Evidence map›Paper›PMID 31241817›Full record

SynthesisNeurogastroenterology and motility2019

Role of chronic cannabis use: Cyclic vomiting syndrome vs cannabinoid hyperemesis syndrome.

Thangam Venkatesan, David J Levinthal, B U K Li, Sally E Tarbell, Kathleen A Adams, Robert M Issenman, Irene Sarosiek, Safwan S Jaradeh, Ravi N Sharaf, Shahnaz Sultan and 3 more

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Neurogastroenterology and motility, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 4 pooled it
10.4field-weighted citation impact, top 1% 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

52 citing papers in PubMed, 4 syntheses or guidelines pooled it, 132 citations in OpenAlex.

  1. Guideline
  2. Cannabis and Cannabinoids in Adults With Cancer: ASCO Guideline.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Guideline
  3. Cyclic Vomiting Syndrome in Children.Frontiers in neurology · 2020
    Pooled it
  4. Pooled it
  5. Review
  6. Review
  7. Review
  8. Cannabinoid hyperemesis syndrome: Diagnosis and effective treatment in a psychiatric ward.Dusunen adam : Bakirkoy Ruh ve Sinir Hastaliklari Hastanesi yayin organi · 2025
    Article
  9. Review
  10. Cyclic Vomiting Syndrome Versus Cannabinoid Hyperemesis Syndrome.Journal of neurogastroenterology and motility · 2025
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Cannabis Hyperemesis Syndrome in Youth: Clinical Insights and Public Health Implications.International journal of environmental research and public health · 2025
    Review
  17. Article
  18. Endocannabinoid signaling in stress, nausea, and vomiting.Neurogastroenterology and motility · 2025
    Review
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 11 institutions in 2 countries.

Thangam VenkatesanDivision of Gastroenterology and Hepatology, Medical College of Wisconsin, Milwaukee, Wisconsin.
David J LevinthalDivision of Gastroenterology, Hepatology, and Nutrition, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
B U K LiDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin.
Sally E TarbellDepartment of Psychiatry and Behavioral Sciences, Northwestern Feinberg School of Medicine, Chicago, Illinois.
Kathleen A AdamsCyclic Vomiting Syndrome Association, Milwaukee, Wisconsin.
Robert M IssenmanDivision of Pediatric Gastroenterology, McMaster University, Hamilton, Ontario, Canada.
Irene SarosiekDivision of Gastroenterology, Texas Tech University Health Sciences Center, El Paso, Texas.
Safwan S JaradehStanford University Medical School, Stanford, California.
Ravi N SharafDivision of Gastroenterology, Department of Medicine and Department of Healthcare Policy and Research, Weill Cornell Medical Center, New York, New York.
Shahnaz SultanMinneapolis VA Health Care System, Minneapolis, Minnesota.
Christopher D StaveStanford University Medical School, Stanford, California.
Andrew A MonteDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora, Colorado.
William L HaslerDivision of Gastroenterology, University of Michigan Health System, Ann Arbor, Michigan.
Medical College of Wisconsin · USStanford University · USCornell University · USMcMaster University · CAMichigan Medicine · USMinneapolis VA Health Care System · USNorthwestern University · USRome Foundation · USTexas Tech University · USUniversity of Colorado Denver · USUniversity of Pittsburgh Medical Center · US

Funding

NIH Prior Approval Process ProfessionalUL1TR002535 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2018 to 2022
$51.1M
An Integrated Approach to Personalized MedicineK23GM110516 · NIGMS · UNIVERSITY OF COLORADO DENVER · PI MONTE, ANDREW ALBERT · 2014 to 2016
$588k
NCATS NIH HHS UL1 TR002535NIGMS NIH HHS K23 GM110516
6 · The paper itself

Abstract

Cannabis is commonly used in cyclic vomiting syndrome (CVS) due to its antiemetic and anxiolytic properties. Paradoxically, chronic cannabis use in the context of cyclic vomiting has led to the recognition of a putative new disorder called cannabinoid hyperemesis syndrome (CHS). Since its first description in 2004, numerous case series and case reports have emerged describing this phenomenon. Although not pathognomonic, a patient behavior called "compulsive hot water bathing" has been associated with CHS. There is considerable controversy about how CHS is defined. Most of the data remain heterogenous with limited follow-up, making it difficult to ascertain whether chronic cannabis use is causal, merely a clinical association with CVS, or unmasks or triggers symptoms in patients inherently predisposed to develop CVS. This article will discuss the role of cannabis in the regulation of nausea and vomiting, specifically focusing on both CVS and CHS, in order to address controversies in this context. To this objective, we have collated and analyzed published case series and case reports on CHS in order to determine the number of reported cases that meet current Rome IV criteria for CHS. We have also identified limitations in the existing diagnostic framework and propose revised criteria to diagnose CHS. Future research in this area should improve our understanding of the role of cannabis use in cyclic vomiting and help us better understand and manage this disorder.

Indexed as

AntiemeticsHumansMarijuana AbuseSyndromeVomitingAntiemeticscannabiscyclic vomitingendocannabinoidshot water bathinghyperemesissystematic review

Identifiers

PMID31241817
PMCPMC6788295
OpenAlexW2954038824

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.