Evidence map›Paper›PMID 35438218›Full record

ArticleNeurogastroenterology and motility2022

Magnetic resonance imaging assessed enteric motility and luminal content analysis in patients with severe bloating and visible distension.

Ruaridh M Gollifer, Stuart A Taylor, Alex Menys, Natalia Zarate-Lopez, Dave Chatoor, Anton Emmanuel, David Atkinson

Open access · hybridAbstract read
In one paragraph

Article in Neurogastroenterology and motility, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 26% 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

3 citing papers in PubMed, 6 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

7 authors at 2 institutions in 1 country.

Ruaridh M GolliferCentre for Medical Imaging, University College London (UCL), London, UK.ORCID 0000-0001-9319-936X
Stuart A TaylorCentre for Medical Imaging, University College London (UCL), London, UK.ORCID 0000-0002-6765-8806
Alex MenysCentre for Medical Imaging, University College London (UCL), London, UK.ORCID 0000-0001-6088-0730
Natalia Zarate-LopezDepartment of Gastroenterology, University College London Hospitals, London, UK.
Dave ChatoorDepartment of Gastroenterology, University College London Hospitals, London, UK.
Anton EmmanuelDepartment of Gastroenterology, University College London Hospitals, London, UK.
David AtkinsonCentre for Medical Imaging, University College London (UCL), London, UK.
University College London · GBUniversity College Hospital · GB

Funding

Department of Health
6 · The paper itself

Abstract

backgroundGastrointestinal symptoms in functional gut disorders occur without any discernible structural gut abnormality. Preliminary observations on enteric MRI suggest possible abnormal content and motility of the terminal ileum (TI) in constipation-predominant IBS (IBS-C) with severe bloating, and in functional bloating and distension (FABD) patients. We investigated whether MRI can quantify differences in small bowel (SB) content and motility between patients and healthy controls (HCs).

methods11 IBS-C (mean age 40 [21-52] years; 10 women) and 7 FABD (36 [21-56]; all women) patients with bloating and 20 HCs (28 [22-48]; 6 women) underwent enteric MRI, including dynamic motility and anatomical sequences. Three texture analysis (TA) parameters assessed the homogeneity of the luminal content, with ratios calculated between the TI and (1) the SB and (2) the ascending colon. Four TI motility metrics were derived. Ascending colon diameter (ACD) was measured. A comparison between HCs and patients was performed independently for: (1) three TA parameters, (2) four TI motility metrics, and (3) ACD. KEY

resultsCompared with HCs, patients had TI:colon ratios higher for TA contrast (p < 0.001), decreased TI motility (lower mean motility [p = 0.04], spatial motility variation [p = 0.03], and area of motile TI [p = 0.03]), and increased ACD (p = 0.001). CONCLUSIONS AND INFERENCES: IBS-C and FABD patients show reduced TI motility and differences in luminal content compared with HCs. This potentially indicates reflux of colonic contents or delayed clearance of the TI, which alongside increased ACD may contribute to symptoms of constipation and bloating.

Indexed as

Gastrointestinal DiseasesIrritable Bowel SyndromeAdultConstipationFemaleFlatulenceHumansIntestine, SmallMagnetic Resonance Imagingbloatingdynamic MRIdysmotilityIBS-Ctexture analysis

Identifiers

PMID35438218
PMCPMC9786248
OpenAlexW4224282798

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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.