The effect of ingestion of guar gum on ileostomy effluent
- 1 January 1992
- journal article
- clinical trial
- Published by Cambridge University Press (CUP) in British Journal of Nutrition
- Vol. 67 (1), 115-122
- https://doi.org/10.1079/bjn19920013
Abstract
Randomized, paired studies were carried out on five healthy volunteers equipped with terminal ileostomies to investigate the effect of incorporating 15 g of the viscous polysaccharide guar gum in the normal diet on the volume, weight, composition and physical properties of ileostomy effluent. Subjects ate an identical diet during two 5 d study periods, which were separated by 2 d. Outputs of fat, protein, sodium, potassium, dry weight and water were all increased during guar gum administration, but outputs of carbohydrate, calcium and phosphorus were not significantly altered. Mouth-to-stoma transit was not significantly affected and, surprisingly, the viscosity of the ileostomy effluent was reduced by guar gum. These results show that it is not always possible to predict what will happen to small intestinal function when guar gum is added to the diet from experiments carried out when guar gum is administered alone or with glucose. While our findings show that guar gum will reduce fat absorption, the mechanisms involved are more sophisticated than hitherto envisaged.Keywords
This publication has 14 references indexed in Scilit:
- Effect of ingestion of fat on ileostomy effluent.Gut, 1990
- Guar Sprinkled on Food: Effect on Glycaemic Control, Plasma Lipids and Gut Hormones in Non‐insulin Dependent Diabetic PatientsDiabetic Medicine, 1987
- Viscosity of food gums determined in vitro related to their hypoglycemic actionsThe American Journal of Clinical Nutrition, 1987
- Guar Gum: the Importance of Reporting Data on its Physico‐chemical PropertiesDiabetic Medicine, 1986
- The Mechanism of Action of Guar Gum in Improving Glucose Tolerance in ManClinical Science, 1984
- Effect of a modified guar gum preparation on glucose and lipid levels in diabetics and healthy volunteersAtherosclerosis, 1982
- Water-holding by dietary fibre in vitro and its relationship to faecal output in manGut, 1979
- Decrease in Postprandial Insulin and Glucose Concentrations by Guar and PectinAnnals of Internal Medicine, 1977
- Gums and Hydrocolloids in Nutrition1Published by S. Karger AG ,1975
- Bulking Agents in the Treatment of ObesityAnnals of Nutrition and Metabolism, 1975