Evidence map›Paper›PMID 19457421›Full record

ReviewGastroenterology2009

Idiopathic AIDS enteropathy and treatment of gastrointestinal opportunistic pathogens.

John P Cello, Lukejohn W Day

Erratum issued Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Gastroenterology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT04192487 (A Phase 4 Open Label Study to Assess the Safety and Effects of Crofelemer on the Gut Microbiome in Healthy Volunteers and in People Living With HIV/AIDS), which is not on this map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
9.7field-weighted citation impact, top 2% 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.

NCT04192487 phase4completednot on this mapstarted 2019, after this paper: background citation

A Phase 4 Open Label Study to Assess the Safety and Effects of Crofelemer on the Gut Microbiome in Healthy Volunteers and in People Living With HIV/AIDS (PLWHA) With Non-Infectious Diarrhea

TypeinterventionalSponsorNapo Pharmaceuticals, Inc.Ran2019 to 2021Enrolled17ConditionsAcquired Immunodeficiency Syndrome, Healthy Volunteers, HIV/AIDS, HIV DiarrheaArmsCrofelemer delayed-release tablets 125mg
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 107 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Matrix Metalloproteinase-9 Signaling Regulates Colon Barrier Integrity in Models of HIV Infection.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2024
    Article
  5. CD4European journal of medical research · 2024
    Article
  6. Article
  7. Review
  8. Review
  9. Gastrointestinal manifestations of human immunodeficiency virus and coronavirus disease 2019: Understanding the intersecting regions between the two epidemics.Arab journal of gastroenterology : the official publication of the Pan-Arab Association of Gastroenterology · 2021
    Review
  10. Review
  11. Inflammatory and infectious manifestations of immunodeficiency in the gastrointestinal tract.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2018
    Review
  12. Small Intestinal Infections.Current gastroenterology reports · 2016
    Review
  13. Article
  14. Article
  15. Review
  16. Infectious diarrhoea in antiretroviral therapy-naive HIV/AIDS patients in Kenya.Transactions of the Royal Society of Tropical Medicine and Hygiene · 2013
    Article
  17. Article
  18. Article
  19. Diarrhoea due to small bowel diseases.Best practice & research. Clinical gastroenterology · 2012
    Review
  20. Recent advances in small bowel diseases: Part I.World journal of gastroenterology · 2012
    Review
4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

John P CelloDepartment of Medicine, Gastroenterology Division, University of California, San Francisco, San Francisco General Hospital, San Francisco, California 94110, USA. john.cello@ucsf.edu
Lukejohn W Day
San Francisco General Hospital · USUniversity of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diarrhea in patients with acquired immune deficiency syndrome (AIDS) has proven to be both a diagnostic and treatment challenge since the discovery of the human immunodeficiency virus (HIV) virus more than 30 years ago. Among the main etiologies of diarrhea in this group of patients are infectious agents that span the array of viruses, bacteria, protozoa, parasites, and fungal organisms. In many instances, highly active antiretroviral therapy remains the cornerstone of therapy for both AIDS and AIDS-related diarrhea, but other targeted therapies have been developed as new pathogens are identified; however, some infections remain treatment challenges. Once identifiable infections as well as other causes of diarrhea are investigated and excluded, a unique entity known as AIDS enteropathy can be diagnosed. Known as an idiopathic, pathogen-negative diarrhea, this disease has been investigated extensively. Atypical viral pathogens, including HIV itself, as well as inflammatory and immunologic responses are potential leading causes of it. Although AIDS enteropathy can pose a diagnostic challenge so too does the treatment of it. Highly active antiretroviral therapy, nutritional supplementation, electrolyte replacements, targeted therapy for infection if indicated, and medications for symptom control all are key elements in the treatment regimen. Importantly, a multidisciplinary approach among the gastroenterologist, infectious disease physician, HIV specialists, oncology, and surgery is necessary for many patients.

Indexed as

HIVAIDS-Related Opportunistic InfectionsAnti-Bacterial AgentsAntiretroviral Therapy, Highly ActiveHIV EnteropathyHumansTreatment OutcomeAnti-Bacterial Agents

Identifiers

PMID19457421
PMCPMC7094677
OpenAlexW2029544699

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.