Oral Rehydration Therapy: WHO at 40, ORT at 30

Oral rehydration therapy may prove to be mankind's most significant therapeutic advance this century. Diarrheal disease remains the number one killer of children in the world and is a major cause of illness within Canada and other developed countries. Since its discovery 30 years ago, oral rehy...

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Main Authors: Jonathan LaPook, Richard N. Fedorak
Format: Article
Language:English
Published: Wiley 1989-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/1989/138105
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author Jonathan LaPook
Richard N. Fedorak
author_facet Jonathan LaPook
Richard N. Fedorak
author_sort Jonathan LaPook
collection DOAJ
description Oral rehydration therapy may prove to be mankind's most significant therapeutic advance this century. Diarrheal disease remains the number one killer of children in the world and is a major cause of illness within Canada and other developed countries. Since its discovery 30 years ago, oral rehydration therapy, comprising glucose, salt and water, has been a simple and low cost treatment for people with life threatening diarrheal disease. Recent developments in solutions for oral rehydration therapy have led to the recognition chat the existing World Health Organization glucose based oral replacement salt could be improved. ln commercially available rehydration solutions, the sodium concentration has been lowered to reduce hypernatremia in noncholera induced diarrhea. Citrate has replaced bicarbonate as the base in oral replacement solutions to pro long shelf life. Organic substrates to replace glucose and enhance intestinal fluid and electrolyte absorption without osmotic penalty are being examined. However, their acceptance and proper utilization in developing countries remains to be determined.
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spelling doaj-art-5497800a16b741be9ddfa198c33572a82025-08-20T03:18:12ZengWileyCanadian Journal of Gastroenterology0835-79001989-01-013171410.1155/1989/138105Oral Rehydration Therapy: WHO at 40, ORT at 30Jonathan LaPook0Richard N. Fedorak1Department of Medicine, Division of Gastroenterology, College of Physicians and Surgeons of Columbia University, New York, USADepartment of Medicine, Division of Gastroenterology, University of Alberta, Edmonton, Alberta, CanadaOral rehydration therapy may prove to be mankind's most significant therapeutic advance this century. Diarrheal disease remains the number one killer of children in the world and is a major cause of illness within Canada and other developed countries. Since its discovery 30 years ago, oral rehydration therapy, comprising glucose, salt and water, has been a simple and low cost treatment for people with life threatening diarrheal disease. Recent developments in solutions for oral rehydration therapy have led to the recognition chat the existing World Health Organization glucose based oral replacement salt could be improved. ln commercially available rehydration solutions, the sodium concentration has been lowered to reduce hypernatremia in noncholera induced diarrhea. Citrate has replaced bicarbonate as the base in oral replacement solutions to pro long shelf life. Organic substrates to replace glucose and enhance intestinal fluid and electrolyte absorption without osmotic penalty are being examined. However, their acceptance and proper utilization in developing countries remains to be determined.http://dx.doi.org/10.1155/1989/138105
spellingShingle Jonathan LaPook
Richard N. Fedorak
Oral Rehydration Therapy: WHO at 40, ORT at 30
Canadian Journal of Gastroenterology
title Oral Rehydration Therapy: WHO at 40, ORT at 30
title_full Oral Rehydration Therapy: WHO at 40, ORT at 30
title_fullStr Oral Rehydration Therapy: WHO at 40, ORT at 30
title_full_unstemmed Oral Rehydration Therapy: WHO at 40, ORT at 30
title_short Oral Rehydration Therapy: WHO at 40, ORT at 30
title_sort oral rehydration therapy who at 40 ort at 30
url http://dx.doi.org/10.1155/1989/138105
work_keys_str_mv AT jonathanlapook oralrehydrationtherapywhoat40ortat30
AT richardnfedorak oralrehydrationtherapywhoat40ortat30