Evidence map›Paper›PMID 7717784›Full record

ArticleAnnals of surgery1995

Elemental diet and IV-TPN-induced bacterial translocation is associated with loss of intestinal mucosal barrier function against bacteria.

E A Deitch, D Xu, M B Naruhn, D C Deitch, Q Lu, A A Marino

Open access · greenAbstract read
In one paragraph

Article in Annals of surgery, 1995. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

27 citing papers in PubMed, 125 citations in OpenAlex.

  1. Trial
  2. Preoperative Immunonutrition and Postoperative Outcomes in Radical Pancreaticoduodenectomy Patients.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2023
    Article
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  5. Modulation of fat metabolism and gut microbiota by resveratrol on high-fat diet-induced obese mice.Diabetes, metabolic syndrome and obesity : targets and therapy · 2019
    Article
  6. Changes of Intestinal Functions in Liver Cirrhosis.Inflammatory intestinal diseases · 2016
    Review
  7. Article
  8. Article
  9. Bacterial colonization and intestinal mucosal barrier development.World journal of clinical pediatrics · 2013
    Review
  10. Article
  11. Review
  12. Review
  13. Review
  14. Article
  15. Bacterial contamination of hospital-prepared enteral tube feeding formulas in Isfahan, Iran.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2009
    Article
  16. Review
  17. Article
  18. Article
  19. The effects of lectins on indomethacin-induced small intestinal ulceration.International journal of experimental pathology · 2003
    Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

E A DeitchDepartment of Surgery, UMDNJ New Jersey Medical School, Newark, USA.
D Xu
M B Naruhn
D C Deitch
Q Lu
A A Marino
Rutgers New Jersey Medical SchoolRutgers, The State University of New Jersey · USLouisiana State University in Shreveport · USSTZ eyetrial · DE

Funding

TRAUMA, NUTRITION, AND GUT-ORIGIN SEPSISR01GM048131 · NIGMS · UNIV OF MED/DENT OF NJ-NJ MEDICAL SCHOOL · PI DEITCH, EDWIN A · 1992 to 1994
–
NIGMS NIH HHS GM48131
6 · The paper itself

Abstract

objectiveThe goal of the current study was to directly assess the role of loss of mucosal barrier function in nutritionally induced bacterial translocation.

backgroundParenteral and certain elemental enteral diets have been shown to promote bacterial translocation. The mechanisms underlying this observation, especially the question of whether nutritionally induced bacterial translocation is primarily related to loss of intestinal barrier function, versus an impaired immune system, remain to be fully elucidated.

methodsBacterial translocation was measured in vivo, ileal mucosal membranes were harvested, and their electrophysiologic properties and barrier function were measured ex vivo in the Ussing chamber system 7 days after receiving total parenteral nutrition solution parenterally (IV-TPN) or enterally (elemental diet). Chow-fed rats served as control subjects.

resultsThe incidence of bacterial translocation was significantly increased both to the mesenteric lymph nodes in vivo and across the in vitro Ussing chamber-mounted ileal mucosal membranes of the elemental diet-fed and IV-TPN-fed rats. The magnitude of Escherichia coli and phenol red transmucosal passage in the Ussing chamber was significantly higher in the IV-TPN-fed rats than in the elemental diet-fed or chow-fed animals. The potential differences across the ileal membrane were similar between the three groups at all time points. However, the specific resistances of the ileal membranes of the IV-TPN and elemental diet groups were significantly less than the chow-fed animals, indicating increased membrane permeability.

conclusionsLoss of intestinal barrier function plays a major role in nutritionally induced bacterial translocation, and the loss of mucosal barrier function to both E. coli and phenol red appeared greater in the IV-TPN than the elemental diet-fed rats.

Indexed as

AnimalsFood, FormulatedIleumIntestinal MucosaIntestinesMaleParenteral Nutrition, TotalRatsRats, Sprague-DawleySpecific Pathogen-Free Organisms

Identifiers

PMID7717784
PMCPMC1234573
OpenAlexW2057553935

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.