Evidence map›Paper›PMID 31940468›Full record

ArticleThe Journal of allergy and clinical immunology2020

Food aversion and poor weight gain in food protein-induced enterocolitis syndrome: A retrospective study.

Kuan-Wen Su, Sarita U Patil, Jennifer L Stockbridge, Victoria M Martin, Yamini V Virkud, Jing-Long Huang, Wayne G Shreffler, Qian Yuan

Erratum issuedOpen access · greenAbstract readMulticenter Study
In one paragraph

Article in The Journal of allergy and clinical immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
4.9field-weighted citation impact, top 4% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. A Systematic Review of Food Protein-Induced Enterocolitis Syndrome.International archives of allergy and immunology · 2023
    Pooled it
  2. Pooled it
  3. Fear and picky eating-related ARFID behaviors in children with food allergy.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Non-immunoglobulin E-mediated food allergy.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2024
    Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Update on Food Protein-Induced Enterocolitis Syndrome (FPIES).Current allergy and asthma reports · 2022
    Review
  17. Article
  18. Article
  19. The evolution of food protein-induced enterocolitis syndrome: From a diagnosis that did not exist to a condition in need of answers.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2021
    Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Kuan-Wen SuFood Allergy Center, Massachusetts General Hospital, Boston, Mass; Division of Pediatric Allergy and Immunology, Massachusetts General Hospital, Boston, Mass; Department of Pediatrics, Keelung Chang Gung Memorial Hospital, Keelung, Taiwan; Graduate Institute of Clinical Medical Sciences, Chang Gung University, Taoyuan, Taiwan.
Sarita U PatilFood Allergy Center, Massachusetts General Hospital, Boston, Mass; Division of Pediatric Allergy and Immunology, Massachusetts General Hospital, Boston, Mass; Department of Pediatrics, Harvard Medical School, Boston, Mass; Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Boston, Mass.
Jennifer L StockbridgeFood Allergy Center, Massachusetts General Hospital, Boston, Mass; Division of Pediatric Allergy and Immunology, Massachusetts General Hospital, Boston, Mass.
Victoria M MartinFood Allergy Center, Massachusetts General Hospital, Boston, Mass; Department of Pediatrics, Harvard Medical School, Boston, Mass; Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Massachusetts General Hospital, Boston, Mass.
Yamini V VirkudFood Allergy Center, Massachusetts General Hospital, Boston, Mass; Division of Pediatric Allergy and Immunology, Massachusetts General Hospital, Boston, Mass; Department of Pediatrics, Harvard Medical School, Boston, Mass; Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Boston, Mass.
Jing-Long HuangDivision of Allergy, Asthma, and Rheumatology, Department of Pediatrics, Chang Gung Memorial Hospital, and College of Medicine, Chang Gung University, Taoyuan, Taiwan. Electronic address: long@adm.cgmh.org.tw.
Wayne G ShrefflerFood Allergy Center, Massachusetts General Hospital, Boston, Mass; Division of Pediatric Allergy and Immunology, Massachusetts General Hospital, Boston, Mass; Department of Pediatrics, Harvard Medical School, Boston, Mass; Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Boston, Mass.
Qian YuanFood Allergy Center, Massachusetts General Hospital, Boston, Mass; Department of Pediatrics, Harvard Medical School, Boston, Mass; Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Massachusetts General Hospital, Boston, Mass. Electronic address: qyuan@mgh.harvard.edu.
Harvard University · USChang Gung University · TWMassachusetts General Hospital · US

Funding

Endophenotypes of food allergy in response to oral immunotherapyK23AI130408 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI VIRKUD, YAMINI V · 2018 to 2022
$1.0M
Humoral mechanisms of tolerance in peanut oral immunotherapyK23AI121491 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI PATIL, SARITA U · 2016 to 2020
$975k
NIAID NIH HHS K23 AI121491NIAID NIH HHS K23 AI130408
6 · The paper itself

Abstract

backgroundFood protein-induced enterocolitis syndrome (FPIES) is a form of non-IgE-mediated gastrointestinal food allergy. Insufficient data exist in regard to gastrointestinal history and outcome, particularly comorbidity, family history, food aversion, and poor body weight gain.

objectiveWe sought to identify the gastrointestinal outcomes and related risk factors in FPIES.

methodsWe analyzed the clinical features and gastrointestinal outcomes of patients with FPIES retrospectively at 4 hospitals in Boston.

resultsTwo hundred three patients with FPIES were identified, including 180 only with acute FPIES, 8 with chronic FPIES, and 15 with both. Oat (34.5%), rice (29.6%), and cow's milk (19.2%) were the most common food triggers. The prevalence rates of personal history with allergic proctocolitis (23.2%) and family history with inflammatory bowel diseases (9.4%) and celiac disease (7.3%) were higher than those in the general population. Compared with patients with FPIES with 1 or 2 food triggers, the risk of developing food aversion increased in cases triggered by 3 or more foods (adjusted odds ratio, 3.07; 95% CI, 1.38-6.82; P = .006). The risk of poor body weight gain increased in FPIES triggered by cow's milk (adjusted odds ratio, 3.41; 95% CI, 1.21-9.63; P = .02) and banana (adjusted odds ratio, 7.63; 95% CI, 2.10-27.80; P = .002).

conclusionsGastrointestinal comorbidities and family history were common in patients with FPIES. Patients with FPIES with 3 or more triggers were at risk of food aversion. Patients with FPIES with cow's milk and banana as triggers were at risk of poor body weight gain.

Indexed as

AdolescentAdultAgedAged, 80 and overAnimalsBostonChildChild, PreschoolDietary ProteinsEnterocolitisFeeding and Eating DisordersFemaleFood HypersensitivityHumansInfantMaleDietary Proteinsfood aversionFood protein–induced enterocolitis syndromepoor body weight gain

Identifiers

PMID31940468
PMCPMC8360679
OpenAlexW2999084951

What OpenQuestion holds

Textmetadata
LicenceTDM
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.