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- Title
Response to the letter by Udo Bonnet.
- Authors
Venkatesan, Thangam; Levinthal, David J.; Li, B. U. K.; Hasler, William. L.
- Abstract
These cases had long-term follow-up and improvement after cannabis abstinence, implying that heavy cannabis use contributed to their recurrent vomiting. However, we would like to restate our position that CHS is a subset of cyclic vomiting syndrome (CVS), I triggered i by chronic, heavy cannabis exposure.[2] If cannabis were the I sole cause i of hyperemesis, we would expect more CHS-afflicted individuals, especially given its widespread use. We agree that gastric emptying can be delayed by cannabis and is accelerated in nearly 60% of CVS patients.[[6]] However, abnormalities are not universal in CVS or CHS, and hyperemesis does not clearly improve with therapies which slow or stimulate gastric emptying.
- Subjects
CANNABINOID receptors; GASTRIC emptying; GENOTYPE-environment interaction
- Publication
Neurogastroenterology & Motility, 2020, Vol 32, Issue 1, pN.PAG
- ISSN
1350-1925
- Publication type
Article
- DOI
10.1111/nmo.13715