Evidence map›Paper›PMID 25428846›Full record

ReviewComprehensive Physiology2014

Central nervous system control of gastrointestinal motility and secretion and modulation of gastrointestinal functions.

Kirsteen N Browning, R Alberto Travagli

3 registry-linked trialsOpen access · greenAbstract readReview
In one paragraph

Review in Comprehensive Physiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 330 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
330citing papers in PubMed, 2 pooled it
–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.

NCT03263819 completednot on this mapstarted 2017, after this paper: background citation

POSTURAL ORTHOSTATIC TACHYCARDIA SYNDROME AND GASTROINTESTINAL SYMPTOMS: Contribution of Gastrointestinal Peptides

TypeobservationalSponsorVanderbilt University Medical CenterRan2017 to 2020Enrolled26ConditionsPostural Tachycardia SyndromeArmsOral glucose tolerance test
NCT05353426 nacompletednot on this mapstarted 2021, after this paper: background citation

Paragastric Lesser Omentum Neural Block to Prevent Visceral Pain After Laparoscopic Sleeve Gastrectomy: A Randomized Clinical Trial Protocol.

TypeinterventionalSponsorUniversidad Simón BolívarRan2021 to 2022Enrolled145ConditionsVisceral Pain, Bariatric Surgery Candidate, Pain, Postoperative, Vomiting, PostoperativeArmsParagastric autonomic neural blockade
NCT06205446 nacompletednot on this mapstarted 2023, after this paper: background citation

Application of Diaphragmatic Breathing in Patients With Disorders of Gut-brain Interaction: Impact on Gastrointestinal and Psychological Symptoms as Well as Autonomic Nervous System

TypeinterventionalSponsorBuddhist Tzu Chi General HospitalRan2023 to 2024Enrolled125ConditionsIrritable Bowel Syndrome, Healthy Subjects, Functional Gastrointestinal Disorders, Laryngopharyngeal RefluxArmsHealthy subjects : abdominal breathing, Laryngopharyngeal reflux disease subjects : abdominal breathing, Dyspepsia subjects : abdominal breathing, Irritable bowel disorder : abdominal breathing
3 · Its place in the literature

Who cites it

330 citing papers in PubMed, 2 syntheses or guidelines pooled it, 537 citations in OpenAlex.

  1. Pooled it
  2. Disorders of the brain-gut interaction and eating disorders.World journal of gastroenterology · 2021
    Pooled it
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270 more citing papers are in PubMed but not listed here.

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

2 authors at 1 institution in 1 country.

Kirsteen N BrowningDepartment of Neural and Behavioral Sciences, Penn State College of Medicine, Hershey, Pennsylvania.
R Alberto Travagli
Penn State Milton S. Hershey Medical Center · US

Funding

BRAINSTEM CIRCUITS CONTROLLING GASTROINTESTINAL FUNCTIONR01DK055530 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BROWNING, KIRSTEEN NAIRN · 1998 to 2020
$4.6M
Vagal Dysregulation in Neonatal Gastrointestinal PathologyR01DK099350 · NIDDK · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KOPENHAVER DOHENY, KIM, TRAVAGLI, RENATO ALBERTO · 2014 to 2017
$2.2M
NIDDK NIH HHS R01 DK055530NIDDK NIH HHS R01 DK099350PHS HHS NIDDK 55530PHS HHS NIDDK 78364
6 · The paper itself

Abstract

Although the gastrointestinal (GI) tract possesses intrinsic neural plexuses that allow a significant degree of autonomy over GI functions, the central nervous system (CNS) provides extrinsic neural inputs that regulate, modulate, and control these functions. While the intestines are capable of functioning in the absence of extrinsic inputs, the stomach and esophagus are much more dependent upon extrinsic neural inputs, particularly from parasympathetic and sympathetic pathways. The sympathetic nervous system exerts a predominantly inhibitory effect upon GI muscle and provides a tonic inhibitory influence over mucosal secretion while, at the same time, regulates GI blood flow via neurally mediated vasoconstriction. The parasympathetic nervous system, in contrast, exerts both excitatory and inhibitory control over gastric and intestinal tone and motility. Although GI functions are controlled by the autonomic nervous system and occur, by and large, independently of conscious perception, it is clear that the higher CNS centers influence homeostatic control as well as cognitive and behavioral functions. This review will describe the basic neural circuitry of extrinsic inputs to the GI tract as well as the major CNS nuclei that innervate and modulate the activity of these pathways. The role of CNS-centered reflexes in the regulation of GI functions will be discussed as will modulation of these reflexes under both physiological and pathophysiological conditions. Finally, future directions within the field will be discussed in terms of important questions that remain to be resolved and advances in technology that may help provide these answers.

Indexed as

Gastrointestinal MotilityAnimalsGastrointestinal TractHumansSympathetic Nervous System

Identifiers

PMID25428846
PMCPMC4858318
OpenAlexW1562824548

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.