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[Cow's milk protein sensitive enteropathy].

H K Harms

    Klinische Padiatrie
    |November 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Cow's milk protein sensitive enteropathy (CMPSE) in infants is often linked to early formula feeding. Exclusive breastfeeding is the best prevention for this condition, which typically resolves within a year.

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    Area of Science:

    • Pediatric Gastroenterology
    • Immunology
    • Nutrition

    Context:

    • Cow's milk protein sensitive enteropathy (CMPSE) affects infants, often those not exclusively breastfed.
    • Risk factors include prematurity, prior enteritis, trisomy 21, and neonatal abdominal surgery.
    • Infants typically present within two weeks of cow's milk formula introduction.

    Purpose:

    • To describe the characteristics, diagnosis, and management of CMPSE.
    • To highlight the link between feeding practices and CMPSE development.
    • To emphasize the importance of exclusive breastfeeding for prevention.

    Summary:

    • CMPSE presents with gastrointestinal symptoms like diarrhea, vomiting, and abdominal distension, with potential for villous atrophy in the small intestine.

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  • Bloody stools indicate large bowel involvement.
  • The condition is usually transient, resolving within a year, but inadequate management can lead to intractable diarrhea syndromes.

    • Impact:

    • Highlights the critical role of exclusive breastfeeding in preventing CMPSE.
    • Warns against soy-based formulas as a first-choice alternative due to secondary intolerance.
    • Informs clinical practice regarding infant feeding recommendations and CMPSE management.