Evidence map›Paper›PMID 30598661›Full record

ReviewGastroenterology research and practice2018

Pros and Cons of the SeHCAT Test in Bile Acid Diarrhea: A More Appropriate Use of an Old Nuclear Medicine Technique.

Bernardo Fani, Lorenzo Bertani, Italia Paglianiti, Lorenzo Fantechi, Nicola De Bortoli, Francesco Costa, Duccio Volterrani, Santino Marchi, Massimo Bellini

Open access · goldAbstract readReview
In one paragraph

Review in Gastroenterology research and practice, 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
2.9field-weighted citation impact, top 9% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Effectiveness of diet, psychological, and exercise therapies for the management of bile acid diarrhoea in adults: A systematic review.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2022
    Pooled it
  2. Pooled it
  3. Review
  4. A single test strategy using spot fecal bile acid test may be a feasible strategy for the diagnosis of bile acid malabsorption.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Use of GELSECTANPatient preference and adherence · 2021
    Article
  12. Review
  13. Article
  14. Article
  15. Diagnosis and treatment of gastrointestinal dysfunction in hereditary TTR amyloidosis.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2019
    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 2 institutions in 1 country.

Bernardo FaniDepartment of New Technologies and Translational Research in Medicine and Surgery, Gastroenterology Unit, University of Pisa, Via Roma 67, 56122 Pisa, Italy.
Lorenzo BertaniDepartment of New Technologies and Translational Research in Medicine and Surgery, Gastroenterology Unit, University of Pisa, Via Roma 67, 56122 Pisa, Italy.
Italia PaglianitiDepartment of New Technologies and Translational Research in Medicine and Surgery, Nuclear Medicine Unit, University of Pisa, Via Roma 67, 56122 Pisa, Italy.
Lorenzo FantechiDepartment of New Technologies and Translational Research in Medicine and Surgery, Nuclear Medicine Unit, University of Pisa, Via Roma 67, 56122 Pisa, Italy.
Nicola De BortoliDepartment of New Technologies and Translational Research in Medicine and Surgery, Gastroenterology Unit, University of Pisa, Via Roma 67, 56122 Pisa, Italy.
Francesco CostaDepartment of General Surgery and Gastroenterology, Gastroenterology Unit, Az. Ospedaliero Universitaria Pisana, Via Paradisa 2, 56124 Pisa, Italy.
Duccio VolterraniDepartment of New Technologies and Translational Research in Medicine and Surgery, Nuclear Medicine Unit, University of Pisa, Via Roma 67, 56122 Pisa, Italy.
Santino MarchiDepartment of New Technologies and Translational Research in Medicine and Surgery, Gastroenterology Unit, University of Pisa, Via Roma 67, 56122 Pisa, Italy.
Massimo BelliniDepartment of New Technologies and Translational Research in Medicine and Surgery, Gastroenterology Unit, University of Pisa, Via Roma 67, 56122 Pisa, Italy.ORCID 0000-0002-6387-6443
University of Pisa · ITAzienda Ospedaliera Universitaria Pisana · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bile acid malabsorption (BAM) causing chronic diarrhea may be due to organic as well as functional disorders, and some of them were included under the general label of diarrheic-type irritable bowel syndrome (IBS-D). The 75-selenium homocholic acid taurine (SeHCAT) test is a nuclear medicine investigation considered to be the gold standard for the diagnosis of bile acid malabsorption (BAM). Many studies demonstrate that it could be effective in the clinical workout of chronic diarrhea due to different conditions. The SeHCAT test provides a quantitative assessment to estimate the severity of BAM and the possible response to therapy with bile acid sequestrants (BASs). However, there is no general agreement regarding its cutoff value and the test is not widely available. The aim of this review is to discuss the advantages and disadvantages of the SeHCAT test in clinical practice.

Identifiers

PMID30598661
PMCPMC6287164
OpenAlexW2903082821

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.