Abstract
An attempt was made to test the possible clinical application of the cholesterol-lowering effect of hydrophilic colloids. 10 patients with high mean serum cholesterol levels during a 3-week control period and 9 with normal mean levels were each fed 11.5 g daily of undiluted hydrophilic colloid for 5 weeks. Serum cholesterol decreased significantly in 8 of the 10 (80%) patients with control-period hypercholesterolemia and 6 of the 9 (662/3%) with control-period normal levels. These findings tend to confirm the observation that a simple and commonly used type of medication for chronic constipation, particularly in the elderly, may be a useful adjunct in the managements of hypercholesterolemia.
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References
Thomas HE Jr, Kannel WB, Dawber TR, McNamara PM: Cholesterol-phospholipid ratio in the prediction of coronary heart disease: The Framingham Study. N Engl J Med 274:701–705, 1966
Buchwald H, Varco RL: Ileal bypass in patients with hypercholesterolemia and arteriosclerosis: preliminary report on therapeutic potential. JAMA 196:627–630, 1966
Kuo PT: Current metabolic-genetic interrelationship in human atherosclerosis, with therapeutic considerations. Ann Intern Med 68:449–466, 1968
Schaffner F: Serum cholesterol in primary biliary cirrhosis. Gastroenterology 56:1111–1113, 1969
Garvin JE, Forman DT, Eiseman W, Phillips CR: Lowering of human serum cholesterol by an oral hydrophilic colloid. Proc Soc Exp Biol Med 120:744–746, 1965
Forman DT, Garvin JE, Forestner JE, Taylor CB: Increased excretion of fecal bile acids by an oral hydrophilic colloid. Proc Soc Exp Biol Med 127:1060–1063, 1968
Beher WT, Casazza KK: Effects of psyllium hydrocolloid on bile acid metabolism in normal and hypophysectomized rats (35239). Proc Soc Exp Biol Med 136:253–256, 1971
Stanley MM, Paul D, Gacke D, Murphy J: Effects of cholestyramine, Metamucil, and cellulose on fecal bile salt excretion in man. Gastroenterology 65:889–894, 1973
Block WD, Jarrett KJ Jr, Levine JB: Improved automated determination of serum total cholesterol with a single color reagent. Clin Chem 12:681–689, 1966
Levine J, Zak B: Automated determination of serum total cholesterol. Clin Chim Acta 10:381–384, 1964
Sherlock S: Diseases of the Liver and Biliary System. Fourth Edition. FA Davis Company, Philadelphia, 1971, 27
DePalma RG, Levy S, Hartman P, Hubay CA: Bile acids and serum cholesterol following T-tube drainage. Arch Surg 94:271–276, 1967
Goldsmith G: Intestinal flora, nutrition, and metabolism. Am J Dig Dis 10:829–835, 1965
Dietschy JM, Siperstein MD: Cholesterol synthesis by the gastrointestinal tract: localization and mechanisms of control. J Clin Invest 44:1311–1327, 1965
Dietschy JM, Wilson JD: Cholesterol synthesis in the squirrel monkey: relative rates of synthesis in various tissues and mechanisms of control. J Clin Invest 47:166–174, 1968
Wilson JD: Biosynthetic origin of serum cholesterol in the squirrel monkey: evidence for a contribution by the intestinal wall. J Clin Invest 47:175–187, 1968
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Lieberthal, M.M., Martens, R.A. Lowered serum cholesterol following the ingestion of a hydrophilic colloid. Digest Dis Sci 20, 469–474 (1975). https://doi.org/10.1007/BF01070793
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DOI: https://doi.org/10.1007/BF01070793