Evidence map›Paper›PMID 30777006›Full record

ArticleBMC microbiology2019

Gut microbiome patterns correlate with higher postoperative complication rates after pancreatic surgery.

Felix C F Schmitt, Thorsten Brenner, Florian Uhle, Svenja Loesch, Thilo Hackert, Alexis Ulrich, Stefan Hofer, Alexander H Dalpke, Markus A Weigand, Sébastien Boutin

Abstract read
In one paragraph

Article in BMC microbiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing 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

45 citing papers in PubMed.

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  14. Postoperative delayed gastric emptying: may gut microbiota play a role?Frontiers in cellular and infection microbiology · 2024
    Review
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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

10 authors.

Felix C F SchmittDepartment of Anesthesiology, Heidelberg University Hospital, 110, Im Neuenheimer Feld, D-69120, Heidelberg, Germany. Felix.Schmitt@med.uni-heidelberg.de.ORCID 0000-0001-6464-6191
Thorsten BrennerDepartment of Anesthesiology, Heidelberg University Hospital, 110, Im Neuenheimer Feld, D-69120, Heidelberg, Germany.
Florian UhleDepartment of Anesthesiology, Heidelberg University Hospital, 110, Im Neuenheimer Feld, D-69120, Heidelberg, Germany.
Svenja LoeschDepartment of Anesthesiology, Heidelberg University Hospital, 110, Im Neuenheimer Feld, D-69120, Heidelberg, Germany.
Thilo HackertDepartment of General, Visceral and Transplant Surgery, Heidelberg University Hospital, Heidelberg, Germany.
Alexis UlrichDepartment of General, Visceral and Transplant Surgery, Heidelberg University Hospital, Heidelberg, Germany.
Stefan HoferDepartment of Anesthesiology, Kaiserslautern Westpfalz Hospital, Kaiserslautern, Germany.
Alexander H DalpkeDepartment of Infectious Diseases, Medical Microbiology and Hygiene, Heidelberg University Hospital, Heidelberg, Germany.
Markus A WeigandDepartment of Anesthesiology, Heidelberg University Hospital, 110, Im Neuenheimer Feld, D-69120, Heidelberg, Germany.
Sébastien BoutinDepartment of Infectious Diseases, Medical Microbiology and Hygiene, Heidelberg University Hospital, Heidelberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostoperative complications are of great relevance in daily clinical practice, and the gut microbiome might play an important role by preventing pathogens from crossing the intestinal barrier. The two aims of this prospective clinical pilot study were: (1) to examine changes in the gut microbiome following pancreatic surgery, and (2) to correlate these changes with the postoperative course of the patient.

resultsIn total, 116 stool samples of 32 patients undergoing pancreatic surgery were analysed by 16S-rRNA gene next-generation sequencing. One sample per patient was collected preoperatively in order to determine the baseline gut microbiome without exposure to surgical stress and/or antibiotic use. At least two further samples were obtained within the first 10 days following the surgical procedure to observe longitudinal changes in the gut microbiome. Whenever complications occurred, further samples were examined. Based on the structure of the gut microbiome, the samples could be allocated into three different microbial communities (A, B and C). Community B showed an increase in Akkermansia, Enterobacteriaceae and Bacteroidales as well as a decrease in Lachnospiraceae, Prevotella and Bacteroides. Patients showing a microbial composition resembling community B at least once during the observation period were found to have a significantly higher risk for developing postoperative complications (B vs. A, odds ratio = 4.96, p < 0.01**; B vs. C, odds ratio = 2.89, p = 0.019*).

conclusionsThe structure of the gut microbiome is associated with the development of postoperative complications.

Indexed as

Gastrointestinal MicrobiomeAgedBacteriaFecesHigh-Throughput Nucleotide SequencingHumansMiddle AgedOdds RatioPancreatic DiseasesPhylogenyPilot ProjectsPostoperative ComplicationsProspective StudiesRisk FactorsRNA, Ribosomal, 16SRNA, Ribosomal, 16S16S RNA gene sequencingGut microbiomeInflammationPancreasPostoperative complicationsSepsis

Identifiers

PMID30777006
PMCPMC6379976

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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.