Evidence map›Paper›PMID 29358855›Full record

ArticleWorld journal of gastroenterology2017

Human small intestine is capable of restoring barrier function after short ischemic periods.

Dirk Hsm Schellekens, Inca Hr Hundscheid, Claire Aji Leenarts, Joep Grootjans, Kaatje Lenaerts, Wim A Buurman, Cornelis Hc Dejong, Joep Pm Derikx

Open access · hybridAbstract read
In one paragraph

Article in World journal of gastroenterology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

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  5. Multifaceted intestinal defense following experimental blunt abdominal trauma.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
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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

8 authors at 2 institutions in 1 country.

Dirk Hsm SchellekensDepartment of Surgery, Maastricht University Medical Center, Maastricht 6200 MD, the Netherlands d.schellekens@maastrichtuniversity.nl.
Inca Hr HundscheidDepartment of Surgery, Maastricht University Medical Center, Maastricht 6200 MD, the Netherlands.
Claire Aji LeenartsDepartment of Surgery, Maastricht University Medical Center, Maastricht 6200 MD, the Netherlands.
Joep GrootjansNUTRIM, School for Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht 6200 MD, the Netherlands.
Kaatje LenaertsDepartment of Surgery, Maastricht University Medical Center, Maastricht 6200 MD, the Netherlands.
Wim A BuurmanNUTRIM, School for Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht 6200 MD, the Netherlands.
Cornelis Hc DejongDepartment of Surgery, Maastricht University Medical Center, Maastricht 6200 MD, the Netherlands.
Joep Pm DerikxDepartment of Surgery, Maastricht University Medical Center, Maastricht 6200 MD, the Netherlands.
Maastricht University Medical Centre · NLMaastricht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo assess intestinal barrier function during human intestinal ischemia and reperfusion (IR).

methodsIn a human experimental model, 6 cm of jejunum was selectively exposed to 30 min of ischemia (I) followed by 30 and 120 min of reperfusion (R). A sham procedure was also performed. Blood and tissue was sampled at all-time points. Functional barrier function was assessed using dual-sugar absorption tests with lactulose (L) and rhamnose (R). Plasma concentrations of citrulline, an amino acid described as marker for enterocyte function were measured as marker of metabolic enterocytes restoration. Damage to the epithelial lining was assessed by immunohistochemistry for tight junctions (TJs), by plasma marker for enterocytes damage (I-FABP) and analyzed by electron microscopy (EM) using lanthanum nitrate as an electrondense marker.

resultsPlasma L/R ratio's were significantly increased after 30 min of ischemia (30I) followed by 30 min of reperfusion (30R) compared to control (0.75 ± 0.10

conclusionThis study directly correlates histological data with intestinal permeability tests, revealing that the human gut has the ability of to withstand short episodes of ischemia, with morphological and functional recovery of the intestinal barrier within 120 min of reperfusion.

Indexed as

AgedAged, 80 and overBiomarkersEnterocytesFatty Acid-Binding ProteinsHumansIntestinal MucosaIn Vitro TechniquesJejunumLactuloseMicroscopy, ElectronMiddle AgedPermeabilityReperfusion InjuryRhamnoseTight JunctionsBiomarkersFABP2 protein, humanFatty Acid-Binding ProteinsLactuloseRhamnoseCitrullineDual-sugar absorption testHumanIntestinal barrier functionIntestinal ischemia-reperfusionIntestinal permeabilityTight Junctions

Identifiers

PMID29358855
PMCPMC5752707
OpenAlexW2778004748

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.