Evidence map›Paper›PMID 42889438›Full record

ReviewPrzeglad gastroenterologiczny2026

Autopoiesis and organ intelligence: toward a cognitive paradigm in medicine.

Vasileios Leivaditis, Francesk Mulita, Vasiliki Androutsopoulou, Ioannis Panagiotopoulos, Elias Liolis, Theodore Voudoukis, Georgios Tsakaldimis, Petros Drettas, Konstantinos Nikolakopoulos, Zafeiria Papathanassiou and 5 more

Abstract readReview
In one paragraph

Review in Przeglad gastroenterologiczny, 2026. 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

15 authors.

Vasileios LeivaditisDepartment of Cardiothoracic and Vascular Surgery, Westpfalz Klinikum, Kaiserslautern, Germany.
Francesk MulitaSecond Department of Surgery, Medical School, Democritus University of Thrace, Alexandroupolis, Greece.
Vasiliki AndroutsopoulouDepartment of Cardiothoracic Surgery, Faculty of Medicine, University of Thessaly, Biopolis, Larissa, Greece.
Ioannis PanagiotopoulosDepartment of Cardiac Surgery, Ippokrateio General Hospital of Athens, Athens, Greece.
Elias LiolisDepartment of Oncology, General University Hospital of Patras, Greece.
Theodore VoudoukisDepartment of Urology, General Hospital of Eastern Achaia-Unit of Aigio, Aigio, Greece.
Georgios TsakaldimisDepartment of Urology, General University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece.
Petros DrettasDepartment of Urology, University of Patras, Greece.
Konstantinos NikolakopoulosDepartment of Vascular Surgery, General University Hospital of Patras, Greece.
Zafeiria PapathanassiouDepartment of Radiology, General University Hospital of Patras, Patras, Greece.
Theodora SkouraMedical School, National and Kapodistrian University of Athens (NKUA), Aretaeion Hospital, Athens, Greece.
Christos TsilivigkosFirst Department of Otolaryngology, Hippokration General Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Ioannis KatsarosFirst Department of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, Athens, Greece.
Dimitrios SchizasFirst Department of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, Athens, Greece.
Alexandra K TsarouchaLaboratory of Bioethics, School of Medicine, Democritus University of Thrace, Alexandroupolis, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Modern medicine has been dominated by a neurocentric paradigm that locates cognition exclusively in the brain and treats organs as passive executors of function. Emerging evidence from biology and medicine challenges this view, suggesting that living systems are autopoietic and that organs such as the heart and gut, and the immune system exhibit forms of intrinsic intelligence. This article explores the conceptual foundations and clinical implications of cognitive biology, with particular emphasis on autopoiesis and distributed organ cognition, as a framework for rethinking health, disease, and medical practice. A narrative review was conducted, integrating key contributions from systems theory, cognitive biology, and philosophy of biology with empirical findings from cardiology, gastroenterology, immunology, oncology, and psychoneuroimmunology. Representative case studies and biomedical evidence were selected to illustrate how autopoietic and cognitive principles manifest in clinical contexts.

Indexed as

autopoiesisclinical epistemologycognitive biologydistributed cognitionorgan intelligencesystems medicine

Identifiers

PMID42889438
PMCPMC13670085

What OpenQuestion holds

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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.