Evidence map›Paper›PMID 41890751›Full record

ReviewFrontiers in immunology2026

Efficacy and mechanisms of vagus nerve stimulation in irritable bowel syndrome: a comprehensive literature review.

Yiwen Quan, Tao Zhou

Abstract readReview
In one paragraph

Review in Frontiers in immunology, 2026. 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
–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

1 citing paper in PubMed.

  1. 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

2 authors.

Yiwen QuanDepartment of Gastroenterology, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Tao ZhouDepartment of Geriatric Medicine & Laboratory of Gerontology and Anti-Aging Research, Qilu Hospital of Shandong University, Jinan, Shandong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Irritable bowel syndrome (IBS) is a common non-organic functional gastrointestinal disorder. Recently, vagus nerve stimulation (VNS) has been a novel therapeutic strategy for the treatment of IBS. This review provided an overview of the mechanisms of VNS in IBS and clinical applications. Studies about VNS in the treatment of IBS were systematically retrieved from PubMed, EMbase and CNKI databases. Mechanically, pre-clinical evidence highlights VNS as a multifaceted therapy for IBS, including reducing inflammation via α7 nicotinic acetylcholine receptor-mediated suppression of TNF-α, alleviating visceral hypersensitivity, increasing colorectal distension thresholds, enhancing motility through M3 receptor activation and gastric emptying, restoring gut microbiota diversity via elevating bifidobacterium abundance and short-chain fatty acids, and improving intestinal barrier integrity. Consistent with its mechanism, the reduced inflammation biomarkers, improved metabolism content, increased genus bifidobacterium, and improved intestinal barrier integrity are confirmed in clinical patients with IBS after VNS therapy. Besides, clinical studies reveal that VNS can increase the complete spontaneous bowel movements per week, decrease the visual analog scale for abdominal pain and IBS symptom score, improve rectoanal inhibitory reflex, rectal sensation, and improve sustained quality of life. In summary, noninvasive VNS is an effective and novel therapy option for patients with IBS, and its integrative effects are multi-factorial.

Indexed as

Irritable Bowel SyndromeVagus Nerve StimulationAnimalsGastrointestinal MicrobiomeHumansIntestinal Barrier FunctionTreatment Outcomegut-brain axisintestinal microbiotairritable bowel syndromevagus nerve stimulationvisceral hypersensitivity

Identifiers

PMID41890751
PMCPMC13013011

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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.