Congdon P J, Fiddler G I, Littlewood J M, Scott O
Arch Dis Child. 1982 Jan;57(1):78-9.
Six children with congenital heart disease are described in whom poor growth was found to be due to small-bowel villous atrophy; none was in heart failure and only one was severely cyanosed. Growth improved in all 6 on a gluten-free diet. Gluten enteropathy may be more common than is realised in children with congenital heart disease, and jejunal biopsy should be undertaken early in any patient with poor growth and no heart failure to exclude the coexistence of the condition.
本文描述了6名先天性心脏病患儿，发现其生长发育不良是由于小肠绒毛萎缩所致；无一例处于心力衰竭状态，仅有1例严重发绀。所有6例患儿采用无麸质饮食后生长情况均有改善。麸质肠病在先天性心脏病患儿中可能比人们意识到的更为常见，对于任何生长发育不良且无心力衰竭的患儿，应尽早进行空肠活检以排除该病的并存情况。
