Evidence map›Paper›PMID 28777338›Full record

SynthesisNutrients2017

Effects of the Exclusive Enteral Nutrition on the Microbiota Profile of Patients with Crohn's Disease: A Systematic Review.

Simona Gatti, Tiziana Galeazzi, Elisa Franceschini, Roberta Annibali, Veronica Albano, Anil Kumar Verma, Maria De Angelis, Maria Elena Lionetti, Carlo Catassi

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in Nutrients, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04513015 (Markers of Oxidative Stress in Inflammatory Bowel Disease in Children and Adults), which is not on this map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 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.

NCT04513015 naactive not recruitingnot on this mapstarted 2019, after this paper: background citation

Markers of Oxidative Stress in Inflammatory Bowel Disease in Children and Adults: Risk Factors and Implications for a Dietetic Approach

TypeinterventionalSponsorUniversità Politecnica delle MarcheRan2019 to 2024Enrolled155ConditionsInflammatory Bowel DiseasesArmsAntioxidant diet, Normal dietetic scheme
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Diet and inflammatory bowel disease: The Asian Working Group guidelines.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2019
    Guideline
  2. Trial
  3. Trial
  4. Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Review
  10. The Microbiome in Inflammatory Bowel Disease.Journal of clinical medicine · 2024
    Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Psychological comorbidity in gastrointestinal diseases: Update on the brain-gut-microbiome axis.Progress in neuro-psychopharmacology & biological psychiatry · 2021
    Review
  20. Review
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.

Simona GattiDepartment of Pediatrics, Università Politecnica delle Marche, 60123 Ancona, Italy. simona.gatti@hotmail.it.
Tiziana GaleazziLaboratory of Metabolic Diseases, Università Politecnica delle Marche, 60123 Ancona, Italy. t.galeazzi@univpm.it.
Elisa FranceschiniDepartment of Pediatrics, Università Politecnica delle Marche, 60123 Ancona, Italy. elisa.franceschini3@gmail.com.
Roberta AnnibaliDepartment of Pediatrics, Università Politecnica delle Marche, 60123 Ancona, Italy. robertannibali@hotmail.it.
Veronica AlbanoDepartment of Pediatrics, Università Politecnica delle Marche, 60123 Ancona, Italy. vero.albano@ospedaliriuniti.marche.it.
Anil Kumar VermaLaboratory of Metabolic Diseases, Università Politecnica delle Marche, 60123 Ancona, Italy. anilkrvermaa@gmail.com.
Maria De AngelisDepartment of Soil, Plant and Food Sciences, University of Bari A. Moro, 70126 Bari, Italy. maria.deangelis@uniba.it.
Maria Elena LionettiDepartment of Pediatrics, Università Politecnica delle Marche, 60123 Ancona, Italy. mariaelenalionetti@gmail.com.
Carlo CatassiDepartment of Pediatrics, Università Politecnica delle Marche, 60123 Ancona, Italy. c.catassi@univpm.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The mechanisms behind the efficacy of exclusive enteral nutrition (EEN) in Crohn's disease (CD) remain poorly understood, despite the high rate of treatment response. Evidence accumulated in the last 20 years suggests that a positive shift of the disrupted microbiota is one of the treatment effects. The purpose of this study was to critically review and summarize data reporting the microbiological effects of EEN in patients with CD. Fourteen studies were considered in the review, overall involving 216 CD patients on EEN. The studies were heterogeneous in methods of microbiota analysis and exclusion criteria. The most frequently reported effect of EEN was a reduction in microbiota diversity, reversible when patients returned to a normal diet. The effect of EEN on specific bacteria was very variable in the different studies, partially due to methodological limitations of the mentioned studies. The EEN seem to induce some metabolomic changes, which are different in long-term responder patients compared to patients that relapse earlier. Bacterial changes can be relevant to explaining the efficacy of EEN; however, microbiological data obtained from rigorously performed studies and derived from last generation techniques are largely inconsistent.

Indexed as

Enteral NutritionGastrointestinal MicrobiomeBacteriaCrohn DiseaseHumansIntestinesRibotypingTreatment Outcome16S rRNACrohn’s diseaseexclusive enteral nutritionFaecalibacterium prausntziiIBDmetabolomemicrobiotanext generation sequencing

Identifiers

PMID28777338
PMCPMC5579625

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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.