Abstract
Faecal 3-hydroxy bile acids were assayed enzymatically in patients with carcinoma, or at increased risk of developing carcinoma of the large bowel. No rise in bile acid concentration was demonstrated in patients with ulcerative colitis, previously resected adenoma, or resected carcinoma. Patients with carcinoma, before treatment, had faecal bile acid concentrations similar to control values, and surgery did not affect the mean level. These findings cast doubt on the importance of the 3-hydroxy bile acid concentration in the faeces in the pathogenesis of large bowel cancer.
MeSH Terms
Adult
Aged
Bile Acids and Salts/analysis
Carcinoma/metabolism,surgery
Colitis, Ulcerative/metabolism
Colonic Neoplasms/metabolism,surgery
Feces/analysis
Female
Humans
Intestinal Polyps/metabolism,surgery
Male
Middle Aged
Postoperative Period
Rectal Neoplasms/metabolism,surgery
Risk
Chemicals
Bile Acids and Salts
Authors & Affiliations
5 authors, click to expand affiliations / ORCID
Mudd D G
McKelvey S T
Norwood W
Elmore D T
Roy A D
References (15)
15 references, click to expand
-
QUANTITATIVE ISOLATION AND GAS--LIQUID CHROMATOGRAPHIC ANALYSIS OF TOTAL FECAL BILE ACIDS.
J Lipid Res. 1965 Jul;6:397-410
PMID: 14336211
-
Effects of high risk and low risk diets for colon carcinogenesis on fecal microflora and steroids in man.
J Nutr. 1975 Jul;105(7):878-84
PMID: 1138032
-
Fecal steroids and bacterial flora in patients with polyposis coli.
Am J Surg. 1976 Jan;131(1):42-6
PMID: 1247152
-
The geographical distribution of cancer.
Br J Cancer. 1969 Mar;23(1):1-8
PMID: 5768436
-
Bacteria and aetiology of cancer of large bowel.
Lancet. 1971 Jan 16;1(7690):95-100
PMID: 4099643
-
Metabolic epidemiology of colon cancer. Fecal bile acids and neutral sterols in colon cancer patients and patients with adenomatous polyps.
Cancer. 1977 Jun;39(6):2533-9
PMID: 872053
-
Environmental factors and cancer of the colon and breast.
Br J Cancer. 1973 Feb;27(2):167-72
PMID: 4694388
-
The role of bile salts in diarrhoea of patients with ulcerative colitis.
Gut. 1971 Aug;12(8):632-5
PMID: 18668831
-
Faecal bile-acids and clostridia in patients with cancer of the large bowel.
Lancet. 1975 Mar 8;1(7906):535-9
PMID: 47015
-
Steroid nuclear dehydrogenation and colon cancer.
Am J Clin Nutr. 1974 Dec;27(12):1475-80
PMID: 4432831
-
Faecal steroid composition and its relationship to cancer of the large bowel.
J Pathol. 1971 Jun;104(2):129-39
PMID: 5111052
-
Epidemiology of cancer of the colon and rectum.
Cancer. 1971 Jul;28(1):3-13
PMID: 5165022
-
Environmental factors and cancer incidence and mortality in different countries, with special reference to dietary practices.
Int J Cancer. 1975 Apr 15;15(4):617-31
PMID: 1140864
-
Fecal bile acids and cholesterol metabolites of patients with ulcerative colitis, a high-risk group for development of colon cancer.
Cancer Res. 1977 Jun;37(6):1697-701
PMID: 322859
-
The effect of some factors on the faecal concentration of acid steroids, neutral steroids and urobilins.
J Pathol. 1971 Aug;104(4):239-45
PMID: 5135660