Evidence map›Paper›PMID 21960915›Full record

ArticleGastroenterology & hepatology2008

Botulinum toxin and gastrointestinal tract disorders: panacea, placebo, or pathway to the future?

Brian E Lacy, Kirsten Weiser, Abigail Kennedy

Open access · greenAbstract read
In one paragraph

Article in Gastroenterology & hepatology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
0.4field-weighted citation impact, top 34% 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

16 citing papers in PubMed, 27 citations in OpenAlex.

  1. Biliary sphincterotomy resets pancreaticobiliary pain refractory to intrasphincteric Botox injections in functional biliary pain.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2024
    Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. The Multispecialty Toxin: A Literature Review of Botulinum Toxin.Plastic and reconstructive surgery. Global open · 2022
    Article
  7. Review
  8. Tailoring Therapy for Achalasia.Gastroenterology & hepatology · 2020
    Article
  9. Article
  10. Pyloric Therapies for Gastroparesis.Current treatment options in gastroenterology · 2017
    Review
  11. Article
  12. Pharmacotherapy for the management of achalasia: Current status, challenges and future directions.World journal of gastrointestinal pharmacology and therapeutics · 2015
    Review
  13. Endoscopic treatment of gastroparesis.World journal of gastroenterology · 2015
    Review
  14. An update on the use of botulinum toxin therapy in Parkinson's disease.Current neurology and neuroscience reports · 2015
    Review
  15. Review
  16. 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

3 authors at 1 institution in 1 country.

Brian E LacyDr. Lacy is an Associate Professor of Medicine at the Dartmouth Medical School and Director of the GI Motility Laboratory at the Dartmouth-Hitchcock Medical Center in Lebanon, New Hampshire.
Kirsten Weiser
Abigail Kennedy
Dartmouth–Hitchcock Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The history of botulinum toxin is fascinating. First recognized as the cause of botulism nearly 200 years ago, it was originally feared as a deadly poison. Over the last 30 years, however, botulinum toxin has been transformed into a readily available medication used to treat a variety of medical disorders. Interest in the use of botulinum toxin has been particularly strong for patients with spastic smooth muscle disorders of the gastrointestinal tract. Patients with achalasia, diffuse esophageal spasm, gastroparesis, sphincter of Oddi dysfunction, and anal fissures have all been treated with botulinum toxin injections, often with impressive results. However, not all patients respond to botulinum toxin therapy, and large randomized controlled trials are lacking for many conditions commonly treated with botulinum toxin. This paper reviews the history, microbiology, and pharmacology of botulinum toxin, discusses its mechanism of action, and then presents recent evidence from the literature regarding the use of botulinum toxin for the treatment of a variety of gastrointestinal tract disorders.

Indexed as

Achalasiaanal fissurebotulinum toxinesophagusgastroparesisobesitysphincter of Oddi

Identifiers

PMID21960915
PMCPMC3093735
OpenAlexW1541025865

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.