Decrease in net stool output in cholera during intestinal perfusion with glucose-containing solutions

N Hirschhorn, JL Kinzie, DB Sachar… - New England journal …, 1968 - Mass Medical Soc
N Hirschhorn, JL Kinzie, DB Sachar, RS Northrup, JO Taylor, SZ Ahmad, RA Phillips
New England journal of medicine, 1968Mass Medical Soc
The rate of intestinal fluid loss was decreased significantly in eight patients with cholera
when electrolyte solutions containing glucose were administered intragastrically or into the
intestine for periods of 12 to 32 hours. During alternating periods of perfusion without
glucose, or without any perfusion, the rate of fluid loss did not differ significantly from the
natural course of diarrhea in 25 control patients. Thus, the normal mechanism of
enhancement of intestinal sodium absorption by an actively transported sugar seems intact …
Abstract
The rate of intestinal fluid loss was decreased significantly in eight patients with cholera when electrolyte solutions containing glucose were administered intragastrically or into the intestine for periods of 12 to 32 hours. During alternating periods of perfusion without glucose, or without any perfusion, the rate of fluid loss did not differ significantly from the natural course of diarrhea in 25 control patients. Thus, the normal mechanism of enhancement of intestinal sodium absorption by an actively transported sugar seems intact in cholera. Where intravenous fluids are scarce in cholera-affected areas, oral electrolyte solutions containing glucose can supplement parenteral fluids in the treatment of cholera.
The New England Journal Of Medicine