Evidence map›Paper›PMID 37043102›Full record

Observational studyTechniques in coloproctology2023

Sacral neuromodulation for refractory ulcerative colitis: safety and efficacy in a prospective observational series of eight patients.

Farouk Drissi, Arnaud Bourreille, Michel Neunlist, Guillaume Meurette

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Techniques in coloproctology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Neuroimmunophysiology of the gastrointestinal tract.American journal of physiology. Gastrointestinal and liver physiology · 2024
    Review
  3. Article
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

4 authors at 1 institution in 3 countries.

Farouk DrissiChirurgie Cancérologique Digestive et Endocrinienne, Institut des Maladies de l'Appareil Digestif, University Hospital of Nantes, Hôtel Dieu, 1 Place Alexis Ricordeau, 44093, Nantes, Cedex 01, France.ORCID http://orcid.org/0000-0002-1096-7608
Arnaud BourreilleThe Enteric Nervous System in Gut and Brain Disorders, Institut des Maladies de l'Appareil Digestif, University of Nantes, Inserm, TENS, Nantes, France.
Michel NeunlistThe Enteric Nervous System in Gut and Brain Disorders, Institut des Maladies de l'Appareil Digestif, University of Nantes, Inserm, TENS, Nantes, France.
Guillaume MeuretteThe Enteric Nervous System in Gut and Brain Disorders, Institut des Maladies de l'Appareil Digestif, University of Nantes, Inserm, TENS, Nantes, France. guillaume.meurette@hcuge.ch.
Inserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeUlcerative colitis (UC) treatment is mainly based on immunosuppressive therapy. As anti-inflammatory effects of sacral neuromodulation (SNM) have been previously reported in animal models, we conducted a pilot study aimed at assessing clinical, biological, and endoscopic response but also safety of SNM use in UC refractory to medical therapy.

methodsAdult patients with histologically proven UC resistant to immunosuppressive therapy were invited to enroll in the study. Primary outcome was the rate of UC remission (UCDAI score ≤ 2, without any criteria > 1) at 8 weeks (W8). Secondary outcomes were biological and endoscopic response also evaluated at W8 and W16. Subsequently, every patient was followed every 6 months. Adverse events were prospectively collected for safety assessment during the follow-up.

resultsEight patients, with mean age 47 years old, suffering from UC for 2-13 years were included. There were no complications in relation to SNM procedure. The acceptance of the device was excellent in all patients. Clinical and endoscopic remission was obtained at W8 in one patient (12.5%) and three other patients (37.5%) were responders at W16. At review (mean follow-up of 4 years), two patients (25%) were in remission and two (25%) were responders.

conclusionSNM application is safe in patients suffering from refractory UC. Effects on disease activity were mainly observed after 16 weeks. Larger prospective studies are mandatory, but SNM could be a way to reinforce medical therapy and reduce the use of immunosuppressive drugs.

Indexed as

Colitis, UlcerativeElectric Stimulation TherapyAnimalsHumansPilot ProjectsProspective StudiesSulfonamidesN-(8-aminohexyl)-5-iodonaphthalene-1-sulfonamideSulfonamidesInflammationIntestinal epithelial barrier permeabilitySacral neuromodulationUlcerative colitis

Identifiers

PMID37043102
PMCPMC10169876
OpenAlexW4365135175

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.