ICYMI: New online! Metabotherapy for intestinal disease: using metabolites to prevent and treat disorders of the gut
@rajansingh
Asst Prof (R) #unrmed 🇺🇸 #DGBIs #Microbiome #Gut-Brain-Microbiome #NeuroGastro #DGBIs #MetabolicHealth #SoMe ✍️ #NGMJournal #INMAssociation #GutBrainScience Alumnus #Gastro #SGPGIMS 🇮🇳 https://scholar.google.com/citations?hl=en&user=TBjcHp8AAAAJ
ICYMI: New online! Metabotherapy for intestinal disease: using metabolites to prevent and treat disorders of the gut
Key Points • First-line therapies for functional dyspepsia, including proton pump inhibitors and Helicobacter pylori eradication, provide limited symptom relief in a substantial proportion of patients. • Functional dyspepsia and gastroparesis share overlapping symptoms but differ in predominant pathophysiological mechanisms, requiring tailored therapeutic strategies. • Predominantly central neuromodulators are most appropriate for epigastric pain syndrome, whereas predominantly peripheral neuromodulators are better suited for postprandial distress syndrome and gastroparesis-related nausea and vomiting. • A pragmatic, symptom-oriented, and mechanism-based approach may facilitate individualized treatment selection and optimize clinical outcomes.
🆕🔥Central & peripheral #Neuromodulators in #FD & #Gastroparesis: Symptom-Based #ClinicalReview‼️
🎯A pragmatic, symptom-oriented & mechanism-based approach facilitate individualized treatment selection & optimize clinical outcomes
👉 onlinelibrary.wiley.com/doi/10.1111/...
#ANMS #ESNM
New online! Metabotherapy for intestinal disease: using metabolites to prevent and treat disorders of the gut
Key Points Wireless motility capsule (WMC) contractile data can help guide patient selection for gastric per-oral endoscopic myotomy (G-POEM) by distinguishing physiologic phenotypes of gastroparesis—those driven by severe motor dysfunction versus sensory neuroenteric dysfunction. Idiopathic gastroparesis patients with diminished antral contractions on WMC were more likely to respond to G-POEM, whereas those with preserved antral contractility were less likely to benefit. Patients who demonstrate severe gastric emptying delay measured by both WMC and gastric emptying scintigraphy were more likely to respond to G-POEM.
🆕🔥Preserved #AntralContractions measured by #WirelessMotilityCapsule are associated with 🔽Response Rates to G-POEM in #IdiopathicGastroparesis patients‼️
🎯Diminished antral contractions & gastric emptying delay are more likely to respond to G-POEM👏
👉 onlinelibrary.wiley.com/doi/10.1111/...
#ANMS#ESNM
Key points 1. POI is a common complication after abdominal sur-gery, prolonging the postoperative recovery time ofpatients. 2. POI will prolong the time for the intestines to empty,disrupt the intestinal flora balance, trigger related inflammatory responses, and cause disorder in the body's microenvironment. 3. Lactobacillus reuteri can alleviate intestinal metabolic disorders by promoting the expression of anti-inflammatory factors and inhibiting the expression of pro-inflammatory factors, thereby regulating the intestinal microbiota and facilitating the body's recovery.
🆕🔥 #Lactobacillus reuteri DSM 17938 improves #IntestinalMotility in 🐭 with #PostoperativeIleus by modulating #GutMicrobiota & #Macrophage‼️
🎯L. reuteri DSM 17938 is a promising probiotic for the prevention of #POI👏
👉 onlinelibrary.wiley.com/doi/10.1111/...
#ANMS #ESNM
ICYMI: New online! The International Scientific Association for Probiotics and Prebiotics (ISAPP) consensus statement on the definition and scope of gut health
Summary • Guidelines recommend doubling the proton pump inhibitor (PPI) dosage for persistent nocturnal reflux symptoms, while wedge pillows are suggested as anon-pharmacological option. However, their efficacy compared with twice-daily PPI remains unstudied. • A wedge pillow combined with a morning PPI was non-inferior to twice-daily PPI in alleviating nocturnal reflux symptoms and was associated with greater improvements in sleep quality, despite no significant changes in reflux parameters, suggesting that the observed benefit may be mediated by sleep-related factors. • A wedge pillow can complement PPI therapy for man-aging nocturnal reflux symptoms, offering relief from night time symptoms and improving sleep quality inpatients not responding to morning PPI therapy.
