Evidence map›Paper›PMID 31819200›Full record

ArticleInternational journal of obesity (2005)2020

Intestinal barrier function in morbid obesity: results of a prospective study on the effect of sleeve gastrectomy.

Jennifer Wilbrink, Nienke Bernards, Zlatan Mujagic, Mark van Avesaat, Kirsten Pijls, Tim Klaassen, Hans van Eijk, Simon Nienhuijs, Arnold Stronkhorst, Ellen Wilms and 2 more

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in International journal of obesity (2005), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 14% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. Review
  17. Gut Microbiota and Intestinal Trans-Epithelial Permeability.International journal of molecular sciences · 2020
    Review
  18. Review
  19. 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

12 authors at 2 institutions in 1 country.

Jennifer WilbrinkDivision of Gastroenterology-Hepatology, Maastricht University Medical Center, Maastricht, The Netherlands. j.wilbrink@zuyderland.nl.
Nienke BernardsDepartment of Gastroenterology-Hepatology, Catharina Hospital, Eindhoven, The Netherlands.
Zlatan MujagicDivision of Gastroenterology-Hepatology, Maastricht University Medical Center, Maastricht, The Netherlands.
Mark van AvesaatDivision of Gastroenterology-Hepatology, Maastricht University Medical Center, Maastricht, The Netherlands.
Kirsten PijlsDivision of Gastroenterology-Hepatology, Maastricht University Medical Center, Maastricht, The Netherlands.
Tim KlaassenDivision of Gastroenterology-Hepatology, Maastricht University Medical Center, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0002-1519-4026
Hans van EijkDepartment of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0001-5033-9537
Simon NienhuijsDepartment of Surgery, Catharina Hospital, Eindhoven, The Netherlands.
Arnold StronkhorstDepartment of Gastroenterology-Hepatology, Catharina Hospital, Eindhoven, The Netherlands.
Ellen WilmsDivision of Gastroenterology-Hepatology, Maastricht University Medical Center, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0001-7146-8581
Freddy TroostDivision of Gastroenterology-Hepatology, Maastricht University Medical Center, Maastricht, The Netherlands.
Ad MascleeDivision of Gastroenterology-Hepatology, Maastricht University Medical Center, Maastricht, The Netherlands.
Maastricht University · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity has been associated with impaired intestinal barrier function. It is not known whether bariatric surgery leads to changes in intestinal barrier function. We hypothesized that obesity is associated with disturbances in gastrointestinal barrier function, and that after bariatric surgery barrier function will improve.

methodsProspective single center study in which we assessed segmental gut permeability by urinary recovery of a multisugar drink in 27 morbidly obese (BMI 43.3 ± 1.1 kg/m

resultsGastroduodenal permeability (urinary sucrose recovery) was significantly increased in obese vs. lean controls (p < 0.05). Small intestinal and colonic permeability (urinary recovery of lactulose/L-rhamnose and sucralose/erythritol, respectively) in obese subjects were not significantly different from controls. Morbidly obese subjects had a proinflammatory systemic and intestinal profile compared with lean subjects. After sleeve gastrectomy BMI decreased significantly (p < 0.001). Postsleeve gastroduodenal permeability normalized to values that do not differ from lean controls.

conclusionsGastroduodenal permeability, but not small intestinal or colonic permeability, is significantly increased in morbidly obese patients. After sleeve gastrectomy, gastroduodenal permeability normalized to values in the range of lean controls. Thus, the proximal gastrointestinal barrier is compromised in morbid obesity and is associated with a proinflammatory intestinal and systemic profile.

Indexed as

Bariatric SurgeryGastrectomyObesity, MorbidAdolescentAdultAgedCytokinesHumansIntestinal AbsorptionIntestinal MucosaMiddle AgedProspective StudiesSucroseTreatment OutcomeYoung AdultCytokinesSucrose

Identifiers

PMID31819200
OpenAlexW2993145968

What OpenQuestion holds

Textmetadata
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.