Short Gut
                                =========

þ D-Lactic Acidosis
  - Patients with an anatomically shortened small bowel may develops lactic
    acidosis secondary to D-lactic acid.
  - Patients may present with an anion gap acidosis and coma.
  - caused by bacterial fermentation which produces D-lactic acid.
  - It occurs in patients with an anatomically or functionally shortened small
    bowel.
  - This acid is not detected by the usual test for L-lactate.
  - Treatment consists of neomycin or vancomycin.
    [Reference: Tintinalli 3rd ed. p 749]