Evidence map›Paper›PMID 30519842›Full record

Trial reportInternational journal of colorectal disease2019

Effect of transcutaneous vagus nerve stimulation on muscle activity in the gastrointestinal tract (transVaGa): a prospective clinical trial.

Gun-Soo Hong, Bogdan Pintea, Philipp Lingohr, Christoph Coch, Thomas Randau, Nico Schaefer, Sven Wehner, Joerg C Kalff, Dimitrios Pantelis

Registry-linked trialAbstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in International journal of colorectal disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06957912 (Effect of Transcutaneous Auricular Vagus Nerve Stimulation on Quality of Recovery After Major Noncardiac Surgery), which is not on this map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.8field-weighted citation impact, top 9% 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.

NCT06957912 narecruitingnot on this mapstarted 2025, after this paper: background citation

Effect of Transcutaneous Auricular Vagus Nerve Stimulation on Quality of Recovery After Major Noncardiac Surgery: A Randomized Trial.

TypeinterventionalSponsorPeking University First HospitalRan2025 to 2026Enrolled320ConditionsVagus Nerve Stimulation, Transcutaneous Electric Nerve Stimulation, Noncardiac Surgery, Quality of RecoveryArmsTranscutaneous auricular vagus nerve stimulation, Sham stimulation
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 51 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Non-invasive vagus nerve stimulation to reduce ileus after colorectal surgery: randomized feasibility trial and efficacy assessment (IDEAL Stage 2B).Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024
    Trial
  4. Trial
  5. Article
  6. Progress in Gastroparesis Management: From Pharmacotherapy to Interventional Treatments.JGH open : an open access journal of gastroenterology and hepatology · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Interoceptive rhythms in the brain.Nature neuroscience · 2023
    Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. Article
  20. Electroceuticals in the Gastrointestinal Tract.Trends in pharmacological sciences · 2020
    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

9 authors at 3 institutions in 1 country.

Gun-Soo HongDepartment of Surgery, University Hospital of Bonn, Bonn, Germany. Gun-Soo.Hong@ukbbonn.de.
Bogdan PinteaDepartment of Neurosurgery, University hospital Bonn, Bonn, Germany.
Philipp LingohrDepartment of Surgery, University Hospital of Bonn, Bonn, Germany.
Christoph CochClinical Study Core Unit, Study Center Bonn (SZB), University of Bonn, Bonn, Germany.
Thomas RandauDepartment of Orthopedics and Trauma Surgery, University Hospital of Bonn, Bonn, Germany.
Nico SchaeferDepartment of Surgery, University Hospital of Bonn, Bonn, Germany.
Sven WehnerDepartment of Surgery, University Hospital of Bonn, Bonn, Germany.
Joerg C KalffDepartment of Surgery, University Hospital of Bonn, Bonn, Germany.
Dimitrios PantelisDepartment of Surgery, University Hospital of Bonn, Bonn, Germany.
University Hospital Bonn · DEUniversity Hospitals of the Ruhr-University of Bochum · DEUniversity of Bonn · DE

Funding

BONFOR O-112.0059.1
6 · The paper itself

Abstract

purposePostoperative ileus (POI) is a common complication after abdominal surgery. Invasive stimulation of the cervical vagus nerve is known to reduce inflammatory response and ameliorated POI after surgery in a mouse model. However, the transcutaneous vagus nerve stimulation (tVNS) is a possible non-invasive approach. In this clinical study, we aimed to investigate the effect of tVNS on the activation of the stomach muscle in humans.

methodsPatients requiring open laparotomy were screened for this prospective proof of concept clinical study. After open laparotomy, muscle activity of the stomach was measured by a free running electromyography (EMG) before and during tVNS on the ear. Frequency and amplitude of compound gastric action potentials were the electrophysiological parameters we assessed to reveal the changes in electro motor gastric activity. Gastrin levels as a surrogate marker for vagus nerve activation was analyzed before, 1 and 3 h after tVNS.

resultsFourteen patients were included, no severe adverse events and no medical device related adverse events occurred. tVNS led to significant reduction of action potential frequency and significant elevation of action potential amplitude in the stomach compared to control. Gastrin levels were significantly elevated 3 h after tVNS compared to levels before tVNS.

conclusionApplication of tVNS is a safe and feasible procedure during surgical intervention. Our results provide evidence that tVNS activates efferent visceral vagal fibers. Therefore, this low risk and easy to perform method could be useful to prevent postoperative ileus. CLINICAL TRIAL REGISTER NUMBER: DRKS00013340.

Indexed as

Transcutaneous Electric Nerve StimulationVagus Nerve StimulationBlood PressureElectromyographyFeasibility StudiesFemaleGastrinsGastrointestinal TractHeart RateHumansLaparotomyMaleMiddle AgedMusclesTreatment OutcomeGastrinsClinical trialNeurogastroenterologyPostoperative ileusTranscutaneous vagus nerve stimulation

Identifiers

PMID30519842
OpenAlexW2902475620

What OpenQuestion holds

Textmetadata
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.