Evidence map›Paper›PMID 27958282›Full record

Observational studyThe American journal of gastroenterology2017

Distinct Abnormalities of Small Bowel and Regional Colonic Volumes in Subtypes of Irritable Bowel Syndrome Revealed by MRI.

Ching Lam, Gemma Chaddock, Luca Marciani Laurea, Carolyn Costigan, Eleanor Cox, Caroline Hoad, Susan Pritchard, Penny Gowland, Robin Spiller

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in The American journal of gastroenterology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Low-FODMAPWorld journal of gastroenterology · 2018
    Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Colonic transit time and pressure based on Bernoulli's principle.Clinical and experimental gastroenterology · 2018
    Article
  15. Review
  16. Response to Uno.The American journal of gastroenterology · 2017
    Article
  17. Enigma of Intestinal Gas in Irritable Bowel Syndrome.The American journal of gastroenterology · 2017
    Article
  18. Small Bowel Motility.Current gastroenterology reports · 2017
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Ching LamNIHR Biomedical Research Unit in Gastrointestinal and Liver Diseases, Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, UK.
Gemma ChaddockSir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, UK.
Luca Marciani LaureaNIHR Biomedical Research Unit in Gastrointestinal and Liver Diseases, Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, UK.
Carolyn CostiganNIHR Biomedical Research Unit in Gastrointestinal and Liver Diseases, Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, UK.
Eleanor CoxSir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, UK.
Caroline HoadSir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, UK.
Susan PritchardSir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, UK.
Penny GowlandSir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, UK.
Robin SpillerNIHR Biomedical Research Unit in Gastrointestinal and Liver Diseases, Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, UK.
University of Nottingham · GBTechnical Data Analysis (United States) · USNottingham University Hospitals NHS Trust · GB

Funding

Medical Research Council G1001119Medical Research Council MC_G1002464
6 · The paper itself

Abstract

objectivesNon-invasive biomarkers which identify different mechanisms of disease in subgroups of irritable bowel syndrome (IBS) could be valuable. Our aim was to seek useful magnetic resonance imaging (MRI) parameters that could distinguish each IBS subtypes.

methods34 healthy volunteers (HV), 30 IBS with diarrhea (IBS-D), 16 IBS with constipation (IBS-C), and 11 IBS with mixed bowel habit (IBS-M) underwent whole-gut transit and small and large bowel volumes assessment with MRI scans from t=0 to t=360 min. Since the bowel frequency for IBS-M were similar to IBS-D, IBS-M and IBS-D were grouped together and labeled as IBS non-constipation group (IBS-nonC).

resultsMedian (interquartile range): fasting small bowel water content in IBS-nonC was 21 (10-42), significantly less than HV at 44 ml (15-70), P<0.01 as was the postprandial area under the curve (AUC) P<0.01. The fasting transverse colon volumes in IBS-C were significantly larger at 253 (200-329) compared with HV, IBS-nonC whose values were 165 (117-255) and 198 (106-270) ml, respectively, P=0.02. Whole-gut transit time for IBS-C was prolonged at 69 (51-111), compared with HV at 34 (4-63) and IBS-D at 34 (17-78) h, P=0.03. Bloating score (VAS 0-10 cm) correlated with transverse colon volume at t=405 min, Spearman r=0.21, P=0.04.

conclusionsThe constricted small bowel in IBS-nonC and the dilated transverse colon in IBS-C point to significant differences in underlying mechanisms of disease.

Indexed as

AdolescentAdultAgedArea Under CurveCase-Control StudiesColonConstipationDiarrheaFastingFemaleGastrointestinal TransitHumansIntestine, SmallIrritable Bowel SyndromeMagnetic Resonance ImagingMale

Identifiers

PMID27958282
PMCPMC5318666
OpenAlexW2562422029

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.