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Cited by 436

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Fiber and Functional Gastrointestinal Disorders

Eswaran, Shanti, Muir, Jane, Chey, William D·2013·American Journal of Gastroenterology
DOI 10.1038/ajg.2013.63
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Abstract

Despite years of advising patients to alter their dietary and supplementary fiber intake, the evidence surrounding the use of fiber for functional bowel disease is limited. This paper outlines the organization of fiber types and highlights the importance of assessing the fermentation characteristics of each fiber type when choosing a suitable strategy for patients. Fiber undergoes partial or total fermentation in the distal small bowel and colon leading to the production of short-chain fatty acids and gas, thereby affecting gastrointestinal function and sensation. When fiber is recommended for functional bowel disease, use of a soluble supplement such as ispaghula/psyllium is best supported by the available evidence. Even when used judiciously, fiber can exacerbate abdominal distension, flatulence, constipation, and diarrhea.

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Metadata

Authors
Eswaran, S., Muir, J., & Chey, W. D.
Venue
American Journal of Gastroenterology
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2013-05
Volume
108
Issue
5
Pages
718-727
ISSN
0002-9270 (ISSN-L)
DOI
10.1038/ajg.2013.63
OpenAlex
W2009090173
Cited by
436
References
17
FWCI
28.15
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (unspecified)

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