Evidence map›Paper›PMID 20562611›Full record

ArticleAnnals of surgery2010

The bacteriology of pouchitis: a molecular phylogenetic analysis using 16S rRNA gene cloning and sequencing.

Simon D McLaughlin, Alan W Walker, Carol Churcher, Susan K Clark, Paris P Tekkis, Matthew W Johnson, Julian Parkhill, Paul J Ciclitira, Gordon Dougan, Ralph John Nicholls and 1 more

Abstract readComparative Study
In one paragraph

Article in Annals of surgery, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 1 pooled it
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

54 citing papers in PubMed, 1 synthesis or guideline pooled it, 113 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Review
  7. Ethanol Extract ofMarine drugs · 2024
    Article
  8. The aetiology of pouchitis in patients with inflammatory bowel disease.Therapeutic advances in gastroenterology · 2024
    Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Frontiers in pharmacology · 2022
    Article
  14. Pouchitis: insight into the pathogenesis and clinical aspects.American journal of translational research · 2022
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Simon D McLaughlinDepartment of Biosurgery and Surgical Technology, St Mary's Hospital, Imperial College London, London, United Kingdom.
Alan W Walker
Carol Churcher
Susan K Clark
Paris P Tekkis
Matthew W Johnson
Julian Parkhill
Paul J Ciclitira
Gordon Dougan
Ralph John Nicholls
Liljana Petrovska
King's College London · GBSt Mark's Hospital · GBWellcome Sanger Institute · GBImperial College London · GB

Funding

Wellcome Trust 076964
6 · The paper itself

Abstract

objectiveTo identify, compare, and contrast the microbiota in patients with and without pouchitis after restorative proctocolectomy (RPC) for ulcerative colitis (UC) and familial adenomatous polyposis (FAP). SUMMARY BACKGROUND DATA: Pouchitis is the most common complication following RPC. An abnormal host-microbial interaction has been implicated. We investigated the pouch microbiota in patients with and without pouchitis undergoing restorative proctocolectomy for UC and FAP.

methodsMucosal pouch biopsies, taken from 16 UC (pouchitis 8) and 8 FAP (pouchitis 3) patients were analyzed to the species (or phylotype) level by cloning and sequencing of 3184 full-length bacterial 16S rRNA genes.

resultsThere was a significant increase in Proteobacteria (P = 0.019) and a significant decrease in Bacteroidetes (P = 0.001) and Faecalibacterium prausnitzii (P = 0.029) in the total UC compared with the total FAP cohort, but only limited differences were found between the UC nonpouchitis and pouchitis groups and the FAP pouchitis and nonpouchitis groups. Bacterial diversity in the FAP nonpouchitis group was significantly greater than in UC nonpouchitis (P = 0.019) and significantly greater in UC nonpouchitis compared with UC pouchitis (P = 0.009). No individual species or phylotype specifically associated with either UC or FAP pouchitis was found.

conclusionsUC pouch patients have a different, less diverse, gut microbiota than FAP patients. A further reduction in bacterial diversity but no significant dysbiosis occurs in those with pouchitis. The study suggests that a dysbiosis occurs in the ileal pouch of UC RPC patients which predisposes to, but may not directly cause, pouchitis.

Indexed as

Adenomatous Polyposis ColiAdultBacteroidetesBase SequenceBiopsyCloning, MolecularColitis, UlcerativeColonic PouchesDNA, BacterialHumansMaleMiddle AgedMolecular Sequence DataPouchitisProctocolectomy, RestorativeProteobacteriaDNA, BacterialRNA, Ribosomal, 16S

Identifiers

PMID20562611
PMCPMC3292798
OpenAlexW2017185329

What OpenQuestion holds

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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.