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Green banana and pectin improve small intestinal permeability and reduce fluid loss in Bangladeshi children with persistent diarrhea.

Abstract
To evaluate the effects of green banana and pectin (nondigestible, dietary sources of colonic shortchain fatty acids [SCFA]) on intestinal permeability, 57 boys (5-12 months) with persistent diarrhea (> or = 14 days) were given a week's treatment with a rice-based diet containing either cooked green banana (n = 19), pectin (n = 17), or rice diet alone (n = 21). Intestinal permeability was assessed before and after treatment by giving a lactulose-mannitol (LM) drink and measuring urinary recovery after 5 hr. Treatment with banana significantly (P < 0.05) reduced lactulose recovery, increased mannitol recovery, and decreased the LM ratio, indicating improvement of permeability. Pectin produced similar results. Permeability changes were associated with a 50% reduction in stool weights which correlated strongly (green banana, r2 = 0.84, pectin, r2 = 0.86) with the LM ratio. Green banana-derived and SCFA-mediated stimulation of colonic as well as small bowel absorption is responsible for their antidiarrheal effects. The antidiarrheal effects of green banana and pectin are mediated by improvement of small intestinal permeability in addition to their known colonotrophic effects.
AuthorsG H Rabbani, Telahun Teka, Shyamal Kumar Saha, Badiuz Zaman, Naseha Majid, Makhduma Khatun, Mohammad A Wahed, George J Fuchs
JournalDigestive diseases and sciences (Dig Dis Sci) Vol. 49 Issue 3 Pg. 475-84 (Mar 2004) ISSN: 0163-2116 [Print] United States
PMID15139502 (Publication Type: Clinical Trial, Journal Article, Randomized Controlled Trial, Research Support, U.S. Gov't, Non-P.H.S.)
Chemical References
  • Antidiarrheals
  • Mannitol
  • Lactulose
  • Pectins
Topics
  • Antidiarrheals (administration & dosage)
  • Bangladesh
  • Diarrhea, Infantile (diet therapy, physiopathology)
  • Humans
  • Infant
  • Intestinal Absorption (drug effects)
  • Intestinal Mucosa (metabolism)
  • Lactulose (urine)
  • Male
  • Mannitol (urine)
  • Musa
  • Oryza
  • Pectins (administration & dosage)
  • Permeability

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