Evidence map›Paper›PMID 27773805›Full record

ReviewGastroenterology2017

Pathophysiology, Evaluation, and Management of Chronic Watery Diarrhea.

Michael Camilleri, Joseph H Sellin, Kim E Barrett

Open access · greenAbstract readReview
In one paragraph

Review in Gastroenterology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 4 pooled it
7.8field-weighted citation impact, top 2% 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

65 citing papers in PubMed, 4 syntheses or guidelines pooled it, 160 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Pooled it
  5. A Postbiotic ContainingMicroorganisms · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Colonic epithelial regeneration shapes susceptibility tobioRxiv : the preprint server for biology · 2026
    Article
  11. Article
  12. Article
  13. Deciphering the Association Between Homeostatic Model Assessment of Insulin Resistance and Chronic Diarrhea and the Mediating Role of Lymphocyte-to-Monocyte Ratio.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2026
    Article
  14. Movement disorders associated with diarrhoea.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Review
  15. [Treatment of Irritable Bowel Syndrome with Predominant Diarrhea].The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2025
    Review
  16. Article
  17. A Postbiotic Derived fromFoods (Basel, Switzerland) · 2025
    Article
  18. Article
  19. Review
  20. Article

5 more citing papers are in PubMed but not listed here.

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

3 authors at 3 institutions in 1 country.

Michael CamilleriClinical Enteric Neuroscience Translational and Epidemiological Research, Division of Gastroenterology and Hepatology, Department of Medicine, Mayo Clinic, Rochester, Minnesota. Electronic address: camilleri.michael@mayo.edu.
Joseph H SellinDivision of Gastroenterology, Department of Medicine, Baylor College of Medicine, Houston, Texas.
Kim E BarrettDivision of Gastroenterology, Department of Medicine, University of California, San Diego, La Jolla, California.
Baylor College of Medicine · USMayo Clinic in Florida · USUniversity of California, San Diego · US

Funding

Intestinal Physiology in the Host Response to Enteric Salmonella InfectionsR01AI077661 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI GUINEY, DONALD G. · 2009 to 2013
$2.5M
Bile Acids, Genetic Control and Colonic Function in Irritable Bowel SyndromeR01DK092179 · NIDDK · MAYO CLINIC ROCHESTER · PI CAMILLERI, MICHAEL L. · 2011 to 2015
$1.8M
NIAID NIH HHS R01 AI077661NIDDK NIH HHS R01 DK092179
6 · The paper itself

Abstract

Chronic watery diarrhea poses a diagnostic and therapeutic challenge and is often a disabling condition for patients. Although acute diarrhea is likely to be caused by infection, the causes of chronic diarrhea (>4 weeks in duration) are more elusive. We review the pathophysiology, diagnosis, and treatment of chronic diarrhea. Drawing on recent insights into the molecular mechanisms of intestinal epithelial transport and barrier function, we discuss how diarrhea can result from a decrease in luminal solute absorption, an increase in secretion, or both, as well as derangements in barrier properties. We also describe the various extraepithelial factors that activate diarrheal mechanisms. Finally, clinical evaluation and tests used in the assessment of patients presenting with chronic diarrhea are reviewed, and an algorithm guiding therapeutic decisions and pharmacotherapy is presented.

Indexed as

Intestinal AbsorptionIntestinal SecretionsChromograninsChronic DiseaseC-Reactive ProteinDiarrheaFecesGastrointestinal MotilityHumansInflammationIntestinal MucosaIntestinesIrritable Bowel SyndromeLactoferrinLeukocyte L1 Antigen ComplexOsmolar ConcentrationChromograninsC-Reactive ProteinLactoferrinLeukocyte L1 Antigen ComplexProstaglandinsSerotoninSubstance PDiarrheaManagementPathophysiology

Identifiers

PMID27773805
PMCPMC5285476
OpenAlexW2534981832

What OpenQuestion holds

Textmetadata
LicenceTDM
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.