Evidence map›Paper›PMID 9274480›Full record

ArticleGut1997

DNA viruses in the pathogenesis of sporadic chronic idiopathic intestinal pseudo-obstruction.

H S Debinski, M A Kamm, I C Talbot, G Khan, H O Kangro, D J Jeffries

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Gut, 1997. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
7.1field-weighted citation impact, top 3% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 98 citations in OpenAlex.

  1. Guideline
  2. Clinical guideline: management of gastroparesis.The American journal of gastroenterology · 2013
    Guideline
  3. Ten controversies in gastroparesis and a look to the future.Neurogastroenterology and motility · 2023
    Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. What are the important subsets of gastroparesis?Neurogastroenterology and motility · 2012
    Review
  14. Article
  15. Article
  16. Chronic intestinal pseudo-obstruction.World journal of gastroenterology · 2008
    Review
  17. Fatal acute intestinal pseudoobstruction in mice.Journal of the American Association for Laboratory Animal Science : JAALAS · 2008
    Article
  18. Article
  19. Chronic Intestinal Pseudo-Obstruction.Current treatment options in gastroenterology · 2005
    Article
  20. Small bowel review: normal physiology part 2.Digestive diseases and sciences · 2001
    Review
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

6 authors at 1 institution in 1 country.

H S DebinskiSt Mark's Hospital, London.
M A Kamm
I C Talbot
G Khan
H O Kangro
D J Jeffries
St. Mark's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHereditary forms of chronic idiopathic intestinal pseudo-obstruction (CIIP) are well described but the aetiology of most cases of sporadic CIIP is unknown.

aimTo determines whether herpes viruses can persist in the gastrointestinal tract, thereby implicating them in the pathogenesis of CIIP.

methodsTwenty one specimens of small and large intestine from 13 patients with CIIP (eight visceral myopathy, three visceral neuropathy, two undifferentiated), and 12 patients operated on for colorectal cancer (controls) were examined for evidence of Herpesvirus DNA (cytomegalovirus, Epstein-Barr virus (EBV), herpes simplex virus type 1, and varicella zoster virus) by nested polymerase chain reaction (PCR) and in situ DNA hybridisation (ISH) to localise signal to the muscularis propria or myenteric plexus.

resultsScreening with nested PCR produced three patients with positive results. One patient with an inflammatory visceral neuropathy had EBV detected in the small intestine by PCR, and ISH demonstrated localisation to neurones in the myenteric plexus. A patient with a visceral myopathy had EBV DNA in both the small and large intestine; and one patient with a visceral neuropathy had small intestine positive for CMV DNA (both negative by ISH). No control tissue was positive for any virus.

conclusionsIn individual patients there appears to be evidence linking a viral aetiology to sporadic CIIP. The role of neurotropic viruses in acute and chronic motility disturbances needs further study.

Indexed as

AdultCytomegalovirusDNA, ViralFemaleHerpesvirus 1, HumanHerpesvirus 3, HumanHerpesvirus 4, HumanHumansIn Situ HybridizationIntestinal Pseudo-ObstructionIntestinesMaleMiddle AgedPolymerase Chain ReactionDNA, Viral

Identifiers

PMID9274480
PMCPMC1027236
OpenAlexW2031111947

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.