Evidence map›Paper›PMID 25703609›Full record

ArticleNeurogastroenterology and motility2015

Effect of experimental stress on the small bowel and colon in healthy humans.

S E Pritchard, K C Garsed, C L Hoad, M Lingaya, R Banwait, W Thongborisute, E Roberts, C Costigan, L Marciani, P A Gowland and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Neurogastroenterology and motility, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.5field-weighted citation impact, top 8% 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

14 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. The role of artificial intelligence in colon polyps detection.Gastroenterology and hepatology from bed to bench · 2020
    Review
  3. Review
  4. Review
  5. Review
  6. Small Bowel Motility.Current gastroenterology reports · 2017
    Review
  7. Review
  8. Observational
  9. Article
  10. Article
  11. Review
  12. Neuroimmune pharmacological approaches.Current opinion in pharmacology · 2015
    Review
  13. Review
  14. 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

11 authors at 2 institutions in 1 country.

S E PritchardSir Peter Mansfield Imaging Centre, School of Physics and Astronomy, University of Nottingham, Nottingham, UK.
K C Garsed
C L Hoad
M Lingaya
R Banwait
W Thongborisute
E Roberts
C Costigan
L Marciani
P A Gowland
R C Spiller
University of Nottingham · GBNIHR Nottingham Digestive Diseases Biomedical Research Unit · GB

Funding

Department of HealthMedical Research Council G1001119
6 · The paper itself

Abstract

backgroundSymptoms of irritable bowel syndrome (IBS) are frequently reported to be exacerbated by stress. Animal studies suggest that corticotrophin releasing hormone (CRH) mediates the effect of stress on the bowel. We have shown that stressed IBS patients with diarrhea have constricted small bowels. We hypothesized that we could mimic this effect by applying experimental stress in the form of either hand immersion in ice water or CRH injection in healthy volunteers (HV).

methodsThe postprandial effect of the cold pressor test (repeated hand immersion in ice cold water) and injection of CRH, were assessed vs control in two groups of 18 HVs. KEY

resultsCRH produced a significant rise from baseline salivary cortisol levels (p = 0.004) not seen with the cold pressor test. Small bowel water content (SBWC) fell postprandially on all four treatments. SBWC was significantly reduced by both stressors but CRH caused a greater effect (anova, p < 0.003 vs p = 0.02). Ascending colon (AC) volume was greater after CRH injection compared with saline (p = 0.002) but no differences were seen with the cold pressor test vs warm water. Postprandial increase in colon volume was also reduced by CRH which also increased the sensations of distension and bloating. CONCLUSIONS & INFERENCES: Two experimental stressors were shown to constrict the small bowel, mimicking the effect previously seen in IBS-D patients. CRH increased the volume of the AC. We speculate that stress accelerates transfer of water from the small bowel to the AC.

Indexed as

Cold TemperatureColonCorticotropin-Releasing HormoneHumansHydrocortisoneIntestine, SmallMagnetic Resonance ImagingPostprandial PeriodStress, PsychologicalWaterCorticotropin-Releasing HormoneHydrocortisoneWatercolonMRIsmall bowel waterstressvolume

Identifiers

PMID25703609
PMCPMC4418402
OpenAlexW2069830007

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.