Evidence map›Paper›PMID 8991861›Full record

ArticleGut1996

Intestinal permeability in the ileal pouch.

M N Merrett, N Soper, N Mortensen, D P Jewell

Abstract readComparative Study
In one paragraph

Article in Gut, 1996. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
  4. A New Rat Model of Pouchitis After Proctocolectomy and Ileal Pouch-Anal Anastomosis Using 2,4,6-Trinitrobenzene Sulfonic Acid.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021
    Article
  5. Review
  6. Acute and chronic pouchitis--pathogenesis, diagnosis and treatment.Nature reviews. Gastroenterology & hepatology · 2012
    Review
  7. Article
  8. Pouchitis.World journal of gastroenterology · 2007
    Review
  9. Article
  10. Pouchitis: a spectrum of diseases.Current gastroenterology reports · 2005
    Review
  11. Article
  12. The jejunal pouch as a rectal substitute after proctocolectomy.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

M N MerrettGastroenterology Unit, Radcliffe Infirmary, Oxford.
N Soper
N Mortensen
D P Jewell

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVillous atrophy, mucin changes ('colonic metaplasia'), and chronic inflammation occur to varying degrees in all patients with ileal pouchanal anastomosis whereas acute inflammation (pouchitis) affects a subgroup of patients with prior ulcerative colitis.

aimTo measure epithelial barrier function looking for possible functional adaptation in ileal 'pouch' mucosa. PATIENTS: Patients with an ileal pouch prior to ileostomy closure (n = 12), functioning pouch (n = 14), pouchitis (n = 8), and ulcerative colitis (n = 12) were assessed.

methods51Cr-EDTA was administered into the 'pouch' or rectum and urinary recovery over 24 hours was taken as an indication of permeability (barrier function). Histological analysis of 'pouch' biopsy specimens was undertaken.

resultsMucosal permeability is decreased from median 9.4% (range 5.4% to 39.1%) to 1.4% (range 0.38% to 2.2%) after ileostomy closure (p < 0.002) with levels being negatively correlated with two histological parameters of colonic metaplasia-mucin changes (p = 0.03) and villous atrophy (p = 0.05). Pouchitis was associated with increased permeability 5.9% (1.9% to 19.5%) compared with healthy 'pouch' 1.4% (0.35 to 2.2%) (p < 0.006).

conclusionDespite the presence of chronic inflammation in the mature 'pouch' functional adaptation with reduced permeability occurs in conjunction with colonic metaplasia.

Indexed as

Edetic AcidBiopsyChromium RadioisotopesColitis, UlcerativeHumansIleostomyIleumIntestinal MucosaMetaplasiaMucinsNicotinePermeabilityPouchitisProctocolectomy, RestorativeChromium RadioisotopesEdetic AcidMucinsNicotine

Identifiers

PMID8991861
PMCPMC1383303

What OpenQuestion holds

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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.