Evidence map›Paper›PMID 28028368›Full record

ArticleWorld journal of gastroenterology2016

Nodular lymphoid hyperplasia: A marker of low-grade inflammation in irritable bowel syndrome?

Anna Chiara Piscaglia, Lucrezia Laterza, Valentina Cesario, Viviana Gerardi, Rosario Landi, Loris Riccardo Lopetuso, Giovanni Calò, Giovanna Fabbretti, Massimo Brisigotti, Maria Loredana Stefanelli and 1 more

Open access · hybridAbstract read
In one paragraph

Article in World journal of gastroenterology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 24% 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

4 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Ileocolonic Lymphonodular Hyperplasia in Children Related to Etiologies Ranging from Food Hypersensitivity to Familial Mediterranean Fever.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2020
    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 3 institutions in 3 countries.

Anna Chiara PiscagliaAnna Chiara Piscaglia, Valentina Cesario, Giovanni Calò, Maria Loredana Stefanelli, Endoscopy and Gastroenterology Unit, Depatment of Internal Medicine, State Hospital, 47893 Borgo Maggiore, Republic of San Marino.
Lucrezia LaterzaAnna Chiara Piscaglia, Valentina Cesario, Giovanni Calò, Maria Loredana Stefanelli, Endoscopy and Gastroenterology Unit, Depatment of Internal Medicine, State Hospital, 47893 Borgo Maggiore, Republic of San Marino.
Valentina CesarioAnna Chiara Piscaglia, Valentina Cesario, Giovanni Calò, Maria Loredana Stefanelli, Endoscopy and Gastroenterology Unit, Depatment of Internal Medicine, State Hospital, 47893 Borgo Maggiore, Republic of San Marino.
Viviana GerardiAnna Chiara Piscaglia, Valentina Cesario, Giovanni Calò, Maria Loredana Stefanelli, Endoscopy and Gastroenterology Unit, Depatment of Internal Medicine, State Hospital, 47893 Borgo Maggiore, Republic of San Marino.
Rosario LandiAnna Chiara Piscaglia, Valentina Cesario, Giovanni Calò, Maria Loredana Stefanelli, Endoscopy and Gastroenterology Unit, Depatment of Internal Medicine, State Hospital, 47893 Borgo Maggiore, Republic of San Marino.
Loris Riccardo LopetusoAnna Chiara Piscaglia, Valentina Cesario, Giovanni Calò, Maria Loredana Stefanelli, Endoscopy and Gastroenterology Unit, Depatment of Internal Medicine, State Hospital, 47893 Borgo Maggiore, Republic of San Marino.
Giovanni CalòAnna Chiara Piscaglia, Valentina Cesario, Giovanni Calò, Maria Loredana Stefanelli, Endoscopy and Gastroenterology Unit, Depatment of Internal Medicine, State Hospital, 47893 Borgo Maggiore, Republic of San Marino.
Giovanna FabbrettiAnna Chiara Piscaglia, Valentina Cesario, Giovanni Calò, Maria Loredana Stefanelli, Endoscopy and Gastroenterology Unit, Depatment of Internal Medicine, State Hospital, 47893 Borgo Maggiore, Republic of San Marino.
Massimo BrisigottiAnna Chiara Piscaglia, Valentina Cesario, Giovanni Calò, Maria Loredana Stefanelli, Endoscopy and Gastroenterology Unit, Depatment of Internal Medicine, State Hospital, 47893 Borgo Maggiore, Republic of San Marino.
Maria Loredana StefanelliAnna Chiara Piscaglia, Valentina Cesario, Giovanni Calò, Maria Loredana Stefanelli, Endoscopy and Gastroenterology Unit, Depatment of Internal Medicine, State Hospital, 47893 Borgo Maggiore, Republic of San Marino.
Antonio GasbarriniAnna Chiara Piscaglia, Valentina Cesario, Giovanni Calò, Maria Loredana Stefanelli, Endoscopy and Gastroenterology Unit, Depatment of Internal Medicine, State Hospital, 47893 Borgo Maggiore, Republic of San Marino.
University Gastroenterology · USOspedale di Stato della Repubblica di San Marino · SMAgostino Gemelli University Polyclinic · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate the prevalence of nodular lymphoid hyperplasia (NLH) in adult patients undergoing colonoscopy and its association with known diseases.

methodsWe selected all cases showing NLH at colonoscopy in a three-year timeframe, and stratified them into symptomatic patients with irritable bowel syndrome (IBS)-type symptoms or suspected inflammatory bowel disease (IBD), and asymptomatic individuals undergoing endoscopy for colorectal cancer screening. Data collection included medical history and final diagnosis. As controls, we considered all colonoscopies performed for the aforementioned indications during the same period.

resultsOne thousand and one hundred fifty colonoscopies were selected. NLH was rare in asymptomatic individuals (only 3%), while it was significantly more prevalent in symptomatic cases (32%). Among organic conditions associated with NLH, the most frequent was IBD, followed by infections and diverticular disease. Interestingly, 31% of IBS patients presented diffuse colonic NLH. NLH cases shared some distinctive clinical features among IBS patients: they were younger, more often female, and had a higher frequency of abdominal pain, bloating, diarrhoea, unspecific inflammation, self-reported lactose intolerance and metal contact dermatitis.

conclusionAbout 1/3 of patients with IBS-type symptoms or suspected IBD presented diffuse colonic NLH, which could be a marker of low-grade inflammation in a conspicuous subset of IBS patients.

Indexed as

Abdominal PainAdultAgedCase-Control StudiesColonColonoscopyDermatitis, Allergic ContactDiarrheaFemaleHumansInflammationIrritable Bowel SyndromeLactose IntoleranceLymphatic DiseasesMaleMetalsMetalsColonoscopyFunctional gastrointestinal diseasesInflammationInflammatory bowel diseasesIrritable bowel syndrome

Identifiers

PMID28028368
PMCPMC5155179
OpenAlexW2567390166

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.