Evidence map›Paper›PMID 25339827›Full record

ReviewWorld journal of gastroenterology2014

Bloating and functional gastro-intestinal disorders: where are we and where are we going?

Paola Iovino, Cristina Bucci, Fabrizio Tremolaterra, Antonella Santonicola, Giuseppe Chiarioni

Open access · bronzeAbstract readReview
In one paragraph

Review in World journal of gastroenterology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 4 pooled it
2.0field-weighted citation impact, top 14% 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

26 citing papers in PubMed, 4 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Bacillus Subtilis (BG01-4Nutrients · 2023
    Trial
  6. Trial
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Creating a data dictionary for pediatric autonomic disorders.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2023
    Article
  14. Article
  15. Article
  16. Multitarget Action of Xanthones fromMolecules (Basel, Switzerland) · 2022
    Article
  17. Review
  18. Article
  19. Gut microbiota dysbiosis in functional gastrointestinal disorders: Underpinning the symptoms and pathophysiology.JGH open : an open access journal of gastroenterology and hepatology · 2021
    Review
  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

5 authors at 1 institution in 1 country.

Paola IovinoPaola Iovino, Cristina Bucci, Antonella Santonicola, Gastrointestinal Unit, Department of Medicine and Surgery, University of Salerno, 84081 Baronissi, Salerno, Italy.
Cristina BucciPaola Iovino, Cristina Bucci, Antonella Santonicola, Gastrointestinal Unit, Department of Medicine and Surgery, University of Salerno, 84081 Baronissi, Salerno, Italy.
Fabrizio TremolaterraPaola Iovino, Cristina Bucci, Antonella Santonicola, Gastrointestinal Unit, Department of Medicine and Surgery, University of Salerno, 84081 Baronissi, Salerno, Italy.
Antonella SantonicolaPaola Iovino, Cristina Bucci, Antonella Santonicola, Gastrointestinal Unit, Department of Medicine and Surgery, University of Salerno, 84081 Baronissi, Salerno, Italy.
Giuseppe ChiarioniPaola Iovino, Cristina Bucci, Antonella Santonicola, Gastrointestinal Unit, Department of Medicine and Surgery, University of Salerno, 84081 Baronissi, Salerno, Italy.
University of Salerno · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bloating is one of the most common and bothersome symptoms complained by a large proportion of patients. This symptom has been described with various definitions, such as sensation of a distended abdomen or an abdominal tension or even excessive gas in the abdomen, although bloating should probably be defined as the feeling (e.g. a subjective sensation) of increased pressure within the abdomen. It is usually associated with functional gastrointestinal disorders, like irritable bowel syndrome, but when bloating is not part of another functional bowel or gastrointestinal disorder it is included as an independent entity in Rome III criteria named functional bloating. In terms of diagnosis, major difficulties are due to the lack of measurable parameters to assess and grade this symptom. In addition, it is still unclear to what extent the individual patient complaint of subjective bloating correlates with the objective evidence of abdominal distension. In fact, despite its clinical, social and economic relevance, bloating lacks a clear pathophysiology explanation, and an effective management endorsement, turning this common symptom into a true challenge for both patients and clinicians. Different theories on bloating etiology call into questions an increased luminal contents (gas, stools, liquid or fat) and/or an impaired abdominal empting and/or an altered intra-abdominal volume displacement (abdomino-phrenic theory) and/or an increased perception of intestinal stimuli with a subsequent use of empirical treatments (diet modifications, antibiotics and/or probiotics, prokinetic drugs, antispasmodics, gas reducing agents and tricyclic antidepressants). In this review, our aim was to review the latest knowledge on bloating physiopathology and therapeutic options trying to shed lights on those processes where a clinician could intervene to modify disease course.

Indexed as

AnimalsEnteric Nervous SystemGastrointestinal AgentsGastrointestinal DiseasesGastrointestinal MotilityGastrointestinal TractHumansMechanotransduction, CellularPressureSensory ThresholdsTerminology as TopicTreatment OutcomeGastrointestinal AgentsBloatingConstipationDiarrheaFunctional gastro-intestinal disordersIrritable bowel syndrome

Identifiers

PMID25339827
PMCPMC4202369
OpenAlexW2080648229

What OpenQuestion holds

Textmetadata
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.