🆕🔥#WedgePillow vs. evening #ProtonPumpInhibitor for #NocturnalReflux symptoms‼️
🎯Adding a wedge pillow was not inferior to evening PPI for nocturnal reflux symptoms ⏩Greater improvements in #sleep quality👏
👉https://onlinelibrary.wiley.com/doi/10.1111/nmo.70256
#ANMS #ESNM #GERD #PPI
📢 Remember those sleepless nights when you were kept awake from not knowing how the HSPG expression was in #ENS ganglia in #Hirschsprung 's disease?!
🤯 These days are over, as you can read all about it in our new paper @ngmjournal.bsky.social !
onlinelibrary.wiley.com/doi/10.1111/...
Key Points: Twenty percent of patients with systemic sclerosis met diagnostic criteria for irritable bowel syndrome or functional dyspepsia, the two most common disorders of gut–brain interaction. The presence of symptoms consistent with disorders of gut–brain interaction is associated with more severe systemic sclerosis gastrointestinal disease and poorer quality of life. Effective management strategies have been used to treat disorders of gut brain interaction that could be tested in those patients with systemic sclerosis and co-morbid disorders of gut brain interaction to reduce symptom burden and improve quality of life.
🆕🔥Quantifying the Prevalence of #DisordersofGutBrainInteraction in #SystemicSclerosis‼️
👉 onlinelibrary.wiley.com/doi/10.1111/...
🎯20% of patients with systemic sclerosis met diagnostic criteria for #IrritableBowelSyndrome or #FunctionalDyspepsia👏
#ANMS #ESNM
Keypoints: Muscularis macrophages express high levels of ApoE after intestinal manipulation, but macrophage-specific deletion of ApoE does not impair gut motility or tissue morphology. While global ApoE deficiency mildly affects intestinal transit and promotes inflammation, macrophage-derived ApoE is dispensable for maintaining normal and postoperative gut motility.
🆕🔥#MuscularisMacrophage-derived #ApoE is dispensable for maintaining #GutMotility 🐭‼️
🎯Global ApoE deficiency delays gut transit & promotes inflammation, while macrophage-specific ApoE deletion does not impair motility #POI👏
👉 onlinelibrary.wiley.com/doi/10.1111/...
#ANMS #ESNM
Key Points: Calculating the CARS endoscopic score and performing FLIP panometry during endoscopy can assess the likelihood of an esophageal motility disorder and potentially expedite its diagnosis. A CARS score > 4 combined with FLIP-REO is highly predictive (100% specificity/100% positive predictive value) of an EGJ obstruction diagnosis (achalasia or confirmed EGJOO) on HRM.
🆕🔥Combined utility of #CARS endoscopic score & #FLIP based on real‐time assessments‼️
🎯Combination of CARS score ≥ 4 & reduced #EGJ opening on FLIP is highly predictive of an EGJ obstruction diagnosis #Achalasia #EGJOO👏
👉 onlinelibrary.wiley.com/doi/10.1111/...
#ANMS #ESNM
Key Points: Validated options for assessing gastric emptying in patients with dietary restrictions that preclude eating the standard egg meal. We developed and tested a vegan and allergy friendly meal using a vegan egg product for gastric emptying scintigraphy in 10 healthy volunteers after confirming in vitro stability/performance. The tested vegan egg meal appears to be a suitable alternative to the standard egg meal for patients who are not able to eat eggs, though additional studies with larger sample sizes are needed for further validation.
🆕🔥Pilot validation study of🌱plant‐based & allergy‐friendly alternative for testing #GastricEmptying #HealthyParticipants‼️
🎯Tested #vegan egg meal appears to be a suitable alternative to standard egg meal for patients who are not able to eat eggs
👉 onlinelibrary.wiley.com/doi/10.1111/...
