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Fiber and colorectal diseases: Separating fact from fiction - World Journal of Gastroenterology https://www.wjgnet.com/1007-9327/full/v13/i31/4161.htm

"This article reviews the physiology of ingestion of fiber and defecation. It also looks into the impact of dietary fiber on various colorectal diseases. A strong case cannot be made for a protective effect of dietary fiber against colorectal polyp or cancer. Neither has fiber been found to be useful in chronic constipation and irritable bowel syndrome. It is also not useful in the treatment of perianal conditions. The fiber deficit - diverticulosis theory should also be challenged. The authors urge clinicians to keep an open mind about fiber. One must be aware of the truths and myths about fiber before recommending it.

... a strong recommendation cannot be made for a protective effect of dietary fiber against colorectal polyp or cancer. Despite a lack of evidence however, current recommendations are still to increase dietary fiber. In the latest position statement of the American Dietetic Association[3], increasing dietary fiber is still promoted to protect against colon cancer despite stating that there is no proof of efficacy in this regard ... Whilst it is not the intention of the authors to totally discourage fiber in the diet and the use of fiber supplements, there does not seem to be much use for fiber in colorectal diseases. We, however, want to emphasize that what we have all been made to believe about fiber needs a second look. We often choose to believe a lie, as a lie repeated often enough by enough people becomes accepted as the truth. We urge clinicians to keep an open mind. While there are some benefits of a diet high in natural fiber, one must know the exact indications before recommending such a diet. Myths about fiber must be debunked and truth installed."