Evidence map›Paper›PMID 31335356›Full record

ArticleClinical and translational gastroenterology2019

A Low FODMAP Diet May Reduce Symptoms in Patients With Fecal Incontinence.

Stacy B Menees, Deepa Chandhrasekhar, Ee Lane Liew, William D Chey

Open access · goldAbstract read
In one paragraph

Article in Clinical and translational gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Faecal incontinence in adults.Nature reviews. Disease primers · 2022
    Review
  6. Review
  7. Article
  8. [Treatment of Fecal Incontinence: A Surgical Approach].Acta gastroenterologica Latinoamericana
    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 1 institution in 1 country.

Stacy B MeneesDivision of Gastroenterology, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Deepa ChandhrasekharDivision of Gastroenterology, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Ee Lane LiewDivision of Gastroenterology, University of Michigan Medical School, Ann Arbor, Michigan, USA.
William D CheyDivision of Gastroenterology, University of Michigan Medical School, Ann Arbor, Michigan, USA.
University of Michigan–Ann Arbor · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFecal incontinence (FI) is a common complaint and is often associated with diarrhea and urgency. Foods high in fermentable oligo-, di-, and mono-saccharides and polyols (FODMAP) cause symptoms of diarrhea and urgency. Therefore, this study assesses the impact of a low FODMAP diet on the occurrence of FI due to loose stool.

methodsThis study is a retrospective chart review of patients with FI seen in the Michigan Bowel Control Program clinic between August 2012 and December 2017. Patients who had FI with loose stool without red flag signs and who were recommended a low FODMAP diet and underwent formal dietary instruction with a Michigan Medicine dietician were included.

resultsSixty-five patients with FI who underwent formal dietary teaching were included in this study. Eighty-eight percent of the patients were white, and 87% were women with a mean age of 62 years (±14 years). Additionally, the chart review showed that 35% of the patients had FI daily, 21.5% had FI weekly, and 5% had FI monthly. About 64.6% of the patients (42) had reported a reduction in their FI symptoms with the low FODMAP diet. There was no demographic or clinical characteristic that predicted the response to a low FODMAP diet. DISCUSSION: In this case series, dietary manipulation with a low FODMAP diet was a useful tool to treat patients who suffer from FI due to loose stool. Further confirmatory, prospective randomized controlled trials are required to see the true efficacy of a low FODMAP diet in patients who suffer with FI.

Indexed as

AgedDiarrheaDiet, Carbohydrate-RestrictedDisaccharidesFecal IncontinenceFemaleFermentationHumansMaleMichiganMiddle AgedMonosaccharidesOligosaccharidesPolymersRetrospective StudiesTreatment OutcomeDisaccharidesMonosaccharidesOligosaccharidesPolymerspolyol

Identifiers

PMID31335356
PMCPMC6708672
OpenAlexW2964261932

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.