Evidence map›Paper›PMID 37000331›Full record

ReviewLangenbeck's archives of surgery2023

New challenges in cholangiocarcinoma candidates for elective surgery: harnessing the microbiome dysbiosis.

Oriana Lo Re, Victor López-López, Andrés Balaguer-Román, María Antonia Martínez-Sánchez, Dilmurodjon Eshmuminov, Camilo Julio Llamoza-Torres, Kohei Miura, Alberto Baroja-Mazo, Pablo Ramírez, Ricardo Robles-Campos and 1 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Langenbeck's archives of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. 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

11 authors at 4 institutions in 4 countries.

Oriana Lo ReInternational Clinical Research Center, St. Anne's University Hospital, Brno, Czech Republic.
Victor López-LópezDepartment of General, Visceral and Transplantation Surgery, Clinic and University Hospital Virgen de La Arrixaca, IMIB-ARRIXACA, 30120, Murcia, Spain. victorrelopez@gmail.com.
Andrés Balaguer-RománDepartment of General, Visceral and Transplantation Surgery, Clinic and University Hospital Virgen de La Arrixaca, IMIB-ARRIXACA, 30120, Murcia, Spain.
María Antonia Martínez-SánchezObesity and Metabolism Laboratory, Biomedical Research Institute of Murcia (IMIB), Murcia, Spain.
Dilmurodjon EshmuminovDepartment of Surgery and Transplantation, Swiss Hepato-Pancreato-Biliary (HPB) Center, University Hospital Zurich, Zurich, Switzerland.
Camilo Julio Llamoza-TorresDepartment of Hepatology, Virgen de La Arrixaca University Hospital, Murcia, Spain.
Kohei MiuraDivision of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
Alberto Baroja-MazoDigestive and Endocrine Surgery and Transplantation of Abdominal Organs Research Group, Biomedical Research Institute of Murcia (IMIB), Murcia, Spain.
Pablo RamírezDepartment of General, Visceral and Transplantation Surgery, Clinic and University Hospital Virgen de La Arrixaca, IMIB-ARRIXACA, 30120, Murcia, Spain.
Ricardo Robles-CamposDepartment of General, Visceral and Transplantation Surgery, Clinic and University Hospital Virgen de La Arrixaca, IMIB-ARRIXACA, 30120, Murcia, Spain.
Bruno Ramos-MolinaObesity and Metabolism Laboratory, Biomedical Research Institute of Murcia (IMIB), Murcia, Spain.
Hospital Universitario Virgen de la Arrixaca · ESInstituto Murciano de Investigación Biosanitaria · ESNiigata University · JPUniversity Hospital Brno · CZ

Funding

Instituto de Salud Carlos III FI21/00003Instituto de Salud Carlos III PI20/00505Miguel Servet Type I CP19/00098, ISCIII, Spain
6 · The paper itself

Abstract

backgroundThe gut microbiota, composed by several species of microorganisms, works to preserve the liver-gut homeostasis and plays an important role during digestion and absorption of nutrients, and in the immune response of the host. In this review, we analyzed the influence of microbiota in patients with cholangiocarcinoma (CCA) who were candidates for elective surgery.

methodsA literature review was conducted to identify papers that provided empiric evidence to support that the altered microbiota composition (dysbiosis) is related also to CCA development.

resultsBacteria such as Helicobacter pylori, Helicobacter hepaticus, and Opisthorchis viverrini increase the risk of CCA. The most abundant genera were Enterococcus, Streptococcus, Bacteroides, Klebsiella, and Pyramidobacter in CCA's biliary microbiota. Additionally, levels of Bacteroides, Geobacillus, Meiothermus, and Anoxybacillus genera were significantly higher. An enrichment of Bifidobacteriaceae, Enterobacteriaceae, and Enterococcaceae families has also been observed in CCA tumor tissue. Microbiota is related to postoperative outcomes in abdominal surgery. The combination of caloric restriction diets in liver cancer or CCA increases the effect of the chemotherapy treatment.

conclusionThe correct use of nutrition for microbiota modulation according to each patient's needs could be a therapeutic tool in combination with elective surgery and chemotherapy to diminish side effects and improve prognosis. Further investigations are needed to fully understand the mechanisms by which they are related.

Indexed as

Bile Duct NeoplasmsCholangiocarcinomaMicrobiotaOpisthorchiasisBile Ducts, IntrahepaticDysbiosisHumansCholangiocarcinomaDietLiver cancerMicrobiotaSurgery

Identifiers

PMID37000331
OpenAlexW4362475356

What OpenQuestion holds

Textmetadata
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.