Evidence map›Paper›PMID 31009791›Full record

ReviewClinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association2019

Should We Divide Crohn's Disease Into Ileum-Dominant and Isolated Colonic Diseases?

Parambir S Dulai, Siddharth Singh, Niels Vande Casteele, Brigid S Boland, Jesus Rivera-Nieves, Peter B Ernst, Lars Eckmann, Kim E Barrett, John T Chang, William J Sandborn

Registry-linked trialAbstract readReview
In one paragraph

Review in Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07597577 (Comparable Efficacy of Upadacitinib in Isolated Small Bowel Versus Non-Small Bowel Crohn's Disease), which is not on this map. Cited by 86 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 2 pooled it
–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.

NCT07597577 completednot on this mapstarted 2023, after this paper: background citation

Comparable Efficacy of Upadacitinib in Isolated Small Bowel Versus Non-Small Bowel Crohn's Disease: A Retrospective Cohort Study

TypeobservationalSponsorSixth Affiliated Hospital, Sun Yat-sen UniversityRan2023 to 2026Enrolled3ConditionsCrohn Disease, UpadacitinibArmsUpadacitinib
3 · Its place in the literature

Who cites it

86 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Efficacy of Advanced Therapies in Achieving Remission by Disease Location in Crohn's Disease: A Systematic Review and Meta-analysis.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2026
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Phenotypic switching of gastrointestinal smooth muscle cells and the regulatory role of macrophages: a literature review.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Review
  9. Article
  10. Review
  11. Recent advances in the management of small bowel Crohn's disease.The Korean journal of internal medicine · 2026
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Article

26 more citing papers are in PubMed but not listed here.

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.

Parambir S DulaiDivision of Gastroenterology, University of California San Diego, La Jolla, California. Electronic address: pdulai@ucsd.edu.
Siddharth SinghDivision of Gastroenterology, University of California San Diego, La Jolla, California.
Niels Vande CasteeleDivision of Gastroenterology, University of California San Diego, La Jolla, California.
Brigid S BolandDivision of Gastroenterology, University of California San Diego, La Jolla, California.
Jesus Rivera-NievesDivision of Gastroenterology, University of California San Diego, La Jolla, California.
Peter B ErnstDivision of Gastroenterology, University of California San Diego, La Jolla, California.
Lars EckmannDivision of Gastroenterology, University of California San Diego, La Jolla, California.
Kim E BarrettDivision of Gastroenterology, University of California San Diego, La Jolla, California.
John T ChangDivision of Gastroenterology, University of California San Diego, La Jolla, California.
William J SandbornDivision of Gastroenterology, University of California San Diego, La Jolla, California.

Funding

UC San Diego Clinical and Translational Research InstituteKL2TR001444 · NCATS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DEPP, COLIN A. · 2015 to 2024
$15.4M
The Role of the Adenosine Receptor in Th Cell Development and FunctionR01AI079145 · NIAID · UNIVERSITY OF VIRGINIA · PI ERNST, PETER B. · 2010 to 2022
$4.7M
Novel Traffic-targeted Therapies for IBDR01DK108670 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI RIVERA-NIEVES, JESUS · 2016 to 2020
$3.3M
Comparative Risks and Benefits of Pharmacological Therapies for Older Patients with Inflammatory Bowel DiseasesK23DK117058 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SINGH, SIDDHARTH · 2018 to 2022
$971k
Immunoprofiling for identifying biomarkers in celiac diseaseR21AI149636 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ERNST, PETER B., RIVERA-NIEVES, JESUS · 2020 to 2021
$433k
The Role of Adenosine Receptors in Th Cell Development and FunctionR56AI079145 · NIAID · UNIVERSITY OF VIRGINIA · PI ERNST, PETER B. · 2008 to 2008
$378k
BLRD VA I01 BX003436NCATS NIH HHS KL2 TR001444NIAID NIH HHS R01 AI079145NIAID NIH HHS R21 AI149636NIAID NIH HHS R56 AI079145NIDDK NIH HHS K23 DK117058NIDDK NIH HHS R01 DK108670
6 · The paper itself

Abstract

Crohn's disease (CD) is an inflammatory bowel disease that can involve any region of the gastrointestinal tract. First described in 1932 as terminal ileitis or regional enteritis, it predominately involves the ileum with or without colonic involvement. Isolated colonic CD was first described in 1960 and since then the phenotypic classification of CD has evolved to stratify patients into isolated ileal, ileocolonic, or isolated colonic involvement. In the current review we evaluate the published literature regarding differences in epidemiology, natural history, pathogenesis, response to therapy, and disease monitoring, when stratified by disease location. Based on the available evidence consideration could be given to a new classification for CD, which splits it into ileum dominant (isolated ileal and ileocolonic) and isolated colonic disease. This may allow for a more optimized approach to clinical care and scientific research for CD.

Indexed as

AutophagyColitisCrohn DiseaseCytokinesDisease ProgressionGastrointestinal MicrobiomeHumansIleitisRisk FactorsT-LymphocytesCytokinesClassificationColonicCrohn's DiseaseIleal

Identifiers

PMID31009791
PMCPMC6885453

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.