2016, Número S1
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Gac Med Mex 2016; 152 (S1)
Enfermedades gastrointestinales y hepáticas
Moctezuma-Velázquez C, Aguirre-Valadez J
Idioma: Español
Referencias bibliográficas: 87
Paginas: 74-83
Archivo PDF: 104.66 Kb.
RESUMEN
La dieta es considerada un factor importante como desencadenante de síntomas gastrointestinales cuya fisiopatología
incluye desde reacciones inflamatorias (con manifestaciones claramente medibles) hasta trastornos funcionales (en los que
no se ha podido demostrar o medir efecto orgánico alguno). Incluso la prevalencia de la percepción de la intolerancia a
ciertos alimentos puede ir del 20-25% (en población general) hasta un 50-70% en enfermedades como el síndrome de intestino
irritable, y se observa particularmente después del consumo de leche y lácteos, alimentos frecuentemente considerados
responsables de estas alteraciones gastrointestinales, razón por las que se limita su ingestión. Sin embargo, esta
conducta reduce las fuentes de calcio dietético y consecuentemente se favorece el riesgo de descalcificación ósea en la
edad adulta. La verdadera intolerancia a los lácteos (deficiencia de lactasa en intestino) explica en gran medida las alteraciones
secundarias a su consumo, pero la frecuencia de dicha alteración en las diversas enfermedades intestinales no ha
sido establecida. En esta revisión se abordan las enfermedades gastrointestinales más frecuentes y la evidencia que existe
respecto al consumo de leche o lácteos, la alteración y la sintomatología asociada con su consumo.
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