Evidence map›Paper›PMID 27556094›Full record

ArticleEndoscopy international open2016

Endoscopic evaluation of celiac disease severity and its correlation with histopathological aspects of the duodenal mucosa.

Mauro W Bonatto, Luiz Kotze, Marcia Orlandoski, Ricardo Tsuchyia, Carlos A de Carvalho, Doryane Lima, Gustavo Kurachi, Ivan R B Orso, Lorete Kotze

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Endoscopy international open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 22% 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.

NCT03731806 withdrawnnot on this mapstarted 2019, after this paper: background citation

Extent of Small Bowel Involvement on Capsule Endoscopy in Newly Diagnosed Patients of Celiac Disease

TypeobservationalSponsorTazeen RasheedRan2019 to 2020Enrolled0ConditionsCeliac Disease
NCT05103150 unknown statusnot on this mapstarted 2021, after this paper: background citation

Optical Enhancement Virtual Chromoendoscopy With High-definition Optical Magnification for Duodenal Mucosa Characterization in Coeliac Disease Patients.

Typeobservational_patient_registrySponsorInstituto Ecuatoriano de Enfermedades DigestivasRan2021 to 2023Enrolled40ConditionsCeliac DiseaseArmsHigh-definition white light endoscopy (HD-WLE), HD-WLE plus I-Scan optical enhancement (OE) virtual chromoendoscopy with High-definition optical magnification (HD-OM)
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Role of endoscopy in the diagnosis of coeliac disease: a narrative review.Translational gastroenterology and hepatology · 2024
    Review
  2. Celiac disease in non-clinical populations of Japan.Journal of gastroenterology · 2018
    Article
  3. 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

9 authors at 1 institution in 1 country.

Mauro W BonattoGastroclínica Cascavel, Gastroenterology Center, Parana, Brazil; Assis Gurgacz University Center - School of Medicine, Cascavel, Brazil.
Luiz KotzePontifícia Universidade Católica do Paraná, Curitiba, Brazil.
Marcia OrlandoskiPontifícia Universidade Católica do Paraná, Curitiba, Brazil.
Ricardo TsuchyiaGastroclínica Cascavel, Gastroenterology Center, Parana, Brazil.
Carlos A de CarvalhoGastroclínica Cascavel, Gastroenterology Center, Parana, Brazil.
Doryane LimaGastroclínica Cascavel, Gastroenterology Center, Parana, Brazil; Assis Gurgacz University Center - School of Medicine, Cascavel, Brazil.
Gustavo KurachiGastroclínica Cascavel, Gastroenterology Center, Parana, Brazil; Assis Gurgacz University Center - School of Medicine, Cascavel, Brazil.
Ivan R B OrsoGastroclínica Cascavel, Gastroenterology Center, Parana, Brazil; Assis Gurgacz University Center - School of Medicine, Cascavel, Brazil.
Lorete KotzePontifícia Universidade Católica do Paraná, Curitiba, Brazil.
Pontifícia Universidade Católica do Paraná · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND STUDY

aimsCeliac disease (CD) is a chronic systemic autoimmune disorder affecting genetically predisposed individuals, triggered and maintained by the ingestion of gluten. Triggered and maintained by the ingestion of gluten, celiac disease is a chronic systemic autoimmune disorder affecting genetically predisposed individuals. Persistent related inflammation of the duodenal mucosa causes atrophy architecture detectable on esophagogastroduodenoscopy (EGD) and histopathology. We investigated the association between endoscopic features and histopathological findings (Marsh) for duodenal mucosa in celiac disease patients and propose an endoscopic classification of severity. PATIENTS AND

methodsBetween January 2000 and March 2010, an electronic database containing 34,540 EDGs of patients aged > 14 years was searched for cases of CD. Out of 109 cases, 85 met the inclusion criteria: conventional EGD combined with chromoendoscopy, zoom and biopsy. EGD types 0, I and II corresponds to Marsh grades 0, 1 and 2, respectively, while EGD type III corresponds to Marsh grade 3 and 4.

resultsFive patients (5.8 %) were EGD I but not Marsh grade 1; 25 patients (29.4 %) were EGD II, 4 of whom (16 %) were classified as Marsh grade 2; and 55 patients (64.7 %) were EGD III, 51 (92.7 %) of whom were classified as Marsh grades 3 and 4. The Spearman correlation coefficient (r = 0.33) revealed a significant association between the methods (P = 0.002).

conclusionsChanges in the duodenal mucosa detected on EGD were significantly and positively associated with histopathologic findings. The use of chromoendoscopy in addition to conventional EGD enhances changes in the duodenal mucosa and permits diagnosis of CD, even in routine examinations. The proposed endoscopic classification is practical and easily reproducible and provides valuable information regarding disease extension.

Identifiers

PMID27556094
PMCPMC4993899
OpenAlexW2460085728

What OpenQuestion holds

Textmetadata
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Registered trials

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.