Effects of high-fiber diet on fecal blood content (HemoQuant assay) in healthy subjects.

Effects of high-fiber diet on fecal blood content (HemoQuant assay) in healthy subjects.
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高纤维饮食对健康受试者粪便血液含量的影响(HemoQuant 测定)。

DOI:
10.1007/bf01297143
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发表时间:
1991
影响因子:
3.1
通讯作者:
Schwartz,S
Schwartz,S
中科院分区:
医学3区
文献类型:
--
作者:
Slavin,JL;Melcher,EA;Sundeen,M;Schwartz,S

文献摘要

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Consumption of high-fiber diets has been recommended prior to fecal blood testing to increase bleeding from polyps, cancer, and other lesions associated with mucosal erosion in the gastrointestinal tract. The effect of a high-fiber diet on fecal hemoglobin loss was examined in 17 healthy subjects during two dietary periods: (1) self-selected diet, (2) same diet plus 24 g/day dietary fiber (Fiber One Cereal). Five-day fecal composites were weighed and homogenized, and hemoglobin concentration was determined by the HemoQuant test. Average daily fecal weight increased from 145±90 g to 281±91 g (P=0.0001), fecal hemoglobin concentrations decreased from 0.98±0.48 to 0.48±0.28 mg/g (P=0.0001), while daily fecal hemoglobin contents were similar (P=0.39) for self-selected and added-fiber diets, respectively. In these healthy individuals a high-fiber diet had no effect on mucosal bleeding, but the increased fecal weight significantly lowered fecal hemoglobin concentration. Clinical implications are considered.