Evidence map›Paper›PMID 34984765›Full record

ArticleNeurogastroenterology and motility2022

Autoimmune gastrointestinal dysmotility following SARS-CoV-2 infection successfully treated with intravenous immunoglobulin.

Mayra Montalvo, Padmini Nallapaneni, Sara Hassan, Samuel Nurko, Sean J Pittock, Julie Khlevner

Open access · greenAbstract readCase Reports
In one paragraph

Article in Neurogastroenterology and motility, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

7 citing papers in PubMed, 13 citations in OpenAlex.

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  6. Post-COVID-19 Achalasia?Digestive diseases and sciences · 2023
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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 4 institutions in 1 country.

Mayra MontalvoDepartment of Neurology, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0003-1386-9998
Padmini NallapaneniDivision of Pediatric Gastroenterology, Hepatology and Nutrition, Columbia University Vagelos College of Physicians and Surgeons, New York, New York, USA.
Sara HassanDivision of Pediatric Gastroenterology, Hepatology and Nutrition, Mayo Clinic, Rochester, Minnesota, USA.
Samuel NurkoCenter for Motility and Functional Gastrointestinal Disorders Boston Children's Hospital, Boston, Massachusetts, USA.ORCID 0000-0003-0936-4807
Sean J PittockDepartment of Neurology, Mayo Clinic, Rochester, Minnesota, USA.
Julie KhlevnerDivision of Pediatric Gastroenterology, Hepatology and Nutrition, Columbia University Vagelos College of Physicians and Surgeons, New York, New York, USA.
Columbia University · USMayo Clinic · USBoston Children's Hospital · USMayo Clinic in Arizona · US

Funding

Multidisciplinary Training in Translational Gastrointestinal and Liver ResearchT32DK083256 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Timothy Cragin Wang · 2009 to 2026
$5.5M
NIDDK NIH HHS T32 DK083256
6 · The paper itself

Abstract

backgroundAutoimmune gastrointestinal dysmotility (AGID) is a limited form of dysautonomia that can be paraneoplastic or idiopathic. Some presentations can be preceded by a viral infection.

methodsWe report a case of a 17-year-old girl that developed intractable nausea and early satiety after SARS-CoV-2 infection. KEY

resultsOver ten months, she required nasogastric and nasoduodenal tube feedings and finally was advanced to total parenteral nutrition to meet her caloric needs. Her α3 nicotinic ganglionic acetylcholine and anti-striational antibodies were mildly elevated. Gastrointestinal transit scintigraphy studies showed delayed gastric emptying and slowed small bowel transit. Thermoregulatory sweat test showed areas of anhidrosis consistent with autonomic sudomotor impairment. After IVIG treatment the patient's symptoms improved dramatically and she was able to tolerate full oral diet. This was reflected by improvement of her baseline transit studies and the thermoregulatory sweat test. CONCLUSIONS AND INFERENCES: This is the first report of AGID occurring after SARS-CoV-2 infection. The dramatic response to IVIG emphasizes the importance of early recognition and the reversible and treatable nature of this condition.

Indexed as

Autoimmune DiseasesCOVID-19Gastrointestinal DiseasesImmunoglobulins, IntravenousAdolescentAutoantibodiesFemaleGastrointestinal TransitHumansSARS-CoV-2AutoantibodiesImmunoglobulins, Intravenousautoimmune dysautonomiaautoimmune gastrointestinal dysmotility (AGID)IVIGpost-viralSARS-CoV-2

Identifiers

PMID34984765
PMCPMC9257846
OpenAlexW4205713482

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.