Evidence map›Paper›PMID 37096635›Full record

Trial reportNeurogastroenterology and motility2023

High amplitude propagated contractions with Glycerin versus Bisacodyl: A within-subject comparison in children undergoing colonic manometry.

Sherief Mansi, Gracielle Bahia, Dhiren Patel, Lev Dorfman, Khalil El-Chammas, Lin Fei, Chunyan Liu, Neha R Santucci, Kahleb Graham, Ajay Kaul

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Neurogastroenterology and motility, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 14% 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, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Effect of glycerin on colonic motility in children.Journal of pediatric gastroenterology and nutrition · 2025
    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

10 authors at 2 institutions in 1 country.

Sherief MansiDivision of Gastroenterology and Hepatology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center (CCHMC), Cincinnati, Ohio, USA.ORCID 0000-0002-2546-7630
Gracielle BahiaDivision of Gastroenterology and Hepatology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center (CCHMC), Cincinnati, Ohio, USA.
Dhiren PatelDivision of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Cardinal Glennon Children's Medical Center, Saint Louis University School of Medicine, St Louis, Missour, USA.ORCID 0000-0003-4611-0814
Lev DorfmanDivision of Gastroenterology and Hepatology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center (CCHMC), Cincinnati, Ohio, USA.
Khalil El-ChammasDivision of Gastroenterology and Hepatology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center (CCHMC), Cincinnati, Ohio, USA.
Lin FeiDepartment of Biostatistics and Epidemiology, CCHMC, Cincinnati, Ohio, USA.
Chunyan LiuDepartment of Biostatistics and Epidemiology, CCHMC, Cincinnati, Ohio, USA.
Neha R SantucciDivision of Gastroenterology and Hepatology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center (CCHMC), Cincinnati, Ohio, USA.
Kahleb GrahamDivision of Gastroenterology and Hepatology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center (CCHMC), Cincinnati, Ohio, USA.
Ajay KaulDivision of Gastroenterology and Hepatology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center (CCHMC), Cincinnati, Ohio, USA.
Cincinnati Children's Hospital Medical Center · USCardinal Glennon Children’s Medical Center · US

Funding

Disrupted sleep architecture in adolescents with functional abdominal pain disordersK23DK135797 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI Neha Richard Santucci · 2023 to 2026
$765k
NIDDK NIH HHS K23 DK135797
6 · The paper itself

Abstract

backgroundThe presence of high amplitude propagated contractions (HAPCs) measured by colonic manometry (CM) reflect an intact neuromuscular function of the colon. Bisacodyl and Glycerin are colonic stimulants that induce HAPCs and are used for the treatment of constipation. HAPCs characteristics with each drug have not been compared before. We aimed to compare the HAPC characteristics with Bisacodyl and Glycerin in children undergoing CM for constipation.

methodsThis is a prospective single-center cross-over study of children aged 2-18 years undergoing CM. All patients received both Glycerin and Bisacodyl during CM. They were randomized to group A with Bisacodyl first (n = 22) and group B with Glycerin first (n = 23), with 1.5 hours in between each dose. Differences in patient and HAPC characteristics between groups were summarized using descriptive statistics and compared using Chi-square test or Wilcoxon rank sum test as appropriate. KEY

resultsA total of 45 patients were included. HAPCs post Bisacodyl had a longer duration of action (median of 40 vs 21.5 min, p < 0.0001), longer propagation (median of 70 vs 60 cm, p = 0.02), and more HAPCs (median of 10 vs 5, p < 0.0001) compared Glycerin. No differences were found in the HAPC amplitude and onset of action between both medications.

Indexed as

BisacodylGlycerolChildColonConstipationCross-Over StudiesGastrointestinal MotilityHumansManometryProspective StudiesBisacodylGlycerolBisacodylchildrencolonic manometryconstipationfecal incontinenceGlycerinhigh amplitude propagated contractions

Identifiers

PMID37096635
PMCPMC10701597
OpenAlexW4322399071

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.