Evidence map›Paper›PMID 21835400›Full record

ArticleGastrointestinal endoscopy2011

Capsule endoscopy in nonresponsive celiac disease.

David S Atlas, Alberto Rubio-Tapia, Carol T Van Dyke, Brian D Lahr, Joseph A Murray

Open access · greenAbstract readComparative Study
In one paragraph

Article in Gastrointestinal endoscopy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
5.7field-weighted citation impact, top 4% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 82 citations in OpenAlex.

  1. Guideline
  2. ACG clinical guidelines: diagnosis and management of celiac disease.The American journal of gastroenterology · 2013
    Guideline
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Review
  10. Observational
  11. Article
  12. Small bowel capsule endoscopy: Where are we after almost 15 years of use?World journal of gastrointestinal endoscopy · 2015
    Review
  13. Capsule endoscopy: current practice and future directions.World journal of gastroenterology · 2014
    Review
  14. Association between celiac disease and iron deficiency in Caucasians, but not non-Caucasians.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2013
    Article
  15. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

David S AtlasDepartment of Internal Medicine, Mayo Clinic, Rochester, Minnesota 55905, USA.
Alberto Rubio-Tapia
Carol T Van Dyke
Brian D Lahr
Joseph A Murray
Mayo Clinic · USWinnMed · US

Funding

EPIDEMIOLOGY OF CELIAC DISEASE--A POPULATION BASED STUDYR01DK057892 · NIDDK · MAYO CLINIC ROCHESTER · PI MURRAY, JOSEPH A · 2000 to 2010
$3.9M
TRAINING PROGRAM IN ALLERGIC DISEASEST32AI007047 · NIAID · MAYO CLINIC ROCHESTER · PI KITA, HIROHITO · 1985 to 2016
$2.0M
NIAID NIH HHS T32 AI007047NIAID NIH HHS T32 AI-07047NIDDK NIH HHS DK57892NIDDK NIH HHS R01 DK057892
6 · The paper itself

Abstract

backgroundNonresponsive celiac disease (CD) is defined by persistent or recurrent symptoms, common after treatment with a gluten-free diet (GFD).

objectiveTo evaluate the utility of capsule endoscopy (CE) in nonresponsive CD.

designCase-control study.

settingTertiary-care center. PATIENTS: Forty-two consecutive patients with nonresponsive CD and 84 age- and sex-matched CD-free controls who underwent CE were included. In addition, capsules taken after treatment with a GFD were retrospectively evaluated in 30 patients with uncomplicated CD.

interventionCE. MAIN OUTCOME MEASUREMENTS: Diagnostic accuracy of CE for the detection of mucosal abnormalities in nonresponsive CD.

resultsMacroscopic features of villous atrophy were detected in 13 of 42 patients (31%) with nonresponsive CD compared with none among 84 CD-free controls and 14 of 30 patients (47%) with uncomplicated CD. Among nonresponsive CD cases, the overall sensitivity and specificity of CE for the detection of any degree of villous atrophy as graded by histology were 56% and 85%, respectively. Single or multiple erosions/ulcerations of the gut were observed in 19% of nonresponsive CD patients, 18% of CD-free controls, and 31% of patients with uncomplicated CD (P = .35). The presence of erosions/ulcerations was associated with increased aspirin/nonsteroidal anti-inflammatory drug use in nonresponsive CD (P =.05). Two severe complications (ulcerative jejunitis and adenocarcinoma) were detected by CE in nonresponsive CD. LIMITATIONS: Single-center, retrospective study.

conclusionsMucosal abnormalities were observed by CE in patients with both nonresponsive CD and uncomplicated CD. CE can detect severe complications in patients with nonresponsive CD.

Indexed as

Capsule EndoscopyCeliac DiseaseDiagnosis, DifferentialDiet, Gluten-FreeFemaleHumansIntestinal MucosaMaleMiddle AgedPrognosisRetrospective StudiesSensitivity and SpecificityTreatment Failure

Identifiers

PMID21835400
PMCPMC3499038
OpenAlexW2085066200

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.