Treatment of Gastrointestinal Sphincters Spasms with Botulinum Toxin A

Botulinum toxin A inhibits neuromuscular transmission. It has become a drug with many indications. The range of clinical applications has grown to encompass several neurological and non-neurological conditions. One of the most recent achievements in the field is the observation that botulinum toxin...

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Main Authors: Giuseppe Brisinda, Nicola Sivestrini, Giuseppe Bianco, Giorgio Maria
Format: Article
Language:English
Published: MDPI AG 2015-05-01
Series:Toxins
Subjects:
Online Access:http://www.mdpi.com/2072-6651/7/6/1882
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author Giuseppe Brisinda
Nicola Sivestrini
Giuseppe Bianco
Giorgio Maria
author_facet Giuseppe Brisinda
Nicola Sivestrini
Giuseppe Bianco
Giorgio Maria
author_sort Giuseppe Brisinda
collection DOAJ
description Botulinum toxin A inhibits neuromuscular transmission. It has become a drug with many indications. The range of clinical applications has grown to encompass several neurological and non-neurological conditions. One of the most recent achievements in the field is the observation that botulinum toxin A provides benefit in diseases of the gastrointestinal tract. Although toxin blocks cholinergic nerve endings in the autonomic nervous system, it has also been shown that it does not block non-adrenergic non-cholinergic responses mediated by nitric oxide. This has promoted further interest in using botulinum toxin A as a treatment for overactive smooth muscles and sphincters. The introduction of this therapy has made the treatment of several clinical conditions easier, in the outpatient setting, at a lower cost and without permanent complications. This review presents current data on the use of botulinum toxin A in the treatment of pathological conditions of the gastrointestinal tract.
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spelling doaj.art-b7781d0487c440508a9048be74c7cb4e2022-12-22T04:22:07ZengMDPI AGToxins2072-66512015-05-01761882191610.3390/toxins7061882toxins7061882Treatment of Gastrointestinal Sphincters Spasms with Botulinum Toxin AGiuseppe Brisinda0Nicola Sivestrini1Giuseppe Bianco2Giorgio Maria3Department of Surgery, University Hospital "Agostino Gemelli", Largo Agostino Gemelli 8, 00168 Rome, ItalyDepartment of Surgery, University Hospital "Agostino Gemelli", Largo Agostino Gemelli 8, 00168 Rome, ItalyDepartment of Surgery, University Hospital "Agostino Gemelli", Largo Agostino Gemelli 8, 00168 Rome, ItalyDepartment of Surgery, University Hospital "Agostino Gemelli", Largo Agostino Gemelli 8, 00168 Rome, ItalyBotulinum toxin A inhibits neuromuscular transmission. It has become a drug with many indications. The range of clinical applications has grown to encompass several neurological and non-neurological conditions. One of the most recent achievements in the field is the observation that botulinum toxin A provides benefit in diseases of the gastrointestinal tract. Although toxin blocks cholinergic nerve endings in the autonomic nervous system, it has also been shown that it does not block non-adrenergic non-cholinergic responses mediated by nitric oxide. This has promoted further interest in using botulinum toxin A as a treatment for overactive smooth muscles and sphincters. The introduction of this therapy has made the treatment of several clinical conditions easier, in the outpatient setting, at a lower cost and without permanent complications. This review presents current data on the use of botulinum toxin A in the treatment of pathological conditions of the gastrointestinal tract.http://www.mdpi.com/2072-6651/7/6/1882anusphysiopathologyautonomic nervous system diseasesbiliary diseasesbotulinum toxintherapeutic usechronic constipationenteric nervous systemesophageal achalasiaesophageal diseasesexocytosisfissure-in-anogastric emptyinggastrointestinal motilitymembrane fusionmembrane proteinsneuromuscular agentsobesitypainspasm
spellingShingle Giuseppe Brisinda
Nicola Sivestrini
Giuseppe Bianco
Giorgio Maria
Treatment of Gastrointestinal Sphincters Spasms with Botulinum Toxin A
Toxins
anus
physiopathology
autonomic nervous system diseases
biliary diseases
botulinum toxin
therapeutic use
chronic constipation
enteric nervous system
esophageal achalasia
esophageal diseases
exocytosis
fissure-in-ano
gastric emptying
gastrointestinal motility
membrane fusion
membrane proteins
neuromuscular agents
obesity
pain
spasm
title Treatment of Gastrointestinal Sphincters Spasms with Botulinum Toxin A
title_full Treatment of Gastrointestinal Sphincters Spasms with Botulinum Toxin A
title_fullStr Treatment of Gastrointestinal Sphincters Spasms with Botulinum Toxin A
title_full_unstemmed Treatment of Gastrointestinal Sphincters Spasms with Botulinum Toxin A
title_short Treatment of Gastrointestinal Sphincters Spasms with Botulinum Toxin A
title_sort treatment of gastrointestinal sphincters spasms with botulinum toxin a
topic anus
physiopathology
autonomic nervous system diseases
biliary diseases
botulinum toxin
therapeutic use
chronic constipation
enteric nervous system
esophageal achalasia
esophageal diseases
exocytosis
fissure-in-ano
gastric emptying
gastrointestinal motility
membrane fusion
membrane proteins
neuromuscular agents
obesity
pain
spasm
url http://www.mdpi.com/2072-6651/7/6/1882
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