Evidence map›Paper›PMID 21317176›Full record

Trial reportGut2011

A randomised trial of sheathed versus standard forceps for obtaining uncontaminated biopsy specimens of microbiota from the terminal ileum.

Maneesh Dave, Laura A Johnson, Seth T Walk, Vincent B Young, Ryan W Stidham, Meghana N Chaudhary, Jessica Funnell, Peter D R Higgins

Open access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Gut, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

12 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Effects of synbiotics on ileal microbiota.The Indian journal of medical research · 2018
    Article
  9. Review
  10. Article
  11. Article
  12. Article
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

8 authors at 2 institutions in 1 country.

Maneesh DaveDivision of Gastroenterology and Hepatology, Department of Internal Medicine, University of Michigan Medical Center, Medical Science Research Ann Arbor, MI 48109-0682, USA.
Laura A Johnson
Seth T Walk
Vincent B Young
Ryan W Stidham
Meghana N Chaudhary
Jessica Funnell
Peter D R Higgins
University of Michigan–Ann Arbor · USWinnMed · US

Funding

The Role of the Gut Microbiota in Ulcerative ColitisUH3DK083993 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHANG, EUGENE B, MEYER, FOLKER · 2010 to 2012
$8.2M
NIDDK NIH HHS UH3 DK083993
6 · The paper itself

Abstract

backgroundThe study of intestinal microbiota has been revolutionised by the use of molecular methods, including terminal restriction fragment length polymorphism (T-RFLP) analysis. Microbiota studies of Crohn's disease patients have examined samples from stool or from the neoterminal ileum with a standard biopsy forceps, which could be contaminated by colonic bacteria when the forceps passes through the colonoscope channel.

objectiveTo determine whether sheathed biopsy forceps are able to obtain terminal ileal microbiota samples with less colonic bacterial contamination compared with unsheathed (standard) biopsy forceps.

designProspective randomised single-centre study. PATIENTS AND

methodsFour (paired) biopsy specimens were obtained from adjacent locations in the terminal ileum using the sheathed and standard forceps of 27 consecutive subjects undergoing colonoscopy and the microbiota were characterised using T-RFLP. The Bray-Curtis similarity index between samples (sheathed vs unsheathed forceps) was calculated within patients and significant differences were tested for across all patients.

resultsThere was not a significant difference in the microbial diversity of samples obtained using sheathed versus unsheathed forceps. The difference in microbial diversity between patients was much greater than the variability within patients by proximal versus distal site or by forceps type. LIMITATIONS: T-RFLP is based on PCR amplification, so it is not always sensitive to rare bacterial species.

conclusionStandard unsheathed forceps appear to be sufficient for microbiota sample collection from the terminal ileum.

Indexed as

MetagenomeBacteriaBiopsyColonoscopesColonoscopyDNA, BacterialHumansIleumPolymerase Chain ReactionPolymorphism, Restriction Fragment LengthProspective StudiesReproducibility of ResultsSurgical InstrumentsDNA, Bacterial

Identifiers

PMID21317176
PMCPMC4244887
OpenAlexW2153545087

What OpenQuestion holds

Textmetadata
LicenceTDM
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.