#ANMS #ESNM
Key Points: This study reports the first documented case of myofilament loss in gastrointestinal smooth muscle cells in MELAS-associated chronic intestinal pseudo-obstruction (CIPO). Electron microscopic analysis demonstrated marked reduction of myofilaments accompanied by abundant abnormal mitochondria throughout the digestive tract, revealing that mitochondrial dysfunction may directly impair the smooth muscle contractile apparatus independent of previously described enteric nervous system abnormalities. These findings suggest that apparent superior mesenteric artery syndrome in MELAS patients may represent underlying CIPO with inherent intestinal structural vulnerability, supporting early implementation of enteral nutrition strategies that bypass affected gastrointestinal segments. Future research should focus on quantitative assessment of contractile protein abnormalities and development of therapeutic interventions targeting smooth muscle function in mitochondrial disorders.
🆕🔥Loss of #Myofilaments in gastrointestinal smooth muscle represents a novel pathological mechanism in MELAS-associated chronic intestinal Pseudo-obstruction #CIPO‼️
🎯 #Mitochondrial dysfunction directly impairs smooth muscle contractile apparatus
👉 onlinelibrary.wiley.com/doi/10.1111/...
#ANMS #ESNM
Key Points Patients with rectal prolapse only at defecation present a distinct, younger phenotype with more severe obstructive defecation symptoms, higher intrarectal push pressures, and better-preserved anal sphincter function. In contrast patients with spontaneous rectal prolapse are older and have higher fecal incontinence severity associated with lower resting anal tone and less sustained squeeze pressures. MRI defecography shows greater pelvic floor laxity in spontaneous prolapse (larger levator hiatus length/width, bowl volume, and wider resting anorectal angle), whereas defecation-only prolapse demonstrates more preserved hiatus anatomy and less patulous anal canal. Defecation-only prolapse may represent an early stage of disease. Identifying the phenotype of rectal prolapse can inform timing and type of intervention though surgical recurrence rates were similar between groups.
🆕🔥Distinct Phenotypes of #RectalProlapse #RP in Women‼️
🎯#Defecation-only RP represents an early stage of disease #preserved #AnalSphincter function ⬇️#PelvicFloorLaxity👏
🎯Patients with #Spontaneous RP are older & have⬆️ fecal incontinence severity
👉 onlinelibrary.wiley.com/doi/10.1111/...
#ANMS #ESNM
ICYMI: New online! The International Scientific Association for Probiotics and Prebiotics (ISAPP) consensus statement on the definition and scope of gut health
ICYMI: New online! Nutritional maintenance therapy for paediatric patients with Crohn’s disease
Key Points • We employed Atmo Capsules to measure the frequency and amplitude of stomach contractions using a method called accelerometry which detects changes in capsule orientation and acceleration. • Stomach contractions occurring at a frequency of 3 cycles per minute were found which were lower in amplitude in patients with delayed gastric emptying compared to healthy controls and individuals with normal gastric emptying. • This technical assessment provides support for the Atmo Capsule accelerometer to characterize normal and abnormal stomach contractile profiles in patients with suspected motility disorders.
🆕🔥Accelerometric assessment of #Gastric Contractility using #Atmo Wireless Motility Capsule‼️
🎯Atmo Capsule enables precise quantification of gastric contraction profiles, permitting differentiation of normal from pathological motor patterns👏
👉 onlinelibrary.wiley.com/doi/10.1111/...
#NGM #ANMS #ESNM
😱 The Belgian Week of #gastroenterology is currently rocking Antwerp!
🔬 listened to great #science
🫂 met new and old friends
🗣 one keynote from the lab on #ENS progenitor cells and aging
Thanks for hosting, Werend Boesmans!
#neurogastro
📢Good news! If you need a little bit more time to apply for LBBB2026, we have you've got you covered!
New (and very final) deadline to apply is
🗓️9th Feb 2026
Don't leave it to the last minute and join us in Fusagasuga 🔗https://www.lbbb2026.com/apply
Intestinal macrophages modulate synucleinopathy along the gut–brain axis www.nature.com/articles/s41...
👉 We generated a starter pack for #neurogastroenterology and enteric #neuroscience!
Let's connect and bring gut-brain research and clinical neurogastroenterology to the next level! 🌐
go.bsky.app/3Z82PbH
ICYMI: New online! A neurobiotic sense curbs feeding: a new frontier in gut–brain communication
Looking back on 2025, inspired by the Year in Reviews starting on p112.
