Evidence map›Paper›PMID 30937511›Full record

ArticlePediatric surgery international2019

Plasma citrulline is not a biomarker for intestinal adaptation in short bowel syndrome, studied in piglets: a model for human neonates.

Marihan Lansing, Justine M Turner, Pamela Wizzard, Celeste M Lavallee, David W Lim, Mitsuru Muto, Patrick N Nation, Paul B Pencharz, Ron O Ball, Paul W Wales

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Article in Pediatric surgery international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Application of Intestinal Barrier Molecules in the Diagnosis of Acute Cellular Rejection After Intestinal Transplantation.Transplant international : official journal of the European Society for Organ Transplantation · 2023
    Article
  3. Article
  4. 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

10 authors.

Marihan LansingDepartment of Pediatrics, Edmonton Health Academy, University of Alberta, 11405-87 Ave, Edmonton, AB, T6G 1C9, Canada.
Justine M TurnerDepartment of Pediatrics, Edmonton Health Academy, University of Alberta, 11405-87 Ave, Edmonton, AB, T6G 1C9, Canada. Justine.turner@albertahealthservices.ca.
Pamela WizzardDepartment of Pediatrics, Edmonton Health Academy, University of Alberta, 11405-87 Ave, Edmonton, AB, T6G 1C9, Canada.
Celeste M LavalleeFaculty of Medical Sciences, University of Toronto, Toronto, ON, Canada.
David W LimDepartment of Surgery, University of Alberta, Edmonton, AB, Canada.
Mitsuru MutoDepartment of Pediatric Surgery, Kagoshima University, Sakuragaoka, Kagoshima, Japan.
Patrick N NationLaboratory Medicine and Pathology, University of Alberta, Edmonton, AB, Canada.
Paul B PencharzDepartments of Pediatrics and Nutritional Sciences, University of Toronto, Toronto, ON, Canada.
Ron O BallDepartment of Agricultural, Life and Environmental Sciences, University of Alberta, Edmonton, AB, Canada.
Paul W WalesDepartment of Pediatrics, Edmonton Health Academy, University of Alberta, 11405-87 Ave, Edmonton, AB, T6G 1C9, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are no in vivo methods to measure adaptation in neonatal short bowel syndrome (SBS). We evaluated citrulline (Cit) levels in neonatal piglet surgical models of SBS.

methodsPiglets underwent 75% mid-intestinal resection with jejunoileal anastomosis (JI), 75% distal resection of ileum with jejunocolic anastomosis (JC) or sham surgery. Jugular and gastric catheters were inserted for parenteral and enteral nutrition. On D7, small intestine length and weight were measured, jejunum collected for histopathology and Cit level determined.

resultsJI (n = 5) compared to JC (n = 5) had increased small intestinal length (JC - 17.5 cm; JI +22.0 cm; p = 0.02) and mass (JC 43.1 mg/cm/kg; JI 51.3 mg/cm/kg; p = 0.02), while Cit did not differ (JI 801.0 µM; JC 677.7 µM; p = 0.90). Including non-resected shams (n = 4), Cit correlated with length (R

conclusionCitrulline levels predict large differences in intestinal length and 'identify' SBS. However, citrulline cannot discriminate between adaptation in JI and JC, nor predict intestinal lengthening.

Indexed as

Adaptation, PhysiologicalAnastomosis, SurgicalAnimalsAnimals, NewbornBiomarkersCitrullineColonIleumIntestinesIntestine, SmallJejunumModels, AnimalShort Bowel SyndromeSwineBiomarkersCitrullineCitrullineIntestinal adaptationNeonatesShort bowel syndrome

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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.