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American Journal of Clinical Nutrition, Vol 25, 655-660, Copyright © 1972 by The American Society for Clinical Nutrition, Inc.

Milk and lactose intolerance following distal small bowel resection

Simon Wapnick M.D., F.R.C.S.1

1 Lecturer in Surgery, Godfrey Huggins School of Medicine, University of Rhodesia, P.O.B.M.P. 167, Mount Pleasant, Salisbury, Rhodesia. Present address: Department of Surgery Bet, Ichilov Hospital, Tel Aviv, Israel

It is not infrequent that a surgeon practicing in tropical regions has to perform a distal small bowel resection on patients with intestinal volvulus. Constitution hypolactasia is also common in people who reside in certain countries in the tropics. The combined effect of lactose intolerance and distal ileal resection leads to a severe form of malabsorption, severe milk intolerance, a significant lowering of pH, and an increase in the amount of reducing substances in the stools. These patients can assimilate larger amounts of sour milk rather than fresh.






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Copyright © 1972 by The American Society for Nutrition