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Ingestion of difructose anhydride III, a non-digestible disaccharide, prevents gastrectomy-induced iron malabsorption and anemia in rats (2006)

Abstract
Objective Total gastrectomy produces iron malabsorption and anemia, and several non-digestible carbohydrates promote mineral absorption. In this study, we examined the effects of feeding difructose anhydride III (DFAIII), a non-digestible disaccharide, on gastrectomy-induced iron malabsorption and anemia in rats in comparison with those of feeding fructo-oligosaccharides (FOS). Methods Sham-operated and totally gastrectomized male Sprague-Dawley rats were fed the control, DFAIII (30 g/kg), or FOS (30 g/kg) diet for 4 wk. Feces and tail blood were collected at 2 and 4 wk to evaluate body iron status and iron absorption. Results Gastrectomy severely decreased net iron absorption, hemoglobin concentration, and hematocrit in the control dietary group. The decreased absorption in gastrectomized rats was restored to the sham control level by feeding the DFAIII or FOS diet. Iron absorption in sham rats was higher in the FOS and DFAIII groups than in the control group. Hemoglobin concentration and hematocrit in gastrectomized rats fed the DFAIII diet, but not the FOS diet, returned to levels comparable to the effects in sham rats fed the control diet. Feeding DFAIII increased short-chain fatty acid pools and decreased pH of cecal contents. These parameters for cecal fermentation correlated with iron absorption. Conclusions DFAIII feeding restores gastrectomy-induced iron malabsorption, resulting in complete prevention of iron-deficiency anemia in rats. Cecal fermentation of DFAIII may contribute to the improvement in these gastrectomy-induced defects. Feeding with low level of FOS did not fully improve postgastrectomy anemia.

Publication details
Download http://hdl.handle.net/2115/14569
http://dx.doi.org/10.1016/j.nut.2005.12.013
Publisher Elsevier Inc.
Repository Hokkaido University Collection of Scholarly and Academic Papers (Japan)
Keywords Difructose anhydride III, Gastrectomy, Iron absorption, Anemia, 493.4
Type article (author version)
Language English
Relation http://www.sciencedirect.com/science/journal/08999007

Cited publications (4)
Post-gastrectomy patients need to be followed up for 20-30 years. (2000)
Surgery of the Digestive System in the Rat
A power study of multiple range and multiple F tests /--by Russell Lowell Wine. (1955)
OBSERVATIONS ON THE ETIOLOGIC RELATIONSHIP OF ACHYLIA GASTRICA TO PERNICIOUS ANEMIA. VII. RESEMBLANCES BETWEEN THE PROTEOLYTIC ACTIVITY OF NORMAL HUMAN GASTRIC JUICE ON CASEIN IN NEUTRAL SOLUTION AND THE ACTIVITY OF THE INTRINSIC FACTOR 1