Evidence map›Paper›PMID 40625495›Full record

ArticleCureus2025

Small Intestinal Bacterial Overgrowth in Patients With Severe Alcoholic Hepatitis: Frequency and Predictors.

Venkatesh Vaithiyam, Sanjeev Sachdeva, Payila Aneesh, Ravi Teja Reddy, Rahul Chittem, Aarushi Ahuja, Kartik Mehta, Ashok Dalal, Ajay Kumar

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Frequency and predictors of small intestinal bacterial overgrowth in acute pancreatitis.World journal of gastrointestinal pharmacology and therapeutics · 2026
    Article
  2. 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

9 authors.

Venkatesh VaithiyamGastroenterology, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research, New Delhi, IND.
Sanjeev SachdevaGastroenterology, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research, New Delhi, IND.
Payila AneeshGastroenterology, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research, New Delhi, IND.
Ravi Teja ReddyGastroenterology, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research, New Delhi, IND.
Rahul ChittemGastroenterology, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research, New Delhi, IND.
Aarushi AhujaGastroenterology, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research, New Delhi, IND.
Kartik MehtaGastroenterology, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research, New Delhi, IND.
Ashok DalalGastroenterology, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research, New Delhi, IND.
Ajay KumarGastroenterology, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research, New Delhi, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsSmall intestinal bacterial overgrowth (SIBO) is a gut microbiota-related disorder characterized by excessive bacterial density and/or abnormal microbiota composition in the small intestine. We aimed to evaluate the frequency of SIBO in patients with severe alcoholic hepatitis (SAH) and to identify independent predictors.

methodsWe included 60 consecutive patients with SAH and 30 healthy controls (HC). After an overnight fast, SIBO was evaluated using the glucose hydrogen breath test (GHBT) with 100 g of glucose. A sustained increase in breath hydrogen or methane levels > 12 parts per million (ppm) above the basal level was considered diagnostic for SIBO.

resultsSIBO was more frequent in patients with SAH than HC (15/60 (25.0%) vs. 1/30 (3.3%), p = 0.017). In the univariate analysis, globulin levels, total protein levels, and predominant methane producer status significantly differed between patients with and without SIBO. In the multivariate analysis, the predominant methane producer status increased the risk of SIBO by 17.44 times (adjusted odds ratio: 17.44 (95% CI (1.9-154.04)), p = 0.001).

conclusionsThis study showed that SIBO is a more common finding in patients with SAH than in HC. The predominant methane producer status independently predicted the SIBO in these patients.

Indexed as

alcohol-related liver diseasegastrointestinal motilitygut microbiota dysbiosishydrogen breath testportal hypertension

Identifiers

PMID40625495
PMCPMC12233112

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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.