Evidence map›Paper›PMID 32504369›Full record

ArticleAnnals of surgical oncology2021

Distal Gastrectomy with Billroth II Reconstruction is Associated with Oralization of Gut Microbiome and Intestinal Inflammation: A Proof-of-Concept Study.

Angela Horvath, Augustinas Bausys, Rasa Sabaliauskaite, Eugenijus Stratilatovas, Sonata Jarmalaite, Burkhard Schuetz, Philipp Stiegler, Rimantas Bausys, Vanessa Stadlbauer, Kestutis Strupas

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Annals of surgical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03418428 (Surgical Gastric Cancer Treatment), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.4field-weighted citation impact, top 19% 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.

NCT03418428 completednot on this map

Surgical Gastric Cancer Treatment: Influence on Intestinal Microbiome

TypeobservationalSponsorVilnius UniversityRan2018 to 2019Enrolled34ConditionsGastric Cancer
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 29 citations in OpenAlex.

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  15. Enriched and Decreased Intestinal Microbes in Active VKH Patients.Investigative ophthalmology & visual science · 2022
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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 at 3 institutions in 2 countries.

Angela HorvathDepartment of Gastroenterology and Hepatology, Medical University of Graz, Graz, Austria.
Augustinas BausysDepartment of Abdominal Surgery and Oncology, National Cancer Institute, Vilnius, Lithuania. abpelikanas@gmail.com.ORCID http://orcid.org/0000-0003-1848-2960
Rasa SabaliauskaiteNational Cancer Institute, Vilnius, Lithuania.
Eugenijus StratilatovasDepartment of Abdominal Surgery and Oncology, National Cancer Institute, Vilnius, Lithuania.
Sonata JarmalaiteNational Cancer Institute, Vilnius, Lithuania.
Burkhard SchuetzBiovis Diagnostik, Limburg, Germany.
Philipp StieglerDepartment of Transplantation Surgery, Medical University of Graz, Graz, Austria.
Rimantas BausysDepartment of Abdominal Surgery and Oncology, National Cancer Institute, Vilnius, Lithuania.
Vanessa StadlbauerDepartment of Gastroenterology and Hepatology, Medical University of Graz, Graz, Austria.
Kestutis StrupasClinic of Gastroenterology, Nephrourology and Surgery, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.
Medical University of Graz · ATNational Cancer Institute · LTVilnius University · LT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSubtotal gastrectomy with Billroth II reconstruction (SGB2) results in increased gastric pH and diminished gastric barrier. Increased gastric pH following PPI therapy has an impact on the gut microbiome, intestinal inflammation, and possibly patient health. If similar changes are present after SGB2, these can be relevant for patient health and long-term outcomes after surgery. The aim of the study is to investigate whether SGB2 is associated with specific changes in gut microbiome composition and intestinal inflammation. PATIENTS AND

methodsThis cross-sectional proof-of-concept study includes patients after SGB2 (n = 14) for early gastric cancer and their nongastrectomized in-house relatives as controls (n = 8). Fecal microbiome composition, intestinal inflammation (fecal calprotectin), gut permeability (DAO, LBP, sCD14), systemic inflammation (CRP) markers, and gastrointestinal symptoms are investigated. This study is registered at ClinicalTrials.gov (NCT03418428).

resultsMicrobiome oralization following SGB2 was defined by an increase in Escherichia-Shigella, Enterococcus, Streptococcus, and other typical oral cavity bacteria (Veillonella, Oribacterium, and Mogibacterium) abundance. The fecal calprotectin was increased in the SGB2 group [100.9 (52.1; 292) vs. 25.8 (17; 66.5); p = 0.014], and calprotectin levels positively correlated with the abundance of Streptococcus (r

conclusionsSGB2 is associated with oralization of the gut microbiome; intestinal inflammation and microbiome changes were associated with gastrointestinal symptoms. These novel findings may open gut microbiome as a new target for therapy to improve quality of life and general patient health in long-term survivors after SGB2.

Indexed as

GastroenterostomyGastrointestinal MicrobiomeAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsCross-Sectional StudiesFemaleGastrectomyHumansInflammationMaleQuality of LifeAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor Antagonists

Identifiers

PMID32504369
PMCPMC7801296
OpenAlexW3033457570

What OpenQuestion holds

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LicenceCC BY
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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.