Evidence map›Paper›PMID 32826308›Full record

GuidelineGut2020

The management of adult patients with severe chronic small intestinal dysmotility.

Jeremy M D Nightingale, Peter Paine, John McLaughlin, Anton Emmanuel, Joanne E Martin, Simon Lal, Small Bowel and Nutrition Committee and the Neurogastroenterology and Motility Committee of the British Society of Gastroenterology

Open access · bronzeAbstract readPractice GuidelineSystematic Review
In one paragraph

Guideline in Gut, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
5.1field-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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Review of nutrition management of pediatric intestinal pseudo-obstruction.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2026
    Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Hepatic Encephalopathy: Current Thoughts on Pathophysiology and Management.Current neurology and neuroscience reports · 2025
    Review
  10. The Efficacy of Lubiprostone in Patients of Constipation: An Updated Systematic Review and Meta-Analysis.JGH open : an open access journal of gastroenterology and hepatology · 2025
    Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Changing Epidemiology of Cirrhosis and Hepatic Encephalopathy.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2022
    Review
  17. Article
  18. Recent Advances in the Management of Severe Gastrointestinal Dysmotility.Clinical and experimental gastroenterology · 2021
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Jeremy M D NightingaleGastroenterology, St Marks Hospital, Harrow, UK jnight@globalnet.co.uk.ORCID 0000-0002-7314-0456
Peter PaineGastroenterology, Salford Royal Foundation Trust, Salford, UK.
John McLaughlinDivision of Diabetes, Endocrinology and Gastroenterology, University of Manchester, Salford, UK.
Anton EmmanuelGastroenterology, University College London, London, UK.
Joanne E MartinPathology Group, Blizard Institute, Barts & The London School of Medicine and Dentistry, Queen Mary University of London, London, UK.ORCID 0000-0003-2828-7253
Simon LalGastroenterology and Intestinal Failure Unit, Salford Royal Foundation Trust, Manchester, UK.
Small Bowel and Nutrition Committee and the Neurogastroenterology and Motility Committee of the British Society of Gastroenterology
Salford Royal NHS Foundation Trust · GBQueen Mary University of London · GBSt Mark's Hospital · GBUniversity College London · GBUniversity of Manchester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adult patients with severe chronic small intestinal dysmotility are not uncommon and can be difficult to manage. This guideline gives an outline of how to make the diagnosis. It discusses factors which contribute to or cause a picture of severe chronic intestinal dysmotility (eg, obstruction, functional gastrointestinal disorders, drugs, psychosocial issues and malnutrition). It gives management guidelines for patients with an enteric myopathy or neuropathy including the use of enteral and parenteral nutrition.

Indexed as

Analgesics, OpioidAnorexia NervosaDiagnosis, DifferentialDiagnostic Techniques, Digestive SystemDietEhlers-Danlos SyndromeEnterostomyGastrointestinal MotilityHumansIntestinal ObstructionIntestine, SmallMalabsorption SyndromesMalnutritionManometryMuscular DiseasesParenteral NutritionAnalgesics, Opioidnutrition supportsmall intestinal motility

Identifiers

PMID32826308
PMCPMC7677490
OpenAlexW3081348036

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.