Evidence map›Paper›PMID 30792864›Full record

ArticleGastroenterology report2019

The physical presence of gallstone modulates

Piero Portincasa, Karel J van Erpecum, Agostino Di Ciaula, David Q-H Wang

Open access · diamondAbstract read
In one paragraph

Article in Gastroenterology report, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 25% 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

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Review
  3. Physical Activity Modulating Lipid Metabolism in Gallbladder Diseases.Journal of gastrointestinal and liver diseases : JGLD · 2020
    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

4 authors at 4 institutions in 3 countries.

Piero PortincasaDivision of Internal Medicine, Department of Biomedical Sciences and Human Oncology, University Medical School, Bari, Italy.
Karel J van ErpecumDepartment of Gastroenterology, University Medical Center, Utrecht, The Netherlands.
Agostino Di CiaulaDivision of Internal Medicine, Hospital of Bisceglie, ASL BAT, Bisceglie, Italy.
David Q-H WangDepartment of Medicine, Division of Gastroenterology and Liver Diseases, Marion Bessin Liver Research Center, Albert Einstein College of Medicine, Bronx, NY, USA.
Albert Einstein College of Medicine · USOspedale degli Infermi · ITUniversity Medical Center Utrecht · NLUniversity of Bari Aldo Moro · IT

Funding

Apolipoprotein A5 and Gallstone FormationR01DK114516 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI WANG, DAVID Q · 2018 to 2021
$1.5M
Gene therapy of alcoholic liver diseaseR21AA025737 · NIAAA · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI WANG, DAVID Q · 2017 to 2018
$438k
NIAAA NIH HHS R21 AA025737NIDDK NIH HHS R01 DK114516
6 · The paper itself

Abstract

backgroundCholesterol crystallization is an essential step toward gallstone formation. Although model bile studies showed that competition occurs between the gallstone surface and the surrounding aqueous phase for cholesterol molecules available for crystallization, this has not been investigated in human bile.

methodsFresh gallbladder bile was obtained during laparoscopic cholecystectomy from 13 patients with cholesterol (

resultsIn unfiltered bile, the presence of stones was associated with a trend towards less anhydrous cholesterol crystals, but significantly more aggregated cholesterol monohydrate crystals. In ultrafiltered bile, the presence of stones tended to inhibit the formation of arc-like or needle-like crystals and was associated with significantly greater amounts of both plate-like and aggregated cholesterol monohydrate crystals. After 21 days of the incubation, stone weight was decreased in both unfiltered (-4.5 ± 1.6%,

conclusionsThe physical presence of cholesterol gallstones in both native and filtered bile greatly influences cholesterol crystallization pathways. Whereas cholesterol monohydrate crystals increase, anhydrous cholesterol crystals tend to be inhibited. Detachment of solid cholesterol crystals from the gallstone surface may explain these findings.

Indexed as

Bilecholesterol crystalscholesterol stonespigment stonespolarizing light microscopysupersaturated bile

Identifiers

PMID30792864
PMCPMC6375352
OpenAlexW2919242700

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.