Evidence map›Paper›PMID 36732497›Full record

ArticleGut microbes

Gut microbiota alteration after cholecystectomy contributes to post-cholecystectomy diarrhea via bile acids stimulating colonic serotonin.

Yayun Xu, Jianfa Wang, Xubo Wu, Hui Jing, Shilong Zhang, Zhiqiu Hu, Longhua Rao, Qimeng Chang, Lishun Wang, Ziping Zhang

Open access · goldAbstract read
In one paragraph

Article in Gut microbes. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
17.5field-weighted citation impact, top 1% 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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Role of Bile Acid Receptors in Non-Infectious Diarrhea: A Narrative Review.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. Review
  12. Article
  13. Review
  14. The Post-Cholecystectomy Gut Microbiota Follows a Time-Varying Change-A Pilot Study.JGH open : an open access journal of gastroenterology and hepatology · 2025
    Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article
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 1 country.

Yayun XuDepartment of Hepatopancreatobiliary Surgery, Minhang Hospital, Fudan University, Shanghai, P.R. China.
Jianfa WangDepartment of Hepatopancreatobiliary Surgery, Minhang Hospital, Fudan University, Shanghai, P.R. China.
Xubo WuDepartment of Hepatopancreatobiliary Surgery, Minhang Hospital, Fudan University, Shanghai, P.R. China.
Hui JingDepartment of Hepatopancreatobiliary Surgery, Minhang Hospital, Fudan University, Shanghai, P.R. China.
Shilong ZhangDepartment of Medical Oncology, Zhongshan Hospital, Fudan University, Shanghai, P.R, China.
Zhiqiu HuDepartment of Hepatopancreatobiliary Surgery, Minhang Hospital, Fudan University, Shanghai, P.R. China.
Longhua RaoDepartment of Hepatopancreatobiliary Surgery, Minhang Hospital, Fudan University, Shanghai, P.R. China.
Qimeng ChangDepartment of Hepatopancreatobiliary Surgery, Minhang Hospital, Fudan University, Shanghai, P.R. China.
Lishun WangInstitute of Fudan-Minhang Academic Health System, Minhang Hospital, Fudan University, Shanghai, P.R. China.
Ziping ZhangDepartment of Hepatopancreatobiliary Surgery, Minhang Hospital, Fudan University, Shanghai, P.R. China.
Minhang District Central Hospital · CNFudan University · CNZhongshan Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Post-cholecystectomy diarrhea (PCD) is highly prevalent among outpatients with cholecystectomy, and gut microbiota alteration is correlated with it. However, how and to what extent changed fecal bacteria contributes to diarrhea are still unrevealed. Humanized gut microbiome mice model by fecal microbiota transplantation was established to explore the diarrhea-inducible effects of gut microbiota. The role of microbial bile acids (BAs) metabolites was identified by UPLC/MS and the underlying mechanisms were investigated with selective inhibitors and antagonists as probes. These mice transplanted with fecal microbiome of PCD patients (PCD mice) exhibited significantly enhanced gastrointestinal motility and elevated fecal water content, compared with these mice with fecal microbiome of NonPCD patients and HC. In analyzing gut microbiota, tryptophan metabolism was enriched in PCD microbiome. In addition, overabundant serotonin in serum and colon, along with elevated biosynthesis gene and reduced reuptake gene, and highly expressed 5-HT receptors (5-HTRs) in colon of PCD mice were found, but not in small intestine. Notably, diarrheal phenotypes in PCD mice were depleted by tryptophan hydroxylase 1 inhibitor (LX1606) and 5-HTRs selective antagonists (alosetron and GR113808). Furthermore, increased microbial secondary BAs metabolites of DCA, HDCA and LCA were revealed in feces of PCD mice and they were found responsible for stimulating 5-HT level

Indexed as

Gastrointestinal MicrobiomeAnimalsBile Acids and SaltsCholecystectomyColonDiarrheaMiceSerotoninBile Acids and SaltsSerotonin5-HTBAsgastrointestinal motilitygut microbiotaPCD

Identifiers

PMID36732497
PMCPMC9897804
OpenAlexW4319063492

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.