Evidence map›Paper›PMID 32660555›Full record

ArticleBMC gastroenterology2020

Small intestinal microbiota composition and the prognosis of infants with ileostomy resulting from distinct primary diseases.

Tian Qian, Haitao Zhu, Li Zhu, Chao Chen, Chun Shen, Rong Zhang

Open access · goldAbstract read
In one paragraph

Article in BMC gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 31% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Tian QianDepartment of Neonatology, Children's Hospital of Fudan University, 399 Wanyuan Rd, Shanghai, 201102, P. R. China.
Haitao ZhuDepartment of Pediatric Surgery, Children's Hospital of Fudan University, 399 Wanyuan Rd, Shanghai, 201102, P. R. China.
Li ZhuDepartment of Neonatology, Children's Hospital of Fudan University, 399 Wanyuan Rd, Shanghai, 201102, P. R. China.
Chao ChenDepartment of Neonatology, Children's Hospital of Fudan University, 399 Wanyuan Rd, Shanghai, 201102, P. R. China.
Chun ShenDepartment of Pediatric Surgery, Children's Hospital of Fudan University, 399 Wanyuan Rd, Shanghai, 201102, P. R. China. chunshen@fudan.edu.cn.
Rong ZhangDepartment of Neonatology, Children's Hospital of Fudan University, 399 Wanyuan Rd, Shanghai, 201102, P. R. China. zhangrongfdek@163.com.ORCID http://orcid.org/0000-0003-0092-0889
Children's Hospital of Fudan University · CN

Funding

National Natural Science Foundation of China 81873849Science and Technology Commission of Shanghai Municipality (CN) 18ZR1405200
6 · The paper itself

Abstract

backgroundStudies of microbiota composition of infants with small intestinal ostomy due to various etiologies are limited. Here, we characterized the intestinal microbiota of neonates with ileostomy resulting from distinct primary diseases.

methodsFifteen patients with necrotizing enterocolitis, eight patients with meconium peritonitis, and seven patients with Hirschsprung's disease were included in the study. The small intestinal microbiota composition in infants with ileostomy caused by these diseases was studied.

resultsMicrobial diversity in neonatal ileostomy fluid was generally low, and was dominated by members of the Proteobacteria and Firmicutes phyla. At the genus level, the most abundant were Klebsiella, Escherichia-Shigella, Streptococcus, Clostridium sensu stricto 1, Enterococcus, and Lactobacillus. Streptococcus and Veillonella are related to carbohydrate metabolism and immunity, and breastfeeding can increase the proportion of these potentially beneficial bacteria. The proportion of Bifidobacterium in the breastfeeding group was higher than that in the non-breastfeeding group, and incidence of colitis and sepsis was reduced in the breastfeeding group. The proportion of Bifidobacterium increased and incidence of colitis and sepsis decreased in the breastfeeding group compared with the non- breastfeeding group, but there was no significant difference. The increase in body weight in the breastfeeding group was observed to be higher than in the non-breastfeeding group.

conclusionsExcessive Klebsiella and Escherichia-Shigella and low abundance of Streptococcus, Veillonella and Faecalibacterium suggests that the small intestinal microbiota is in an unhealthy state after ileostomy. However, Streptococcus, Faecalibacterium, and Veillonella species were frequently present, suggesting that expansion of these bacteria might assist the development of the immune system after surgery.

Indexed as

Gastrointestinal MicrobiomeMicrobiotaBifidobacteriumHumansIleostomyInfantInfant, NewbornPrognosisIleostomyInfantMicrobiotaNecrotizing enterocolitisNutrition

Identifiers

PMID32660555
PMCPMC7359560
OpenAlexW3043010328

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.