Evidence map›Paper›PMID 26554916›Full record

ArticleJournal of neurogastroenterology and motility2016

Small Intestinal Bacterial Overgrowth in Patients with Refractory Functional Gastrointestinal Disorders.

Shino Shimura, Norihisa Ishimura, Hironobu Mikami, Eiko Okimoto, Goichi Uno, Yuji Tamagawa, Masahito Aimi, Naoki Oshima, Shuichi Sato, Shunji Ishihara and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of neurogastroenterology and motility, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
4.5field-weighted citation impact, top 5% 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

35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. [The Relationship of Dysbiosis of Duodenal Microbiome and Functional Dyspepsia].The Korean journal of helicobacter and upper gastrointestinal research · 2024
    Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. Role of the duodenal microbiota in functional dyspepsia.Neurogastroenterology and motility · 2022
    Review
  16. Article
  17. Review
  18. Review
  19. Inflammation and Overlap of Irritable Bowel Syndrome and Functional Dyspepsia.Journal of neurogastroenterology and motility · 2021
    Review
  20. 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 1 institution in 1 country.

Shino ShimuraDepartment of Gastroenterology and Hepatology, Shimane University School of Medicine, Izumo, Shimane, Japan.
Norihisa IshimuraDepartment of Gastroenterology and Hepatology, Shimane University School of Medicine, Izumo, Shimane, Japan.
Hironobu MikamiDepartment of Gastroenterology and Hepatology, Shimane University School of Medicine, Izumo, Shimane, Japan.
Eiko OkimotoDepartment of Gastroenterology and Hepatology, Shimane University School of Medicine, Izumo, Shimane, Japan.
Goichi UnoDepartment of Gastroenterology and Hepatology, Shimane University School of Medicine, Izumo, Shimane, Japan.
Yuji TamagawaDepartment of Gastroenterology and Hepatology, Shimane University School of Medicine, Izumo, Shimane, Japan.
Masahito AimiDepartment of Gastroenterology and Hepatology, Shimane University School of Medicine, Izumo, Shimane, Japan.
Naoki OshimaDepartment of Gastroenterology and Hepatology, Shimane University School of Medicine, Izumo, Shimane, Japan.
Shuichi SatoDepartment of Gastroenterology and Hepatology, Shimane University School of Medicine, Izumo, Shimane, Japan.
Shunji IshiharaDepartment of Gastroenterology and Hepatology, Shimane University School of Medicine, Izumo, Shimane, Japan.
Yoshikazu KinoshitaDepartment of Gastroenterology and Hepatology, Shimane University School of Medicine, Izumo, Shimane, Japan.
Shimane University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsSmall intestinal bacterial overgrowth (SIBO) is considered to be involved in the pathogenesis of functional gastrointestinal disorders (FGID). However, the prevalence and clinical conditions of SIBO in patients with FGID remain to be fully elucidated. Here, we examined the frequency of SIBO in patients with refractory FGID.

methodsWe prospectively enrolled patients with refractory FGID based on Rome III criteria. A glucose hydrogen breath test (GHBT) was performed using a gas analyzer after an overnight fast, with breath hydrogen concentration measured at baseline and every 15 minutes after administration of glucose for a total of 3 hours. A peak hydrogen value ≥ 10 ppm above the basal value between 60 and 120 minutes after administration of glucose was diagnosed as SIBO.

resultsA total of 38 FGID patients, including 11 with functional dyspepsia (FD), 10 with irritable bowel syndrome (IBS), and 17 with overlapping with FD and IBS, were enrolled. Of those, 2 (5.3%) were diagnosed with SIBO (one patient diagnosed with FD; the other with overlapping FD and IBS). Their symptoms were clearly improved and breath hydrogen levels decreased to normal following levofloxacin administration for 7 days.

conclusionsTwo patients initially diagnosed with FD and IBS were also diagnosed with SIBO as assessed by GHBT. Although the frequency of SIBO is low among patients with FGID, it may be important to be aware of SIBO as differential diagnosis when examining patients with refractory gastrointestinal symptoms, especially bloating, as a part of routine clinical care.

Indexed as

AdultBacterial overgrowth syndromeBlind loop syndromeBreath testsDyspepsia

Identifiers

PMID26554916
PMCPMC4699722
OpenAlexW2292766330

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.