Evidence map›Paper›PMID 25217123›Full record

Trial reportEuropean journal of radiology2014

A prospective randomized controlled study of erythromycin on gastric and small intestinal distention: implications for MR enterography.

Adil E Bharucha, Jeff L Fidler, James E Huprich, Shiva K Ratuapli, David R Holmes, Stephen J Riederer, Alan R Zinsmeister

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of radiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Article
  6. 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

7 authors at 1 institution in 1 country.

Adil E BharuchaClinical Enteric Neuroscience Translational and Epidemiological Research (C.E.N.T.E.R.) Program, Division of Gastroenterology and Hepatology, College of Medicine, Mayo Clinic, 200 First St. S.W., Rochester, MN 55905, United States. Electronic address: bharucha.adil@mayo.edu.
Jeff L FidlerDepartment of Radiology, College of Medicine, Mayo Clinic, 200 First St. S.W., Rochester, MN 55905, United States. Electronic address: fidler.jeff@mayo.edu.
James E HuprichDepartment of Radiology, College of Medicine, Mayo Clinic, 200 First St. S.W., Rochester, MN 55905, United States. Electronic address: huprich@mayo.edu.
Shiva K RatuapliClinical Enteric Neuroscience Translational and Epidemiological Research (C.E.N.T.E.R.) Program, Division of Gastroenterology and Hepatology, College of Medicine, Mayo Clinic, 200 First St. S.W., Rochester, MN 55905, United States. Electronic address: ratuapli.shiva@mayo.edu.
David R HolmesBiomedical Imaging Resource, College of Medicine, Mayo Clinic, 200 First St. S.W., Rochester, MN 55905, United States. Electronic address: holmes.david3@mayo.edu.
Stephen J RiedererMR Research Laboratory, College of Medicine, Mayo Clinic, 200 First St. S.W., Rochester, MN 55905, United States. Electronic address: riederer@mayo.edu.
Alan R ZinsmeisterDivision of Biomedical Statistics and Informatics, College of Medicine, Mayo Clinic, 200 First St. S.W., Rochester, MN 55905, United States. Electronic address: zinsmeis@mayo.edu.
Mayo Clinic · US

Funding

Mayo Clinic Center for Translational Science ActivitiesUL1TR000135 · NCATS · MAYO CLINIC ROCHESTER · PI KHOSLA, SUNDEEP · 2012 to 2015
$41.2M
Physiological Characterization and Data Integration CoreP01DK068055 · NIDDK · MAYO CLINIC ROCHESTER · PI ORDOG, TAMAS · 2004 to 2019
$23.8M
NCATS NIH HHS UL1 TR000135NIDDK NIH HHS P01 DK068055
6 · The paper itself

Abstract

objectivesTo assess if erythromycin increases gastric emptying and hence improves small intestinal distention during MR enterography.

methodsGastric, small intestinal, and large intestinal volumes were assessed with MR after neutral oral contrast (1350ml in 45min) and balanced randomization to erythromycin (200mg i.v., age 31±3y, 13 females), or placebo (37±3y, 13 females) in 40 healthy asymptomatic volunteers. Fat-suppressed T2-weighted MR images of the abdomen were acquired on a 1.5T magnet at standard delay times for enterography. Gastric, small, and large intestinal volumes were measured by specialized software. In addition, two radiologists manually measured diameters and percentage distention of jejunal and ileal loops. Treatment effects were evaluated by an ITT analysis based on ANCOVA models.

resultsAll subjects tolerated erythromycin. MRI scans of the stomach and intestine were obtained at 62±2 (mean±SEM) and 74±2min respectively after starting oral contrast. Gastric volumes were lower (P<0.0001) after erythromycin (260±49ml) than placebo (688±63ml) but jejunal, ileal, and colonic volumes were not significantly different. However, maximum (76-100%) jejunal distention was more frequently observed (P=0.03) after erythromycin (8/20 subjects [40%]) than placebo (2/20 subjects [10%]). The diameter of a representative ileal loop was greater (P=0.001) after erythromycin (18.8±4.3mm) than placebo (17.3±2.8mm) infusion.

conclusionsAfter ingestion of oral contrast, erythromycin accelerated gastric emptying but effects on small intestinal dimensions were variable. In balance, erythromycin did not substantially enhance small intestinal distention during enterography using current standard delay times.

Indexed as

Magnetic Resonance ImagingAdultContrast MediaErythromycinFemaleGastric EmptyingHealthy VolunteersHumansIntestine, SmallMaleProspective StudiesContrast MediaErythromycinDistentionEnterographyErythromycinMRISmall intestine

Identifiers

PMID25217123
PMCPMC4183713
OpenAlexW2125264369

What OpenQuestion holds

Textmetadata
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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.