1-18 months. The amount of the Ringer's lactate solution given was as follows:1st hour : 30 ml/kg b.w.the following 7 hours: 70 ml/kg b.w. or 10 ml/kg b.w./hour.After 8 hours on parenteral treatment, the child was given oral solution, either glucose-electrolyte solution or milk formula in ΒΌ dilution. The mortality rate was 6% (3 out of 50 patients) i.e. one due to seizures suspected encephalitis, one due to potasium deficiency (K = 2.1 mEq/l) and the third due to dehydration itself because the child was admitted already in a moribund stage (subvinum vitae).