Evidence map›Paper›PMID 31238887›Full record

ArticleBMC gastroenterology2019

Nabilone administration in refractory chronic diarrhea: a case series.

Lanfranco Pellesi, Maria Chiara Verga, Nicola De Maria, Erica Villa, Luigi Alberto Pini, Simona Guerzoni

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.4field-weighted citation impact, top 12% 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

5 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. A Guide to Targeting the Endocannabinoid System in Drug Design.International journal of molecular sciences · 2020
    Review
  5. Cannabinoids and Opioids in the Treatment of Inflammatory Bowel Diseases.Clinical and translational gastroenterology · 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

6 authors at 1 institution in 1 country.

Lanfranco PellesiMedical Toxicology and Headache Center, University of Modena and Reggio Emilia, via del Pozzo 71, 41124, Modena, Italy. lanfranco.pellesi@gmail.com.ORCID http://orcid.org/0000-0003-4137-5039
Maria Chiara VergaGastroenterology Unit, Department of Internal Medicine, University of Modena and Reggio Emilia, Modena, Italy.
Nicola De MariaGastroenterology Unit, Department of Internal Medicine, University of Modena and Reggio Emilia, Modena, Italy.
Erica VillaGastroenterology Unit, Department of Internal Medicine, University of Modena and Reggio Emilia, Modena, Italy.
Luigi Alberto PiniMedical Toxicology and Headache Center, University of Modena and Reggio Emilia, via del Pozzo 71, 41124, Modena, Italy.
Simona GuerzoniMedical Toxicology and Headache Center, University of Modena and Reggio Emilia, via del Pozzo 71, 41124, Modena, Italy.
University of Modena and Reggio Emilia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDaily cannabis assumption is currently associated with several physical and mental health problems, however in the past it was prescribed for a multitude of symptoms, including vomiting, abdominal pain and diarrhea. Through the years, the endocannabinoid system has been recognized in the homeostatic mechanisms of the gut, as well as in the physiological control of intestinal motility and secretion. Accordingly, cannabinoids may be a promising therapy against several gastrointestinal conditions, such as abdominal pain and motility-related disorders. CASE PRESENTATION: We retrospectively analysed the efficacy and safety of a CB1-receptor agonist administered in six patients with refractory chronic diarrhea, between April 2008 and July 2016. After three months of therapy, oral nabilone improved the health of nearly all patients, with visible improvements in reducing diarrheal symptoms and weight gain. Most of the benefits persisted through the three-month follow-up. Only one patient interrupted the treatment after one month, due to severe fatigue and mental confusion; the symptoms disappeared in the follow-up period.

conclusionsThese findings encourage the study of cannabinoids acting on CB1 receptors in chronic gastrointestinal disorders, especially in refractory chronic diarrhea, offering a chance for a substantial improvement in the quality of life of selected patients, with a reasonable safety profile.

Indexed as

AdultAgedChronic DiseaseDiarrheaDronabinolFemaleGastrointestinal AgentsHumansMaleMiddle AgedReceptor, Cannabinoid, CB1DronabinolGastrointestinal AgentsnabiloneReceptor, Cannabinoid, CB1CannabinoidsCase seriesCB1 receptorChronic diarrheaGastrointestinal disordersNabiloneRefractory

Identifiers

PMID31238887
PMCPMC6593541
OpenAlexW2955430964

What OpenQuestion holds

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LicenceCC BY
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.