Importance of Supine Abdominal X Rays in Suspected Foreign Body Ingestion.
The focus of the NASPGHAN position paper is on the broad use of plant based milks as a major source of nutrition, extending well beyond the small population of infants diagnosed with cow milk allergy, and the concern, that if these products are not properly labelled and used, there is potential for nutritional harm. We certainly did not intend to demonize such products, but rather to point out their limitations, as currently constituted and labeled, when used as the sole source of milk in the diet of infants or as a major part of the diet in young children. Such beverages (excluding the infant formulas cited in the Position Paper and the letter) are not routinely fortified with amino acids to improve their protein quality, although there is developing industrial capability to do so, as indicated in the cited article by McClements in the letter and multiple citations in the Food Labelling Challenges section of our Position Paper. The 2010 DRACMA publication stated, 'Good quality alternative protein sources must be found, both from an allergy and nutritional point of view. That remains true and the same could be said for the quality of alternative protein sources for the general population. That is why we have recommended changes regarding food labeling and additional education to assure that products labeled and sold to consumers as 'milk' provide the nutritional value found in milk. Russell J. Merritt, yJustine Turner, and zTimothy Sentongo Intestinal Rehabilitation Team, Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics yChildren's Hospital Los Angeles, Keck School of Medicine, University of Southern California, CA yNASPGHAN Nutrition Committee, Division of Gastroenterology and Nutrition, Department of Pediatrics, University of Alberta, Alberta, Edmonton, Canada zNASPGHAN Nutrition Committee, Section of Pediatric Gastroenterology, Hepatology and Nutrition Support, University of Chicago Medicine and Biological Sciences, IL
Journal of pediatric gastroenterology and nutrition