Evidence map›Paper›PMID 26109811›Full record

ArticleWorld journal of gastroenterology2015

Risk factors for small bowel angioectasia: The impact of visceral fat accumulation.

Atsuo Yamada, Ryota Niikura, Yuka Kobayashi, Hirobumi Suzuki, Shuntaro Yoshida, Hirotsugu Watabe, Yutaka Yamaji, Yoshihiro Hirata, Kazuhiko Koike

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

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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 at 3 institutions in 2 countries.

Atsuo YamadaAtsuo Yamada, Ryota Niikura, Yuka Kobayashi, Hirobumi Suzuki, Shuntaro Yoshida, Hirotsugu Watabe, Yutaka Yamaji, Yoshihiro Hirata, Kazuhiko Koike, Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
Ryota NiikuraAtsuo Yamada, Ryota Niikura, Yuka Kobayashi, Hirobumi Suzuki, Shuntaro Yoshida, Hirotsugu Watabe, Yutaka Yamaji, Yoshihiro Hirata, Kazuhiko Koike, Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
Yuka KobayashiAtsuo Yamada, Ryota Niikura, Yuka Kobayashi, Hirobumi Suzuki, Shuntaro Yoshida, Hirotsugu Watabe, Yutaka Yamaji, Yoshihiro Hirata, Kazuhiko Koike, Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
Hirobumi SuzukiAtsuo Yamada, Ryota Niikura, Yuka Kobayashi, Hirobumi Suzuki, Shuntaro Yoshida, Hirotsugu Watabe, Yutaka Yamaji, Yoshihiro Hirata, Kazuhiko Koike, Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
Shuntaro YoshidaAtsuo Yamada, Ryota Niikura, Yuka Kobayashi, Hirobumi Suzuki, Shuntaro Yoshida, Hirotsugu Watabe, Yutaka Yamaji, Yoshihiro Hirata, Kazuhiko Koike, Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
Hirotsugu WatabeAtsuo Yamada, Ryota Niikura, Yuka Kobayashi, Hirobumi Suzuki, Shuntaro Yoshida, Hirotsugu Watabe, Yutaka Yamaji, Yoshihiro Hirata, Kazuhiko Koike, Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
Yutaka YamajiAtsuo Yamada, Ryota Niikura, Yuka Kobayashi, Hirobumi Suzuki, Shuntaro Yoshida, Hirotsugu Watabe, Yutaka Yamaji, Yoshihiro Hirata, Kazuhiko Koike, Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
Yoshihiro HirataAtsuo Yamada, Ryota Niikura, Yuka Kobayashi, Hirobumi Suzuki, Shuntaro Yoshida, Hirotsugu Watabe, Yutaka Yamaji, Yoshihiro Hirata, Kazuhiko Koike, Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
Kazuhiko KoikeAtsuo Yamada, Ryota Niikura, Yuka Kobayashi, Hirobumi Suzuki, Shuntaro Yoshida, Hirotsugu Watabe, Yutaka Yamaji, Yoshihiro Hirata, Kazuhiko Koike, Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
University of Tokyo Hospital · JPThe University of Tokyo · JPCreative Research Enterprises (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo investigate visceral fat accumulation in association with the risk of small bowel angioectasia.

methodsWe retrospectively investigated 198 consecutive patients who underwent both capsule endoscopy and CT for investigation of obscure gastrointestinal bleeding (OGIB) from January 2009 to September 2013. The visceral fat area (VFA) and subcutaneous fat area were measured by CT, and information on comorbidities, body mass index, and medications was obtained from their medical records. Logistic regression analysis was used to evaluate associations.

resultsCapsule endoscopy revealed small bowel angioectasia in 18/198 (9.1%) patients with OGIB. Compared to patients without small bowel angioectasia, those with small bowel angioectasia had a significantly higher VFA (96 ± 76.0 cm(2) vs 63.4 ± 51.5 cm(2), P = 0.016) and a higher prevalence of liver cirrhosis (61% vs 22%, P < 0.001). The proportion of patients with chronic renal failure was higher in patients with small bowel angioectasia (22% vs 9%, P = 0.11). There were no significant differences in subcutaneous fat area or waist circumference. The prevalence of small bowel angioectasia progressively increased according to the VFA. Multivariate analysis showed that the VFA [odd ratio (OR) for each 10-cm(2) increment = 1.1; [95% confidence interval (CI): 1.02-1.19; P = 0.021] and liver cirrhosis (OR = 6.1, 95%CI: 2.2-18.5; P < 0.001) were significant risk factors for small bowel angioectasia.

conclusionVFA is positively associated with the prevalence of small bowel angioectasia, for which VFA and liver cirrhosis are independent risk factors in patients with OGIB.

Indexed as

AdiposityAgedCapsule EndoscopyComorbidityDilatation, PathologicFemaleGastrointestinal HemorrhageHumansIntestinal MucosaIntestine, SmallIntra-Abdominal FatJapanLiver CirrhosisLogistic ModelsMaleMiddle AgedCapsule endoscopyObscure gastrointestinal bleedingSmall bowel angioectasiaVisceral fat accumulation

Identifiers

PMID26109811
PMCPMC4476886
OpenAlexW2400390921

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.