Evidence map›Paper›PMID 10986209›Full record

ArticleGut2000

Perceptual responses in patients with inflammatory and functional bowel disease.

L Chang, J Munakata, E A Mayer, M J Schmulson, T D Johnson, C N Bernstein, L Saba, B Naliboff, P A Anton, K Matin

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Gut, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
6.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 186 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Abdominal pain in quiescent inflammatory bowel disease.International journal of colorectal disease · 2021
    Article
  6. Article
  7. Visceral pain from colon and rectum: the mechanotransduction and biomechanics.Journal of neural transmission (Vienna, Austria : 1996) · 2020
    Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. IBS and IBD - separate entities or on a spectrum?Nature reviews. Gastroenterology & hepatology · 2016
    Review
  15. Diagnosis and management of functional symptoms in inflammatory bowel disease in remission.World journal of gastrointestinal pharmacology and therapeutics · 2016
    Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Neuroanatomy of lower gastrointestinal pain disorders.World journal of gastroenterology · 2014
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

L ChangUCLA/CURE Neuroenteric Disease Program, Department of Medicine and Physiology, UCLA School of Medicine, Los Angeles, California 90073, USA. linchang@ucla.edu
J Munakata
E A Mayer
M J Schmulson
T D Johnson
C N Bernstein
L Saba
B Naliboff
P A Anton
K Matin
UCLA Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsEnhanced visceral sensitivity following a transient inflammatory process in the gut has been postulated as an aetiological mechanism of irritable bowel syndrome (IBS). In this study we compared perceptual responses to rectosigmoid distension in patients with mild chronic inflammation of the rectum (ulcerative colitis (UC)) and patients without mucosal inflammation (IBS) to determine if chronic low grade mucosal inflammation may be a plausible explanation for rectosigmoid hypersensitivity reported in both IBS and UC patients.

methodsUC disease activity was quantified using activity index scores. Perception thresholds for discomfort during rectosigmoid distension were compared between 11 UC patients with quiescent or mild disease activity, 18 IBS patients, and 13 healthy controls.

resultsAlthough UC activity index scores negatively correlated with perceptual thresholds for discomfort (r=-0.76, p=0.016), UC patients had higher discomfort thresholds compared with IBS patients and controls before (p=0.02) and after (p<0.001) a noxious sigmoid conditioning stimulus.

conclusionsRectal perception was attenuated in UC but enhanced in IBS. In chronic mild inflammation, activation of antinociceptive mechanisms may prevent the development of visceral hyperalgesia. Low grade mucosal inflammation alone is unlikely to be responsible for symptoms in functional gastrointestinal disorders.

Indexed as

CatheterizationAdultAgedCase-Control StudiesColitis, UlcerativeColonic Diseases, FunctionalFemaleHumansMaleMiddle AgedPain MeasurementPain ThresholdPerceptionSeverity of Illness Index

Identifiers

PMID10986209
PMCPMC1728092
OpenAlexW2024683777

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.