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conferenceseries
.com
Volume 7, Issue 3 (Suppl)
J Gastrointest Dig Syst, an open access journal
ISSN: 2161-069X
Gastro 2017
June 12-13, 2017
June 12-13, 2017 Rome, Italy
11
th
Global
GastroenterologistsMeeting
J Gastrointest Dig Syst 2017, 7:3(Suppl)
DOI: 10.4172/2161-069X-C1-050
Allergic proctocolitis in infants: Analysis of the evolution of the nutritional status
Ulysses Fagundes-Neto
1
, Ludmilla S Camargo
1
, Jonas AC Silveira
1, 2
and
José AAC Taddei
1
1
Universidade Federal de São Paulo, Brazil
2
Universidade Federal de Alagoas, Brazil
Background
: Allergic proctocolitis is a disease that affects infants in the first months. The change in feed is the primary factor for
clinical improvement and maintenance of the nutritional status of the infant.
Objective
: Study the anthropometric evolution of infants with allergic proctocolitis at diagnosis and one to six months after nutritional
intervention.
Methods
: A retrospective cohort of infants with allergic proctocolitis diagnosis followed at Pediatric Gastroenterology Institute of São
Paulo (IGASTROPED), Brazil. The database with clinical, therapeutic and anthropometric data was obtained frommedical records of
outpatient infants. The therapeutic intervention was characterized by exclusive breastfeeding with maternal exclusion diet of the six
allergens (EBF-MED) or no breastfeeding and use of hypoallergenic formulas.
Results
: Of the 44 infants diagnosed with allergic proctocolitis, 23 were female. The median age of the infants was 3.5 months at
the time of admission and six months after the intervention. The main clinical complaint was hematochezia with or without other
symptoms of allergic proctocolitis. No difference was shown in the infants’ anthropometric evaluation between the two diets.
Conclusion
: The duration of the allergic proctocolitis did not induce worsening of the infants’ nutritional status. Importantly,
both nutritional interventions were able to keep the infants within the growth channel and resulted in the total clinical symptoms
remission. Considering the fundamental mother-child link promoted by breastfeeding, the present data highlights the beneficial role
of EBF-MED on the nutritional status of infants diagnosed with allergic proctocolitis in addition to the lower cost that breastfeeding
brings compared the use of hypoallergenic formulas.
ulyneto@osite.com.br