Evidence map›Paper›PMID 39846242›Full record

ArticleNeurogastroenterology and motility2025

Effects of the Transcutaneous Electrical Stimulation System on Heartburn, Regurgitation and Esophageal Acid Exposure in GERD Patients-An Uncontrolled Feasibility Study.

Ram Dickman, Rita Brun, Sigal Levy, Yishai Ron, Tova Rainis, Timna Naftali, Maor Hazani-Pauker, Doron Boltin, Tsachi Tsadok Perets, Ronnie Fass and 1 more

Abstract read
In one paragraph

Article in Neurogastroenterology and motility, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Ram DickmanDivision of Gastroenterology, Rabin Medical Center, Beilinson Campus, Petah Tikva, Israel.ORCID https://orcid.org/0000-0002-6477-2849
Rita BrunDepartment of Gastroenterology, Rambam Health Care Campus, Faculty of Medicine Technion Institute, Haifa, Israel.
Sigal LevyStatistics Education Unit, The Academic College of Tel Aviv-Yafo, Tel Aviv, Israel.
Yishai RonSchool of Medicine, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Tova RainisDepartment of Gastroenterology and Hepatology, Bnai-Zion Medical Center, Faculty of Medicine, Technion Institute, Haifa, Israel.
Timna NaftaliSchool of Medicine, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Maor Hazani-PaukerSchool of Medicine, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Doron BoltinDivision of Gastroenterology, Rabin Medical Center, Beilinson Campus, Petah Tikva, Israel.
Tsachi Tsadok PeretsDivision of Gastroenterology, Rabin Medical Center, Beilinson Campus, Petah Tikva, Israel.
Ronnie FassDivision of Gastroenterology and Hepatology, MetroHealth Medical Center, Cleveland, Ohio, USA.ORCID https://orcid.org/0000-0002-4807-3052
Rachel Gingold-BelferDivision of Gastroenterology, Rabin Medical Center, Beilinson Campus, Petah Tikva, Israel.ORCID https://orcid.org/0000-0002-2831-4402

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProton pump inhibitors (PPI) for gastroesophageal reflux disease (GERD) are associated with a high failure rate. Our uncontrolled feasibility study aimed determining the effect of a transcutaneous electrical stimulation system (TESS) on GERD symptoms and acid exposure time (AET).

methodsRecruited patients with heartburn and regurgitation. During the first phase (one-week, run-in period, off-PPI's), patients completed symptom diaries and demographic questionnaires. Thereafter, all patients underwent gastroscopy with subsequent placement of a wireless esophageal pH capsule, off-PPI. Based on pH analysis in the first 24 h, only those with increased AET (percent total time pH < 4 above 6%) continued to the next phase. During that phase, patients were treated for up to 3 weeks with TESS and documented their symptoms. The Primary endpoint was the magnitude of reduction in GERD-related symptoms. The secondary endpoints were the magnitude of reduction of AET and DeMeester score, as compared with their baseline values.

resultsIncluded 31 patients and of those, 26 patients (42% females, aged 49 ± 15 years, mean BMI 25 ± 3 kg/m

conclusionsTESS is effective in reducing both symptoms and esophageal AET in GERD patients.

Indexed as

Gastroesophageal RefluxHeartburnTranscutaneous Electric Nerve StimulationAdultAgedEsophageal pH MonitoringFeasibility StudiesFemaleHumansMaleMiddle AgedProton Pump InhibitorsTreatment OutcomeProton Pump Inhibitorsesophageal acid exposuregastroesophageal reflux diseaseheartburnlower esophageal sphincterproton pump inhibitorregurgitationtranscutaneous electrical stimulation system

Identifiers

PMID39846242
PMCPMC11996049

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Registered trials

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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.