Evidence map›Paper›PMID 35683573›Full record

ArticleJournal of clinical medicine2022

Efficacy of Chenodeoxycholic Acid and Ursodeoxycholic Acid Treatments for Refractory Functional Dyspepsia.

Sung Ill Jang, Tae Hoon Lee, Seok Jeong, Chang-Il Kwon, Dong Hee Koh, Yoon Jae Kim, Hye Sun Lee, Min-Young Do, Jae Hee Cho, Dong Ki Lee

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 54% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

10 authors at 6 institutions in 1 country.

Sung Ill JangDepartment of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul 06273, Korea.
Tae Hoon LeeDepartment of Internal Medicine, Soonchunhyang University College of Medicine, Cheonan Hospital, Cheonan 31151, Korea.
Seok JeongDepartment of Internal Medicine, Inha University School of Medicine, Incheon 22332, Korea.
Chang-Il KwonDigestive Disease Center, CHA Bundang Medical Center, CHA University, Seongnam 13496, Korea.
Dong Hee KohDepartment of Internal Medicine, Hallym University Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong 18450, Korea.ORCID 0000-0003-2078-5805
Yoon Jae KimDepartment of Internal Medicine, Gachon University College of Medicine, Gil Medical Center, Incheon 21565, Korea.ORCID 0000-0001-8477-6823
Hye Sun LeeBiostatistics Collaboration Unit, Yonsei University College of Medicine, Seoul 06273, Korea.ORCID 0000-0001-6328-6948
Min-Young DoDepartment of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul 06273, Korea.ORCID 0000-0002-2351-2370
Jae Hee ChoDepartment of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul 06273, Korea.ORCID 0000-0003-4174-0091
Dong Ki LeeDepartment of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul 06273, Korea.
Yonsei University · KRCHA University Bundang Medical Center · KRGachon University · KRHallym University Dongtan Sacred Heart Hospital · KRInha University · KRSoonchunhyang University · KR

Funding

a faculty research grant from the Yonsei University College of Medicine 6-2020-0074a faculty research grant from the Yonsei University College of Medicine 6-2020-0133research grant from Gangnam Severance Hospital, Yonsei University College of Medicine NAthe 2022 domestic medical device new product association-linked user (Medical Institution) mul-ti-institution evaluation support project NAthe National Research Foundation, Ministry of Science and ICT of Korea NRF-2020R1A2C1100753
6 · The paper itself

Abstract

Refractory functional dyspepsia (RFD) is diagnosed when symptoms persist for at least 6 months despite at least two medical treatments. No consensus treatment guidelines exist. The implicated causes of functional biliary dyspepsia are a narrowed cystic duct, Sphincter of Oddi dysfunction, microlithiasis, and gallbladder dyskinesia. We investigated the treatment effects of litholytic agents. RFD patients were prospectively enrolled in six tertiary medical centers. All subjects took chenodeoxycholic and ursodeoxycholic acids (CNU) twice daily for 12 weeks. We monitored their medication adherence, laboratory results, and complications. The 7-point global symptom scale test scores were determined before and after treatment. Of the 52 patients who were prospectively screened, 37 were included in the final analysis. The mean age was 51.3 years: 14 were males, and 23 were females. Before treatment, the mean number and duration of symptoms were 2.4 and 48.2 months, and a mean of 3.3 FD-related drugs were taken. The mean CNU adherence was 95.3%. The mean global symptom scale score decreased from 5.6 pretreatment to 2.6 posttreatment. The symptom improvement rate was 94.6% (35 out of 37 patients). The only adverse event was mild diarrhea (10.8%) that was resolved after conservative management. Conclusions: CNU improved the symptoms of RFD patients who did not respond to conventional medications. Litholytic agents are good treatment options for patients with RFD and biliary dyspepsia secondary to biliary microlithiasis. Further prospective, large-scale mechanistic studies are warranted.

Indexed as

biliary dyspepsiafunctional dyspepsiagallbladder dyskinesialitholytic agent

Identifiers

PMID35683573
PMCPMC9181150
OpenAlexW4281694448

What OpenQuestion holds

Textmetadata
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.