Mayne A J, Handy D J, Preece M A, George R H, Booth I W
Institute of Child Health, University of Birmingham.
Arch Dis Child. 1990 Feb;65(2):229-31. doi: 10.1136/adc.65.2.229.
Manipulation of carbohydrate intake was used to treat severe, recurrent D-lactic acidosis in a patient with short bowel syndrome. Dietary carbohydrate composition was determined after assessment of D-lactic acid production from various carbohydrate substrates by faecal flora in vitro. This approach may be preferable to repeated courses of antibiotics.