Problems and Solution of Malabsorption Syndrome in Indonesia

  • Suharjono Suharjono Department of Child Health, Medical School University of Indonesia, Jakarta.
  • Sunoto Sunoto Department of Child Health, Medical School University of Indonesia, Jakarta.
  • Aswitha Budiarso Department of Child Health, Medical School University of Indonesia, Jakarta.
  • Titut S. Pusponegoro Department of Child Health, Medical School University of Indonesia, Jakarta.
  • W.A.F.J. Tumbelaka Department of Child Health, Medical School University of Indonesia, Jakarta.
DOI: https://doi.org/10.14238/pi18.1-2.1978.11-6
Keywords: malabsorption syndrome

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 free
lactose 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.

References

ADNAN S.W. and SUHARJONO : Gastroenteritis and Cholera Challenge in Indonesia. Proceeding of the Eleventh Malaysia-Singapore Congress of Medicine, Kualalumpur, 19-22 August 1976.

BARNES, G.L. and TOWNLEY, R.R.W. : Duodenal mucosal damage in 31 infants with gastroenteritis. Arch. Dis. child. 40 : 343 (1974).

BAYLESS, T.M. and CHRISTOPHER,V.L. : Disaccharidase deficiency. Am. J. Clin. Nutr. 22 : 181 (1969).

BOLIN, T.D. and DAVIS, A.E. : Lactose intolerance in Asians and its relation to dietary intake of lactose. Proceedings of the Third Asian Pacific Congress of Gastroenterology, Melbourne, October 7-11, 1968.

ELLIOT, R.B.; GRACEY, M; THOMAS, J. and STONE, D.E. : Influence of intestinal micro-organisms on intestinal sugar·absorption. Aust. Paediatr. J. 8 : 224 (1972).

GRACEY, M; SUHARJONO, SUNOTO and DELYS E. STONE : Microbial contamination of the gut; another feature of malnutrition. Am. J. Clin. Nutr. 26 : 1170 (1973).

GRACEY, M.; THOMAS, J.; SUHARJONO and HENTYANTO HENDARDJI : Assessment of Steatorrhoea in malnourished children. Env. Childh. 20 : 223- 225 (1974).

GRACEY, M.; SUHARJONO and SUNOTO : Use of a simple duodenal capsule to study the upper intestinal microflora. Ach. Dis. Child. 52 : 74 (1977).

HALIMUN, E.M.; SUNOTO and SUHARJONO : Sugar intolerance in post bowel surgery. Paediatr. Indones. 13 : 289 (1973).

SUHARJONO, SUNOTO, ASWITHA DAMAJANTI, SADIKIN DARMAWAN and COTTOM D.G. : Small intestine biopsy in Protein Calorie Malnutrition and Celiac children. Paediatr. Indones. 11 : 7 (1971) Special Issue.

SUHARJONO; SUNOTO; ASWITHA BUDIARSO and HENTYANTO HENDARDJI : Malabsorption syndrome in Indonesian children. Proceedings of the Vth World Congress of Gastroenterology, Mexico, 13- 19 Oct. 1974.

SUHARJONO : Symposium in infancy and children. Proceeding of the Vth Asian Pacific Congress of Gastroenterology, Singapore, 23-29 May 1976.

SUHARJONO, TITUT, S.P.; SUPARNO, S.; ASWITHA BUDIARSO, SUNOTO and SUTEJO, R. : Medium Chain Triglycerides (MCT) Lactose Low Formula in malnourished children with steatorrhoea and diarrhoea. Proceedings of the Vth APCG, Singapore, 23-26 May, 1976.

SUHARJONO, SUPARNO, SUNOTO, ASWITHA BUDIARSO and SUTEJO R. : Clinical trial of lactose low milk containing Unsaturated Fatty Acid (U.F.A.) formula in diarrhoea infants. Proceedings of the Vth APCG, Singapore, 23-26 May, 1976.

SUTEJO, R. : Trends of paediatric nutrition in developing countries. Paediatr. Indones. 14 : 73 (1974).

SUTEJO, R.; TUMBELAKA, W.A.F.J.; SUHARJONO, SUNOTO, ASWITHA BUDIARSO : Progress in Indonesian Paediatric Gastroenterology. Proceeding of the Vth APCG, Singapore, 23-26 May, 1976.
Published
2017-06-13
How to Cite
1.
Suharjono S, Sunoto S, Budiarso A, Pusponegoro T, Tumbelaka W. Problems and Solution of Malabsorption Syndrome in Indonesia. PI [Internet]. 13Jun.2017 [cited 19Apr.2024];18(1-2):11-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/1447
Issue
Vol 18 No 1-2 (1978): January - February 1978
Section
Articles

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Received 2017-05-30
Accepted 2017-05-30
Published 2017-06-13