Vitamin D deficiency rickets as a late complication of the short gut syndrome during infancy

摘要: Four infants with less than 35 cm of jejunum and ileum remaining following neonatal operations after being weaned from long-term total parenteral nutrition onto an "elemental" formula, developed the syndrome vitamin D deficiency rickets at 9-15 mo age. The diagnosis was confirmed by biochemical radiographic findings. Serum 25 hydroxy (25 OHD) values were significantly lower normal oral OHD absorption studies indicated severe malabsorption. This report emphasizes importance prospective assessment all neonates having distal ileal resection to detect early stages rickets.