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Are fibre supplements really necessary in diverticular disease of the colon? A controlled clinical trial.
Br Med J (Clin Res Ed). 1981 Apr 25; 282(6273):1353-6.BM

Abstract

Fifty-eight patients with uncomplicated diverticular disease of the colon took bran crispbread, ispaghula drink, and placebo for four months each in a randomised, cross-over, double-blind controlled trial. Assessments were made subjectively, using a monthly self-administered questionnaire, and objectively, by examining a seven-day stool collection at the end of each treatment period. In terms of a pain score, lower bowel symptom score (the pain score and sensation of incomplete emptying, straining, stool consistency, flatus, and aperients taken), and total symptom score (belching, nausea, vomiting, dyspepsia, and abdominal distension) fibre supplementation conferred no benefit. Symptoms of constipation, however, when assessed alone, were significantly relieved. Both fibre regimens produced the expected changes in stool weight, consistency, and frequency. It is concluded that dietary fibre supplements in the commonly used doses do no more than relieve constipation. Perhaps the impression that fibre helps diverticular disease is simply a manifestation of Western civilisation's obsession with the need for regular frequent defecation.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

6263396

Citation

Ornstein, M H., et al. "Are Fibre Supplements Really Necessary in Diverticular Disease of the Colon? a Controlled Clinical Trial." British Medical Journal (Clinical Research Ed.), vol. 282, no. 6273, 1981, pp. 1353-6.
Ornstein MH, Littlewood ER, Baird IM, et al. Are fibre supplements really necessary in diverticular disease of the colon? A controlled clinical trial. Br Med J (Clin Res Ed). 1981;282(6273):1353-6.
Ornstein, M. H., Littlewood, E. R., Baird, I. M., Fowler, J., North, W. R., & Cox, A. G. (1981). Are fibre supplements really necessary in diverticular disease of the colon? A controlled clinical trial. British Medical Journal (Clinical Research Ed.), 282(6273), 1353-6.
Ornstein MH, et al. Are Fibre Supplements Really Necessary in Diverticular Disease of the Colon? a Controlled Clinical Trial. Br Med J (Clin Res Ed). 1981 Apr 25;282(6273):1353-6. PubMed PMID: 6263396.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Are fibre supplements really necessary in diverticular disease of the colon? A controlled clinical trial. AU - Ornstein,M H, AU - Littlewood,E R, AU - Baird,I M, AU - Fowler,J, AU - North,W R, AU - Cox,A G, PY - 1981/4/25/pubmed PY - 1981/4/25/medline PY - 1981/4/25/entrez SP - 1353 EP - 6 JF - British medical journal (Clinical research ed.) JO - Br Med J (Clin Res Ed) VL - 282 IS - 6273 N2 - Fifty-eight patients with uncomplicated diverticular disease of the colon took bran crispbread, ispaghula drink, and placebo for four months each in a randomised, cross-over, double-blind controlled trial. Assessments were made subjectively, using a monthly self-administered questionnaire, and objectively, by examining a seven-day stool collection at the end of each treatment period. In terms of a pain score, lower bowel symptom score (the pain score and sensation of incomplete emptying, straining, stool consistency, flatus, and aperients taken), and total symptom score (belching, nausea, vomiting, dyspepsia, and abdominal distension) fibre supplementation conferred no benefit. Symptoms of constipation, however, when assessed alone, were significantly relieved. Both fibre regimens produced the expected changes in stool weight, consistency, and frequency. It is concluded that dietary fibre supplements in the commonly used doses do no more than relieve constipation. Perhaps the impression that fibre helps diverticular disease is simply a manifestation of Western civilisation's obsession with the need for regular frequent defecation. SN - 0267-0623 UR - https://www.unboundmedicine.com/medline/citation/6263396/Are_fibre_supplements_really_necessary_in_diverticular_disease_of_the_colon_A_controlled_clinical_trial_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/6263396/ DB - PRIME DP - Unbound Medicine ER -