Our February ISSUE is live! Year in Review 2025, gut virome, gut-brain axis, liver-brain axis, cancer registries in Africa, and much more!
www.nature.com/nrgastro/vol...
⏩#GLP1 #Serotonin, the body’s multitasking maestro #DGBIs💡 🎯A blueprint for developing #orally active small-molecule secretagogues capable of activating the body’s own incretin sensors & gut-brain axis👏 📢The advent of GLP-1–based therapies has reshaped modern metabolic medicine, providing unprecedented efficacy in treating diabetes and obesity. Yet, these advances rely heavily on injectable hormone mimetics #semaglutide #tirzepatide 🎯Transform EC and L cells into tunable therapeutic switches—enabling mechanism-based, physiological treatments for diabetes, obesity, and disorders of gut–brain communication‼️ 🎯Through #neuropod synapses, EECs transmit real-time information about nutrient composition to the brain—forming a crucial component of #interoception, the body’s sense of internal state 🎯A detailed map of human enteroendocrine cell function & receptor signaling—laying the foundation for oral therapies that stimulate endogenous hormone secretion🌟 ⏩Description and functional validation of human enteroendocrine cell sensors @ScienceMagazine👏 👉 https://www.science.org/doi/10.1126/science.adl1460
Dive deep into our latest #GastroDigest @aga-gastro.bsky.social 🆕🔥
🚨Turning #GutSensors into Therapeutic Switches: A #Sensorome Roadmap for Metabolic & Gut–Brain🧠Interaction Disorders‼️ @amergastroassn.bsky.social 🙌
Prof. Kara Margolis🙏😇
👉 www.gastrojournal.org/article/S001...
#DGBI #GLP1 #Serotonin
KEY POINTS • Enterochromaffin (EC) cells release signaling molecules which can activate nearby sensory nerves.Whether this occurs via a conventional synapse for-mation is unknown. • EC cells rarely make contact with sensory nerves inthe upper gut but this frequency increases in the distal colon. • Neurite-like protrusiton on EC cells, named by some as “neuropods” are not a preferential site of contact with nerve fibres.
🆕 #Neuroepithelial landscape of #Enterochromaffin cells varies across #GI location‼️
✅EC cells rarely make contact with sensory nerves in upper gut but this frequency increases in distal colon👏
🎯 #Neuropods are not a preferential site of contact🔥
👉 onlinelibrary.wiley.com/doi/10.1111/...
#ANMS #ESNM
🚨#NGMJournal Jan 2026 issue is live‼️🔥
✅Dive Deep⏬
🔗 onlinelibrary.wiley.com/toc/13652982...
Editors: Daniel Keszthelyi Andrea Shin Nicolas Cenac, Neha Santucci Kristen Smith-Edwards Allison Malcolm David Reed Pierfrancesco Visaggi, Mohsin Butt Kristin Elfers Wilmarie Morales-Soto Rajan Singh 🙌
🚨#NGMJournal Jan 2026 issue is live‼️🔥
✅Dive Deep⏬
🔗 onlinelibrary.wiley.com/toc/13652982...
Editors: Daniel Keszthelyi Andrea Shin Nicolas Cenac, Neha Santucci Kristen Smith-Edwards Allison Malcolm David Reed Pierfrancesco Visaggi, Mohsin Butt Kristin Elfers Wilmarie Morales-Soto Rajan Singh 🙌
Thrilled to share our latest Clinical Review @ngmjournal.bsky.social🔥
Post-Coronavirus Disease #COVID-19 #IrritableBowelSyndrome: What We've Learned So Far‼️
🦠Microbiota-gut–brain🧠communication
📢#GutBarrier matters most in Health & in post-COVID-19 DGBI
👉 onlinelibrary.wiley.com/doi/10.1111/nmo.70250
Thrilled to share our latest Clinical Review @ngmjournal.bsky.social🔥
Post-Coronavirus Disease #COVID-19 #IrritableBowelSyndrome: What We've Learned So Far‼️
🦠Microbiota-gut–brain🧠communication
📢#GutBarrier matters most in Health & in post-COVID-19 DGBI
👉 onlinelibrary.wiley.com/doi/10.1111/nmo.70250