[Dysphagia] ped reflux

[eripley at yahoo.com (Irene Campbell-Taylor)]

  Go to:
  http://www.espghan.med.up.pt/position_papers/con_15.htm
  and note also:
  In adults, thickening foods has delayed gastric emptying and gastrointestinal transit (11-13). In infants, carob bean gum (locust bean gum, E410) induced frequent, loose, gelatinous stools (14). Studies of various thickening agents, including guar gum, carob bean gum, and soybean polysaccharides, indicate the potential for decreased intestinal absorption of carbohydrates, fats, calcium, iron, zinc, and copper; alterations in metabolic utilization of dietary substrates; and alterations of mucosal and endocrine responses (15-20). One study using an in vitro model suggested that bioavailability of calcium, iron, and zinc in infant formula may be decreased by thickening formula with nondigestible carbohydrates, but not by thickening with added starch (21). In some, but not all, animal studies, adding carob bean gum to the diet decreased growth (22,23). However, no conclusive information is available on the potential effects of thickening agents on the bioavailability of
 dietary nutrients and growth in infants (24).
  Allergic reactions to carob bean gum have been reported in adults exposed to it at their workplaces (25-27) and in infants after exposure to "antireflux milk" thickened with carob bean gum (28
   
  11.     Holt S, Heading RC, Carter DC, et al. Effect of gel fibre on gastric emptying and absorption of glucose and paracetamol. Lancet 1979;1:636-9.  
  French SJ, Read NW. Effect of guar gum on hunger and satiety after meals of differing fat content: relationship with gastric emptying. Am J Clin Nutr 1994;59:87-91.


Dr I Campbell-Taylor
Clinical Neuroscientist
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