Evidence map›Paper›PMID 29761252›Full record

ArticleDigestive diseases and sciences2018

Testing and Treating Small Intestinal Bacterial Overgrowth Reduces Symptoms in Patients with Inflammatory Bowel Disease.

Shirley Cohen-Mekelburg, Zaid Tafesh, Elliot Coburn, Russell Weg, Neena Malik, Colleen Webb, Hoda Hammad, Ellen Scherl, Brian P Bosworth

Abstract read
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In one paragraph

Article in Digestive diseases and sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

  1. Pooled it
  2. Pooled it
  3. Review
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  7. Article
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  9. Small intestinal bacterial overgrowth in inflammatory bowel disease.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2022
    Article
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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

9 authors.

Shirley Cohen-MekelburgDivision of Gastroenterology and Hepatology, NewYork Presbyterian Weill Cornell Medical Center, 1305 York Avenue, 4th Floor, New York, NY, 10021, USA. shc9085@nyp.org.ORCID 0000-0001-5058-5527
Zaid TafeshDivision of Gastroenterology and Hepatology, NewYork Presbyterian Weill Cornell Medical Center, 1305 York Avenue, 4th Floor, New York, NY, 10021, USA.
Elliot CoburnDepartment of Medicine, NYU Langone Medical Center, New York University School of Medicine, 550 First Ave, HCC 3-15, New York, NY, 10016, USA.
Russell WegDepartment of Medicine, NewYork Presbyterian Weill Cornell Medical Center, 521 East 70th Street, New York, NY, 10021, USA.
Neena MalikDepartment of Medicine, Mount Sinai Beth Israel, 350 East 17th Street, 20th Floor, New York, NY, 10003, USA.
Colleen WebbDivision of Gastroenterology and Hepatology, NewYork Presbyterian Weill Cornell Medical Center, 1305 York Avenue, 4th Floor, New York, NY, 10021, USA.
Hoda HammadDivision of Biostatistics and Epidemiology, Department of Healthcare Policy and Research, Weill Cornell Medical College, 402 East 67th Street, New York, NY, 10065, USA.
Ellen ScherlDivision of Gastroenterology and Hepatology, NewYork Presbyterian Weill Cornell Medical Center, 1305 York Avenue, 4th Floor, New York, NY, 10021, USA.
Brian P BosworthDepartment of Medicine, NYU Langone Medical Center, New York University School of Medicine, 550 First Ave, HCC 3-15, New York, NY, 10016, USA.

Funding

Clinical and Translational Science CenterUL1TR000457 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI IMPERATO-MCGINLEY, JULIANNE L · 2012 to 2016
$46.0M
NCATS NIH HHS UL1 TR000457
6 · The paper itself

Abstract

backgroundCommon mechanisms against small intestinal bacterial overgrowth (SIBO), including an intact ileocecal valve, gastric acid secretion, intestinal motility, and an intact immune system, are compromised in inflammatory bowel disease (IBD), and therefore, a relatively high incidence of SIBO has been reported in this population.

aimsWe aimed to determine whether an improvement in IBD clinical activity scores is seen after testing and treating SIBO.

methodsA retrospective cohort study of 147 patients with inflammatory bowel disease who were referred for SIBO breath testing from 1/2012 to 5/2016 was performed. Characteristics of SIBO positive and treated patients were compared to SIBO negative patients, including the changes in Partial Mayo Score or Harvey Bradshaw Index (HBI), using Student's t test for continuous variables and Chi-squared or Fisher's exact test for categorical variables.

results61.9% were SIBO positive and treated, and 38.1% were SIBO negative. In Crohn's disease, the median HBI decreased from 5 to 3 and 5 to 4, in the SIBO positive and negative groups, respectively (p = 0.005). In ulcerative colitis, the Partial Mayo Score decreased from 2 to 1.5 and 2 to 1, respectively (p = 0.607).

conclusionsThis study examines the clinical effect of testing and treating for SIBO in an IBD population. We see a significant reduction in HBI after testing for and treating SIBO. Future prospective studies are necessary to further investigate the role of SIBO in the evaluation and management of IBD.

Indexed as

AdultBlind Loop SyndromeBreath TestsCohort StudiesFemaleHumansInflammatory Bowel DiseasesMaleMiddle AgedRetrospective StudiesTreatment OutcomeBloatingBreath testCrohn’s diseaseUlcerative colitis

Identifiers

What OpenQuestion holds

Textmetadata
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.