Department of Electrical and Computer Engineering, University of Calgary, Calgary, Alberta, Canada.
Physiol Meas. 2011 Aug;32(8):1103-15. doi: 10.1088/0967-3334/32/8/007. Epub 2011 Jun 21.
Functional neural gastrointestinal electrical stimulation (NGES) is a methodology of gastric electrical stimulation that can be applied as a possible treatment for disorders such as obesity and gastroparesis. NGES is capable of generating strong lumen-occluding local contractions that can produce retrograde or antegrade movement of gastric content. A feedback-controlled implantable NGES system has been designed, implemented and tested both in laboratory conditions and in an acute animal setting. The feedback system, based on gastric tissue impedance change, is aimed at reducing battery energy requirements and managing the phenomenon of gastric tissue accommodation. Acute animal testing was undertaken in four mongrel dogs (2 M, 2 F, weight 25.53 ± 7.3 kg) that underwent subserosal two-channel electrode implantation. Three force transducers sutured serosally along the gastric axis and a wireless signal acquisition system were utilized to record stimulation-generated contractions and tissue impedance variations respectively. Mechanically induced contractions in the stomach were utilized to indirectly generate a tissue impedance change that was detected by the feedback system. Results showed that increasing or decreasing impedance changes were detected by the implantable stimulator and that therapy can be triggered as a result. The implantable feedback system brings NGES one step closer to long term treatment of burdening gastric motility disorders in humans.
功能性神经胃肠电刺激(NGES)是一种胃电刺激方法,可作为肥胖和胃轻瘫等疾病的可能治疗方法。NGES 能够产生强烈的管腔闭塞性局部收缩,从而产生胃内容物的逆行或顺行运动。已经设计、实施和测试了基于胃组织阻抗变化的反馈控制可植入式 NGES 系统,以降低电池能量需求并管理胃组织顺应性现象。在四只杂种狗(2 只雄性,2 只雌性,体重 25.53 ± 7.3kg)中进行了急性动物测试,这些狗接受了黏膜下双通道电极植入。三个力传感器沿胃轴缝合到浆膜上,无线信号采集系统用于分别记录刺激产生的收缩和组织阻抗变化。通过机械诱导的胃收缩来间接产生组织阻抗变化,该变化由反馈系统检测。结果表明,植入式刺激器可以检测到阻抗变化的增加或减少,并且可以因此触发治疗。可植入式反馈系统使 NGES 更接近于长期治疗人类负担过重的胃动力障碍。
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