Evidence map›Paper›PMID 21997804›Full record

ArticleAnnals of surgery2012

Distraction-induced intestinal enterogenesis: preservation of intestinal function and lengthening after reimplantation into normal jejunum.

Hiroyuki Koga, Xiaoyi Sun, Hua Yang, Keisuke Nose, Sita Somara, Khalil N Bitar, Chung Owyang, Manabu Okawada, Daniel H Teitelbaum

Abstract read
In one paragraph

Article in Annals of surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
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

20 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Distraction Enterogenesis in Rats: A Novel Approach for the Treatment of Short Bowel Syndrome.Pathophysiology : the official journal of the International Society for Pathophysiology · 2024
    Article
  5. Histologic Analysis of 'Distraction Vaginogenesis' in a Rat Model.Pathophysiology : the official journal of the International Society for Pathophysiology · 2024
    Article
  6. Fat malabsorption in short bowel syndrome: A review of pathophysiology and management.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2024
    Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
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  17. Article
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  20. 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

9 authors.

Hiroyuki KogaDepartment of Surgery, University of Michigan, Ann Arbor, MI 48109, USA.
Xiaoyi Sun
Hua Yang
Keisuke Nose
Sita Somara
Khalil N Bitar
Chung Owyang
Manabu Okawada
Daniel H Teitelbaum

Funding

Enterogenesis with the Use of an Implanted Mechanotransduction DeviceR21DK075413 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI TEITELBAUM, DANIEL H · 2007 to 2008
$392k
NIDDK NIH HHS 1 R21 DK 075413-01A1NIDDK NIH HHS R21 DK075413
6 · The paper itself

Abstract

backgroundSignificant bowel lengthening can occur in an isolated intestinal segment with the use of linearly directed distractive forces, resulting in increased surface area and epithelial cell proliferation. We hypothesized that reimplantation of this lengthened intestine into normal jejunum would preserve this gain in intestinal length and function similar to normal jejunum.

methodsAn intestinal lengthening device was inserted into isolated jejunal segments in pigs, and fully expanded over 8 days. Lengthened segments were then reimplanted into normal intestinal continuity. Pigs were studied after another 28 days. Function was assessed by motility, mucosal enzyme activity, barrier function, and intestinal ion transport.

resultsLengthened segments were significantly longer than control segments and had nearly 2-fold greater surface area. Bowel lengthening was maintained 4 weeks after reimplantation. Motility after reimplantation was similar to nonoperated pigs. Barrier function, mucosal disaccharidase levels, and electrophysiologic measures declined immediately after lengthening but returned to nearly normal levels 28 days after reimplantation.

conclusionBowel lengthening results in a transient decline in mucosal absorptive function and smooth muscle contractility. However, function approaches that of normal bowel after reimplantation into enteric flow. These data may support the use of this technique as a potential new option for the treatment of patients with short bowel syndrome.

Indexed as

Tissue ExpansionAnimalsCell ProliferationDisaccharidasesFemaleGastrointestinal MotilityIntestinal AbsorptionIntestinal MucosaIon TransportJejunumOrgan SizeShort Bowel SyndromeSwineTissue Expansion DevicesDisaccharidases

Identifiers

PMID21997804
PMCPMC3259228

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Registered trials

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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.