Fiber Deficiency and Colonic Disorders

  • Richard W. Reilly
  • Joseph B. Kirsner

Table of contents

  1. Front Matter
    Pages i-x
  2. Dietary Fiber and Interaction with Bacteria and Bile

    1. Front Matter
      Pages 1-1
    2. D. M. Hegsted
      Pages 3-15
    3. K. W. Heaton
      Pages 27-49
  3. Fiber and Colonic Function

    1. Front Matter
      Pages 51-51
    2. S. F. Phillips
      Pages 53-65
    3. A. M. Connell
      Pages 81-90
  4. Fiber Deficient Disorders of the Colon

    1. Front Matter
      Pages 91-91
    2. A. B. Price
      Pages 101-108
    3. A. N. Smith
      Pages 127-138
    4. Denis Burkitt
      Pages 139-147
  5. General Discussion

    1. Front Matter
      Pages 149-149
    2. Richard W. Reilly, Joseph B. Kirsner
      Pages 151-161
  6. Summary

    1. Front Matter
      Pages 163-163
    2. J. H. Cummings
      Pages 165-174
  7. Back Matter
    Pages 175-185

About this book


Epidemiologists, on the basis of studies carried out chiefly in Africa, have suggested that depletion of fiber in the modern Western diet affects health adversely. D. P. Burkitt, who has been in the forefront of this investigation, has included among the "diseases of civilization" hiatus hernia, ischemic heart disease, cholelithiasis, polyps of the colon, and cancer of the colon. All of these conditions appear to have the same geographic distribution. In these areas, the diets were characterized by increased amounts of fat and meat protein, and by an apparent deficit of fiber. It is noteworthy that while an increased intake of refined sugars also has been implicated in the Western diet, the consumption of sugar and other sweetners in the United States actually has remained fairly stable since about 1925 when the use of complex carbohydrates in the form of starchy foods began to decline. The mechanism whereby deficiency of fiber in the diet contributes to the development of colonic diverticula, presumably is by facilitating the development of segmentation of the colon and pockets of intracolonic high pressure zones associated with prolonged transit time of bowel content. Preliminary therapeutic observations, furthermore, have suggested that the addition of fiber in the form of bran to the diet may promote regularity of bowel function and perhaps lessen the likelihood that new diver­ ticula will be formed after the resection of involved colonic segments.


cancer carbohydrate carbohydrates colon development diseases distribution fat health heart heart disease hernia protein

Editors and affiliations

  • Richard W. Reilly
    • 1
  • Joseph B. Kirsner
    • 1
  1. 1.Department of Medicine The Pritzker School of MedicineThe University of ChicagoUSA

Bibliographic information