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Effects of colonic electrical stimulation using different individual parameter patterns and stimulation sites on gastrointestinal transit time, defecation, and food intake

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单位: [1]Department of Gastroenterology, China–Japan Friendship Hospital, 2nd Yinghua East Road, Chaoyang District, Beijing 100029, People’s Republic of China [2]Graduate School, Peking Union Medical College and Chinese Academy of Medical Sciences, 9th Dong Dan San Tiao, Dongcheng District, Beijing 100730, People’s Republic of China [3]Department of Gastroenterology, Jinan Central Hospital Affiliated to Shandong University, 105th Jiefang Road, Lixia District, Jinan 250013, People’s Republic of China [4]Department of Gastroenterology, Beijing Tsinghua Chang Gung Hospital, 168th Litang Road, Changping District, Beijing 102218, People’s Republic of China [5]Institute of Clinical Medicine, China-Japan Friendship Hospital, 2nd Yinghua East Road, Chaoyang District, Beijing 100029, People’s Republic of China [6]Rishena Technology Development Co. Ltd., 26th Huashan Middle Road, Xinbei District, Changzhou 213000, People’s Republic of China
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关键词: Colonic electrical stimulation Constipation Individual parameter selection Gastrointestinal transit time

摘要:
This study aimed to compare the effects of colonic electrical stimulation (CES) on gastrointestinal transit time (GITT), energy consumption, stool frequency, stool consistency, and food intake using different individual parameter patterns and stimulation sites. Eight beagle dogs underwent surgery and CES. First, CES was conducted to determine the individual parameters with different pulse configurations, based on symptoms. Second, influences on energy consumption and GITT were compared between CES sessions with different pulse configurations. Third, GITT, stool frequency, stool consistency, and food intake were compared to assess the effects of CES at different stimulation sites. The individual parameters varied greatly among the dogs. In proximal colon electrical stimulation (PCES) and rectosigmoid colon electrical stimulation (RCES), energy consumption was lower with the constant pulse width mode than with the constant pulse amplitude mode (p = 0.012 and p = 0.018, respectively). There was no statistical difference between the two pulse configurations in GITT assessment. The PCES, RCES, and sequential CES sessions significantly accelerated GITT compared to sham stimulation. There was no statistical difference in GITT between PCES, RCES, and sequential CES sessions. Compared to sham CES session, RCES and sequential CES sessions exhibited significant higher stool frequency (p < 0.001 and p = 0.001, respectively), and PCES and RCES sessions inhibited food intake (p = 0.003 and p = 0.002, respectively). Constant pulse width mode is an appropriate pulse configuration for individual CES. At different stimulation sites, CES may exert different effects on stool frequency and food intake. This study provides an experimental basis for the clinical application of CES.

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出版当年[2015]版:
大类 | 3 区 医学
小类 | 3 区 外科 4 区 胃肠肝病学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 外科 4 区 胃肠肝病学
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出版当年[2014]版:
Q2 SURGERY Q3 GASTROENTEROLOGY & HEPATOLOGY
最新[2023]版:
Q1 SURGERY Q3 GASTROENTEROLOGY & HEPATOLOGY

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2014版] 出版当年五年平均[2010-2014] 出版前一年[2013版] 出版后一年[2015版]

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第一作者单位: [1]Department of Gastroenterology, China–Japan Friendship Hospital, 2nd Yinghua East Road, Chaoyang District, Beijing 100029, People’s Republic of China [2]Graduate School, Peking Union Medical College and Chinese Academy of Medical Sciences, 9th Dong Dan San Tiao, Dongcheng District, Beijing 100730, People’s Republic of China
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通讯机构: [1]Department of Gastroenterology, China–Japan Friendship Hospital, 2nd Yinghua East Road, Chaoyang District, Beijing 100029, People’s Republic of China [2]Graduate School, Peking Union Medical College and Chinese Academy of Medical Sciences, 9th Dong Dan San Tiao, Dongcheng District, Beijing 100730, People’s Republic of China
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