Evidence map›Paper›PMID 23635579›Full record

Trial reportThe American surgeon2013

Gastric electrical stimulation for abdominal pain in patients with symptoms of gastroparesis.

Christopher J Lahr, James Griffith, Charu Subramony, Lindsey Halley, Kristen Adams, Elizabeth R Paine, Robert Schmieg, Saleem Islam, Jay Salameh, Danielle Spree and 4 more

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in The American surgeon, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. The Surgeon's Role in Gastric Electrical Stimulation Therapy for Gastroparesis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021
    Review
  6. Review
  7. Observational
  8. Review
  9. Gastric Electric Stimulation for Refractory Gastroparesis.Journal of clinical outcomes management : JCOM · 2019
    Article
  10. Article
  11. Temporary Endoscopic Stimulation in Gastroparesis-like Syndrome.Journal of neurogastroenterology and motility · 2015
    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

14 authors at 4 institutions in 1 country.

Christopher J LahrDepartment of Surgery, School of Medicine, University of Mississippi Medical Center, Jackson, MS 39216, USA. chrislahr@aol.com
James Griffith
Charu Subramony
Lindsey Halley
Kristen Adams
Elizabeth R Paine
Robert Schmieg
Saleem Islam
Jay Salameh
Danielle Spree
Truptesh Kothari
Archana Kedar
Yana Nikitina
Thomas Abell
University of Mississippi Medical Center · USState University of New York · USUniversity of Florida · USWashington Hospital · US

Funding

U of L Clinical Center to Investigate the Pathogenesis, Etiology, and Treatment of Gastroparesis through the NIDDK Gastroparesis ConsortiumU01DK074007 · NIDDK · UNIVERSITY OF MISSISSIPPI MED CTR · PI Thomas Lyman Abell · 2006 to 2026
$7.0M
NIDDK NIH HHS U01 DK074007
6 · The paper itself

Abstract

Abdominal pain physiology may be better understood studying electrophysiology, histology, and symptom scores in patients with the symptoms of gastroparesis (Gp) treated with gastric electrical stimulation (GES). Ninety-five Gp patients' symptoms were recorded at baseline and during temporary and permanent GES. Gastric-emptying times and cutaneous, mucosal, and serosal electrogastrograms were obtained. S100-stained, full-thickness gastric biopsies were compared with autopsy controls. Sixty-eight patients reported severe pain at baseline. Severe pain patients' mean pain scores decreased with temporary GES from 3.62 to 1.29 (P < 0.001) and nonsevere pain from 1.26 to 0.67 (P = 0.01). With permanent GES, severe mean pain scores fell to 2.30 (P < 0.001); nonsevere pain changed to 1.60 (P = 0.221). Mean follow-up was 275 days. Mean cutaneous, mucosal, and serosal frequencies and frequency-to-amplitude ratios were markedly higher than literature controls. For patients with Gp overall and subdivided by etiology and severity of pain, S-100 neuronal fibers were significantly reduced in both muscularis propria layers. GES improved severe pain associated with symptoms of Gp. This severe pain is associated with abnormal electrogastrographic activity and loss of S100 neuronal fibers in the stomach's inner and outer muscularis propria and, therefore, could be the result of gastric neuropathy.

Indexed as

Electric Stimulation TherapyAbdominal PainAdolescentAdultAgedBiomarkersChildFemaleFollow-Up StudiesGastric EmptyingGastric MucosaGastroparesisHumansMaleMiddle AgedNerve FibersBiomarkersS100 Proteins

Identifiers

PMID23635579
PMCPMC5089064
OpenAlexW124408837

What OpenQuestion holds

Textmetadata
LicenceTDM
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.