Evidence map›Paper›PMID 27846140›Full record

ArticlePancreas2017

Disturbances of the Perioperative Microbiome Across Multiple Body Sites in Patients Undergoing Pancreaticoduodenectomy.

Matthew B Rogers, Victoria Aveson, Brian Firek, Andrew Yeh, Brandon Brooks, Rachel Brower-Sinning, Jennifer Steve, Jillian F Banfield, Amer Zureikat, Melissa Hogg and 3 more

Abstract read
In one paragraph

Article in Pancreas, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

40 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

13 authors.

Matthew B Rogers *Department of Surgery, School of Medicine, University of Pittsburgh, Pittsburgh, PA.
Victoria Aveson *Department of Surgery, School of Medicine, University of Pittsburgh, Pittsburgh, PA.
Brian FirekDivision of Pediatric General and Thoracic Surgery, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA.
Andrew YehDepartment of Surgery, School of Medicine, University of Pittsburgh, Pittsburgh, PA.
Brandon BrooksDepartment of Earth and Planetary Sciences, University of California Berkeley, Berkeley, CA.
Rachel Brower-SinningDepartment of Surgery, School of Medicine, University of Pittsburgh, Pittsburgh, PA.
Jennifer SteveDivision of GI Surgical Oncology, University of Pittsburgh Medical Center, Pittsburgh, PA.
Jillian F BanfieldDepartment of Earth and Planetary Sciences, University of California Berkeley, Berkeley, CA.
Amer ZureikatDepartment of Surgery, School of Medicine, University of Pittsburgh, Pittsburgh, PA.
Melissa HoggDepartment of Surgery, School of Medicine, University of Pittsburgh, Pittsburgh, PA.
Brian A BooneDepartment of Surgery, School of Medicine, University of Pittsburgh, Pittsburgh, PA.
Herbert J ZehDepartment of Surgery, School of Medicine, University of Pittsburgh, Pittsburgh, PA.
Michael J MorowitzDepartment of Surgery, School of Medicine, University of Pittsburgh, Pittsburgh, PA.

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
NCATS NIH HHS UL1 TR000005
6 · The paper itself

Abstract

objectiveThe goals of this study were to characterize bacterial communities within fecal samples, pancreatic fluid, bile, and jejunal contents from patients undergoing pancreaticoduodenectomy (PD) and to identify associations between microbiome profiles and clinical variables.

methodsFluid was collected from the pancreas, common bile duct, and proximal jejunum from 50 PD patients. Postoperative fecal samples were also collected. The microbial burden within samples was quantified with droplet digital polymerase chain reaction. Bacterial 16S ribosomal RNA gene sequences were amplified, sequenced, and analyzed. Data from fecal samples were compared with publicly available data obtained from volunteers.

resultsDroplet digital polymerase chain reaction confirmed the presence of bacteria in all sample types, including pancreatic fluid. Relative to samples from the American Gut Project, fecal samples from PD patients were enriched with Klebsiella and Bacteroides and were depleted of anaerobic taxa (eg, Roseburia and Faecalibacterium). Similar patterns were observed within PD pancreas, bile, and jejunal samples. Postoperative fecal samples from patients with a pancreatic fistula contained increased abundance of Klebsiella and decreased abundance of commensal anaerobes, for example, Ruminococcus.

conclusionsThis study confirms the presence of altered bacterial populations within samples from PD patients. Future research must validate these findings and may evaluate targeted microbiome modifications to improve outcomes in PD patients.

Indexed as

AgedBacteriaBileDNA, BacterialFecesHumansJejunumMicrobiotaPancreatic JuicePancreaticoduodenectomyPerioperative PeriodPopulation DynamicsRNA, Ribosomal, 16SSequence Analysis, DNASpecies SpecificityDNA, BacterialRNA, Ribosomal, 16S

Identifiers

PMID27846140
PMCPMC5235958

What OpenQuestion holds

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Registered trials

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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.