Evidence map›Paper›PMID 30022920›Full record

ArticleCase reports in gastroenterology

A Small Bowel Ulcer due to Clopidogrel with Cytomegalovirus Enteritis Diagnosed by Capsule and Double-Balloon Endoscopy.

Masahide Ebi, Satoshi Inoue, Tomoya Sugiyama, Kazuhiro Yamamoto, Kazunori Adachi, Takashi Yoshimine, Yoshiharu Yamaguchi, Yasuhiro Tamura, Shinya Izawa, Yasutaka Hijikata and 4 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Case reports in gastroenterology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 39% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

14 authors at 1 institution in 1 country.

Masahide EbiDepartment of Gastroenterology, Aichi Medical University School of Medicine, Nagakute, Japan.
Satoshi InoueDepartment of Gastroenterology, Aichi Medical University School of Medicine, Nagakute, Japan.
Tomoya SugiyamaDepartment of Gastroenterology, Aichi Medical University School of Medicine, Nagakute, Japan.
Kazuhiro YamamotoDepartment of Gastroenterology, Aichi Medical University School of Medicine, Nagakute, Japan.
Kazunori AdachiDepartment of Gastroenterology, Aichi Medical University School of Medicine, Nagakute, Japan.
Takashi YoshimineDepartment of Gastroenterology, Aichi Medical University School of Medicine, Nagakute, Japan.
Yoshiharu YamaguchiDepartment of Gastroenterology, Aichi Medical University School of Medicine, Nagakute, Japan.
Yasuhiro TamuraDepartment of Gastroenterology, Aichi Medical University School of Medicine, Nagakute, Japan.
Shinya IzawaDepartment of Gastroenterology, Aichi Medical University School of Medicine, Nagakute, Japan.
Yasutaka HijikataDepartment of Gastroenterology, Aichi Medical University School of Medicine, Nagakute, Japan.
Yasushi FunakiDepartment of Gastroenterology, Aichi Medical University School of Medicine, Nagakute, Japan.
Naotaka OgasawaraDepartment of Gastroenterology, Aichi Medical University School of Medicine, Nagakute, Japan.
Makoto SasakiDepartment of Gastroenterology, Aichi Medical University School of Medicine, Nagakute, Japan.
Kunio KasugaiDepartment of Gastroenterology, Aichi Medical University School of Medicine, Nagakute, Japan.
Aichi Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report the first case of small bowel ulcers due to clopidogrel in a 74-year-old man. He presented with diarrhea and melena after having been taking low-dose aspirin (LDA) and clopidogrel. There was no evidence of bleeding in the stomach, duodenum, or colon. Capsule endoscopy showed multiple ulcers and erosions in the small intestine. Double-balloon endoscopy revealed multiple ulcers throughout the ileum. Examination of the biopsy specimen showed cytomegalovirus infection. His LDA was discontinued and he was prescribed ganciclovir. However, the small bowel ulcers were aggravated. Therefore, clopidogrel was discontinued. The small bowel ulcers subsequently healed completely, forming scars.

Indexed as

ClopidogrelCytomegalovirusSmall bowel ulcer

Identifiers

PMID30022920
PMCPMC6047549
OpenAlexW2809403445

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.