Evidence map›Paper›PMID 30575635›Full record

ArticleJournal of clinical gastroenterology2020

Risk Factors Associated With Upper Aerodigestive Tract or Coliform Bacterial Overgrowth of the Small Intestine in Symptomatic Patients.

Matthew Bohm, Andrea Shin, Sean Teagarden, Huiping Xu, Anita Gupta, Robert Siwiec, David Nelson, John M Wo

Abstract read
In one paragraph

Article in Journal of clinical gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

  1. Review
  2. Journal of Parkinson's disease · 2025
    Review
  3. Observational
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. 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

8 authors.

Matthew BohmDivisions of Gastroenterology and Hepatology.
Andrea ShinDivisions of Gastroenterology and Hepatology.
Sean TeagardenDivisions of Gastroenterology and Hepatology.
Huiping XuDepartment of Biostatistics, Indiana University, Indianapolis, IN.
Anita GuptaDivisions of Gastroenterology and Hepatology.
Robert SiwiecDivisions of Gastroenterology and Hepatology.
David NelsonDivisions of Gastroenterology and Hepatology.
John M WoDivisions of Gastroenterology and Hepatology.

Funding

Indiana Clinical and Translational Sciences InstituteUL1TR001108 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI DENNE, SCOTT C., SHEKHAR, ANANTHA · 2013 to 2017
$23.3M
Genetic analysis of mechanisms of chlamydial immune evasionR01AI099278 · NIAID · INDIANA UNIVERSITY INDIANAPOLIS · PI NELSON, DAVID EMMET · 2012 to 2023
$4.6M
The role of the urethral microbiome in idiopathic urethritis in menR01AI116706 · NIAID · INDIANA UNIVERSITY INDIANAPOLIS · PI NELSON, DAVID EMMET · 2016 to 2020
$3.6M
Indiana Clinical and Translational Sciences InstituteKL2TR001106 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI DENNE, SCOTT C., SHEKHAR, ANANTHA · 2013 to 2017
$3.2M
Genetic analysis of mechanisms of chlamydial immune evasionR56AI099278 · NIAID · INDIANA UNIVERSITY INDIANAPOLIS · PI NELSON, DAVID EMMET · 2017 to 2017
$579k
Six new Chlamydia epitopesR21AI099307 · NIAID · INDIANA UNIVERSITY INDIANAPOLIS · PI JOHNSON, RAYMOND MORRIS, NELSON, DAVID EMMET · 2012 to 2013
$428k
NCATS NIH HHS KL2 TR001106NCATS NIH HHS UL1 TR001108NIAID NIH HHS R01 AI099278NIAID NIH HHS R01 AI116706NIAID NIH HHS R21 AI099307NIAID NIH HHS R56 AI099278
6 · The paper itself

Abstract

introductionThe clinical relevance of bacterial types identified in small bowel aspirate cultures during diagnostic evaluation of small intestinal bacterial overgrowth (SIBO) is unclear.

aimThe main purpose of this study was to assess associations between risk factors for upper aerodigestive tract (UAT) or coliform SIBO and SIBO diagnosis by culture. MATERIALS AND

methodsSmall bowel aspirates were cultured in patients with suspected SIBO, defined as ≥10 colony-forming units/mL coliform or ≥10 colony-forming units/mL UAT bacteria. History was reviewed for risk factors and potential SIBO complications. Symptoms, quality of life, psychological traits, and laboratory values were assessed. We compared groups by 2-sample t test, Wilcoxon rank sum test, and the Fisher exact test. Overall associations of primary and secondary endpoints with type of bacterial overgrowth were assessed by analysis of variance F-test, Kruskal-Wallis test, and the Fisher exact tests. Associations of risk factors with type of overgrowth were explored using multinomial logistic regression.

resultsAmong 76 patients, 37 had SIBO (68% coliform, 33% UAT) and 39 did not. Conditions (P=0.02) and surgery (P<0.01) associated with decreased gastric acid were associated with SIBO. In multinomial logistic regression, conditions of decreased acid was associated with UAT SIBO [odds ratio (OR), 5.8; 95% confidence interval, 1.4-33.3]. Surgery causing decreased acid was associated with UAT [OR, 9.5 (1.4-106)] and coliform SIBO [OR, 8.4 (1.6-86.4)]. Three patients with discontinuous small bowel had coliform SIBO [OR, 17.4 (1.2-2515)]. There were no differences in complications, overall symptoms, quality of life, or psychological traits.

conclusionsConditions or surgeries associated with decreased gastric acid are associated with SIBO diagnosis by culture.

Indexed as

Bacterial InfectionsQuality of LifeBacteriaBreath TestsHumansIntestine, SmallRisk Factors

Identifiers

PMID30575635
PMCPMC7909722

What OpenQuestion holds

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Registered trials

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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.