Volume 21, Number 7, 521-526, DOI: 10.1007/BF01464757

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Gastroenterology Research Group

The effect of wheat bran upon bile salt metabolism and upon the lipid composition of bile in gallstone patients

Eru W. Pomare, Kenneth W. Heaton, Thomas S. Low-Beer and Henry J. Espiner

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Abstract

When raw wheat bran was added to the diet of six subjects for 4–6 weeks, chenodeoxycholate (CDC) synthesis increased from 0.46±0.12 to 0.57±0.17 mmol/day (P<0.025), and="" the="" cdc="" pool="" increased="" from="" 1.72±0.47="" to="" 2.19±0.74="" mmol=""><0.05). deoxycholate="" (dc)="" pool="" size="" diminished="" from="" 1.20±0.29="" to="" 0.80±0.16="" mmol,="" but="" cholate="" synthesis="" and="" pool="" size="" were="" unaffected.="" overall,="" the="" size="" of="" the="" bile="" salt="" pool="" did="" not="" change.="" in="" spite="" of="" this,="" when="" 10="" patients="" with="" probable="" cholesterol="" gallstones="" took="" bran="" supplements="" for="" 4–6="" weeks,="" their="" gallbladder="" bile="" aspirated="" from="" the="" duodenum="" became="" less="" saturated="" with="" cholesterol.="" the="" molar="" percentage="" of="" cholesterol="" fell="" from="" 10.1±3.1%="" to="" 8.6±2.7%=""><0.01), and="" the="" saturation="" index="" of="" bile="" fell="" from="" 1.49±0.40="" to="" 1.29±0.38=""><0.005). bran="" probably="" operates="" primarily="" on="" the="" colon,="" reducing="" the="" formation="" or="" absorption="" of="" the="" bacterial="" metabolite="" dc,="" a="" substance="" which="" impairs="" cdc="">
This work was supported by grants from the British Council, the United Bristol Hospitals and the Kellogg Company of Great Britain Limited.

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