Evidence map›Paper›PMID 30561399›Full record

SynthesisActa bio-medica : Atenei Parmensis2018

Inverse association between Helicobacter pylori and inflammatory bowel disease: myth or fact?

Stefano Kayali, Federica Gaiani, Marco Manfredi, Roberta Minelli, Giorgio Nervi, Antonio Nouvenne, Gioacchino Leandro, Francesco Di Mario, Gian Luigi De' Angelis

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Acta bio-medica : Atenei Parmensis, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Debate on the relationship betweenFrontiers in microbiology · 2024
    Pooled it
  2. JGH open : an open access journal of gastroenterology and hepatology · 2025
    Review
  3. The Controversies in the Relationship BetweenJournal of clinical medicine · 2025
    Review
  4. Antibiotics (Basel, Switzerland) · 2024
    Review
  5. Therapeutic advances in gastroenterology · 2023
    Review
  6. Review
  7. BMJ open · 2022
    Observational
  8. Article
  9. 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 at 3 institutions in 1 country.

Stefano KayaliGastroenterology and Endoscopy Unit, Department of Medicine and Surgery, University of Parma, Parma, Italy. federica.gaiani@studenti.unipr.it.
Federica Gaiani
Marco Manfredi
Roberta Minelli
Giorgio Nervi
Antonio Nouvenne
Gioacchino Leandro
Francesco Di Mario
Gian Luigi De' Angelis
University of Parma · ITGastroenterology Hospital "Saverio de Bellis" · ITOspedale Sant'Anna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInflammatory bowel diseases (IBD), are chronic, relapsing-remitting diseases of the gastrointestinal tract, including Crohn's disease (CD), Ulcerative colitis (UC) and Unclassified IBD (IBDU). Their pathogenesis involves genes and environment as cofactors in inducing autoimmunity; particularly the interactions between enteric pathogens and immunity is being studied. Helicobacter pylori (HP) is common pathogen causing gastric inflammation. Studies found an inverse prevalence association between HP and IBD, suggesting a potential protecting role of HP from IBD.

methodsA literature search of the PubMed database was performed using the key words ''helicobacter pylori'', ''inflammatory bowel disease'', ''crohn disease'', "ulcerative colitis". Embase, Medline (OvidSP), Web of Science, Scopus, PubMed publisher, Cochrane and Google Scholar were also searched. Prevalence rate-ratios among HP in IBD patients, HP in CD patients, HP in UC patients, HP in IBDU patients were extracted, each group was compared with controls, to verify the inverse association between HP and IBD prevalence.

resultsIn all groups the dispersion of data suggested an inverse association between IBD group and controls, even when the comparison was carried out separately between each group of newly diagnosed patients and controls, to rule out the possible bias of ongoing pharmacologic therapy.

conclusionsThe results of this review show a striking inverse association between HP infection and the prevalence of IBD, independently from the type of IBD considered across distinct geographic regions. Anyway, data should be interpreted cautiously, as wider, prospective and more homogeneous research on this topic are awaited, which could open new scenarios about environmental etiology of IBD.

Indexed as

Helicobacter pyloriComorbidityDysbiosisGastritisGlobal HealthHelicobacter InfectionsHumansInflammatory Bowel DiseasesPrevalence

Identifiers

PMID30561399
PMCPMC6502183
OpenAlexW2983422814

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.