Evidence map›Paper›PMID 33886031›Full record

ArticleDigestive diseases and sciences2022

Increased Fecal Bile Acid Excretion in a Significant Subset of Patients with Other Inflammatory Diarrheal Diseases.

Priya Vijayvargiya, Daniel Gonzalez Izundegui, Gerardo Calderon, Sarah Tawfic, Sarah Batbold, Hiba Saifuddin, Patrick Duggan, Valeria Melo, Taylor Thomas, Megan Heeney and 8 more

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Digestive diseases and sciences, 2022. 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 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
2.1field-weighted citation impact, top 13% 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, 3 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Gut Goo: Physiology, Diet, and Therapy of Intestinal Mucus and Biofilms in Gastrointestinal Health and Disease.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2025
    Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. Review
  15. New Developments in Bile Acid Diarrhea.Gastroenterology & hepatology · 2023
    Article
  16. Bile acid detergency: permeability, inflammation, and effects of sulfation.American journal of physiology. Gastrointestinal and liver physiology · 2022
    Review
  17. Bile Acid Diarrhea in Adults and Adolescents.Neurogastroenterology and motility · 2022
    Review
  18. Article
  19. Increased risk ofAnnals of gastroenterology
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 2 institutions in 1 country.

Priya VijayvargiyaClinical Enteric Neuroscience Translational and Epidemiological Research (CENTER), Division of Gastroenterology and Hepatology, Mayo Clinic, 200 First St. S.W. Charlton Bldg., Rm. 8-110, Rochester, MN, 55905, USA.
Daniel Gonzalez IzundeguiClinical Enteric Neuroscience Translational and Epidemiological Research (CENTER), Division of Gastroenterology and Hepatology, Mayo Clinic, 200 First St. S.W. Charlton Bldg., Rm. 8-110, Rochester, MN, 55905, USA.
Gerardo CalderonClinical Enteric Neuroscience Translational and Epidemiological Research (CENTER), Division of Gastroenterology and Hepatology, Mayo Clinic, 200 First St. S.W. Charlton Bldg., Rm. 8-110, Rochester, MN, 55905, USA.
Sarah TawficMayo Medical School, Rochester, MN, USA.
Sarah BatboldMayo Medical School, Rochester, MN, USA.
Hiba SaifuddinMayo Medical School, Rochester, MN, USA.
Patrick DugganMayo Medical School, Rochester, MN, USA.
Valeria MeloMayo Medical School, Rochester, MN, USA.
Taylor ThomasMayo Medical School, Rochester, MN, USA.
Megan HeeneyMayo Medical School, Rochester, MN, USA.
Adrian BeydeMayo Medical School, Rochester, MN, USA.
James MillerMayo Medical School, Rochester, MN, USA.
Kenneth VallesMayo Medical School, Rochester, MN, USA.
Kafayat OyemadeMayo Medical School, Rochester, MN, USA.
Joseph F BrantMayo Medical School, Rochester, MN, USA.
Jessica AtiehClinical Enteric Neuroscience Translational and Epidemiological Research (CENTER), Division of Gastroenterology and Hepatology, Mayo Clinic, 200 First St. S.W. Charlton Bldg., Rm. 8-110, Rochester, MN, 55905, USA.
Leslie J DonatoDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, 55905, USA.
Michael CamilleriClinical Enteric Neuroscience Translational and Epidemiological Research (CENTER), Division of Gastroenterology and Hepatology, Mayo Clinic, 200 First St. S.W. Charlton Bldg., Rm. 8-110, Rochester, MN, 55905, USA. camilleri.michael@mayo.edu.ORCID 0000-0001-6472-7514
Mayo Clinic in Arizona · USMayo Clinic · US

Funding

Genetic Control and Ileo-Colonic Mucosal Expression of Bile Acid-Related Mechanisms in Irritable Bowel Syndrome-DiarrheaR01DK115950 · NIDDK · MAYO CLINIC ROCHESTER · PI CAMILLERI, MICHAEL L. · 2018 to 2021
$1.8M
NIDDK NIH HHS R01 DK115950
6 · The paper itself

Abstract

backgroundIncreased fecal bile acid excretion (IBAX) occurs in a third of patients with functional diarrhea.

aimsTo assess the prevalence of IBAX in benign inflammatory intestinal and colonic diseases presenting with chronic diarrhea.

methodsAll patients with known inflammatory diseases or resections who underwent 48 h fecal fat and BA testing for chronic diarrhea at a single center were included. Quiescent disease was based on clinical evaluation and serum, endoscopic and imaging studies. IBAX was defined by: > 2337 µmol total BA/48 h; or primary fecal BAs > 10%; or > 4% primary BA plus > 1000 µmol total BA /48 h. Demographics, fecal weight, fecal fat, stool frequency and consistency were collected. Nonparametric statistical analyses were used for group comparisons.

resultsSixty patients had celiac disease (51 quiescent, 9 active), 66 microscopic colitis (MC: 34 collagenous, 32 lymphocytic), 18 ulcerative colitis (UC), and 47 Crohn's disease (CD). Overall, fecal fat, 48 h stool weight, frequency and consistency were not different among subgroups except for inflammatory bowel disease (IBD) based on disease location. Almost 50% patients with celiac disease and MC had IBAX, with a greater proportion with increased primary fecal BA. Among UC patients, rates of IBAX were higher with pancolonic disease. A high proportion of patients with ileal resection or CD affecting ileum or colon had IBAX. IBAX was present even with quiescent inflammation in UC or CD.

conclusionsA significant subset of patients with MC, quiescent celiac disease and IBD had increased fecal BA excretion, a potential additional therapeutic target for persistent diarrhea.

Indexed as

Celiac DiseaseColitis, UlcerativeCrohn DiseaseInflammatory Bowel DiseasesBile Acids and SaltsDiarrheaFecesHumansBile Acids and SaltsCeliacColitisCollagenousCrohn'sLymphocyticMicroscopicUlcerative

Identifiers

PMID33886031
PMCPMC9290750
OpenAlexW3155806574

What OpenQuestion holds

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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.