Dear Lara,
I apologize for the confusion. Thanks for pointing out my error. The fat
content was 39% of normal, per this case study, following six samples of
milk (the mean fat content was 2.85%, which gives a fat content of 15.4
g/L). Again, remember this was done following a 4 month check-up. The
infant's weight had progressively declined (gaining only 9 oz in past 2
months).
This is the only case study or literature I am aware of concerning gastric
bypass, Lara. I thought it was an interesting read. I would be happy to
fax it to you, so you can critique it more specifically.
Respectfully,
Penny Lane RN, BA, IBCLC
> [Original Message]
> From: Lara Hopkins <[log in to unmask]>
> To: <[log in to unmask]>
> Date: 11/20/2003 9:34:12 AM
> Subject: Re: Gastric By-Pass
>
> On 20/11/2003, at 3:39, Penny Lane wrote:
>
> > They mention being aware of moms "complying" with their recommended
> > multivitamin, iron, and B12 (intrinsic factor is not generated after
> > gastric bypass) needs. They also suggested a creamatocrit to help
> > determine if fat content is sufficient, due to the malabsorption issues
> > following gastric-bypass surgery.
>
> But creamatocrit varies so dramatically through a feeding - of what
> earthly use is a "spot" creamatocrit?
>
> > This particular infant did suffer failure to thrive. Her breastmilk
> > contained on 39% fat content
>
> (Typo? 3.9%, maybe?)
>
> > with translates to an energy level of 475
> > kcal/L (670 cal/L is typical). So although her supply volume was
> > adequate,
> > it was considerably less rich in energy than normal breast milk.
>
> Colour me sceptical about the "low-fat" milk, without any more
> information being provided about how full the breast was when the
> creamatocrit was taken, and what precautions were taken to get a
> representative sample. A full breast of a completely normal mum will
> give lower fat results than that.
>
> Lara Hopkins
> family doc in Perth, Western Australia
>
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