Consensus Conference on the Management of Cystic Fibrosis: by J. A. Dodge (auth.), Priv.-Doz. Dr. B. Fruhstorfer, Dr. A. PDF
By J. A. Dodge (auth.), Priv.-Doz. Dr. B. Fruhstorfer, Dr. A. Heinz, D. Berger, U. Hilpert, K. Kupfer, Dr. Drev R. Chadha (eds.)
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Additional resources for Consensus Conference on the Management of Cystic Fibrosis: Paris, June 3rd, 1994
There is a clear correlation between the efficiency of the child's growth and semi-elemental diet. Dr. Posselt: We have two questions concerning the additional treatment with Hrblockers and high strength of lipase preparations . Are there any comments? Dr. Fink: We have routinely added Hrantagonists to the therapy when patients reach a dose of between 2000 and 3000 units of lipase/kg/meal. I think there may well be a point at which increased enzyme dosage becomes less responsive or ineffective unless the pH of the intestine is corrected.
She was referred with a chronic collapse of the right middle lobe, which was eventually removed. She had intermittent abdominal pain despite adequate control of the malabsorption. Gradual increase in dose and changes in enzyme preparation ended with a dose of Pancrease HL 27 capsules/day at 7 years. At this time a barium enema revealed moderate narrowing and lack of distensibility of the ascending colon, but ultrasound was normal. At colonoscopy the mucosa in the ascending colon was slightly reddened, but histology was normal, as was that of the terminal ileum.
Wolfe SP. Unpublished data, 1994. D. Lloyd-Still, Chicago Factors Involved in Reported Cases of Colonic Strictures 1. A 0 iat d with high- trength lipase nzyme (>20000 unit ). 2. A ociated with excessive dosa e (> 18000 units/kWmeal). 3. A ociated with prolonged duration of administration (over 6 month ). 4. As ociated with age group 2-5 year. 5. , but not in Europ . 6. Restricted to cystic fibrosi patients. Personal Experience of Intestinal Strictures in CF I reviewed our experience of strictures in the intestine, which involves 25 years of looking after over 500 CF patients.
Consensus Conference on the Management of Cystic Fibrosis: Paris, June 3rd, 1994 by J. A. Dodge (auth.), Priv.-Doz. Dr. B. Fruhstorfer, Dr. A. Heinz, D. Berger, U. Hilpert, K. Kupfer, Dr. Drev R. Chadha (eds.)