Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, China.
Department of Gastroenterology, the Fifth Affiliated Hospital of Zunyi Medical College, Changhai Hospital, Second Military Medical University, Shanghai, China.
Sci Rep. 2017 Jun 6;7(1):2841. doi: 10.1038/s41598-017-02844-4.
Constipation, mainly manifesting as abdominal discomfort and painful defecation, is considered as a chronic disorder. Due to a lack of effective therapy, it imposes a significant economic burden and greatly impacts patients' quality of life which prompt searches for new, original approaches. Based on the research of vibrating capsule (VC) carried out by Ron et al., we investigated the safety and efficacy of an innovative, multi-mode VC in terms of its effect on defecation in animal studies. The parameters associated with different operation modes of VCs can be detected and adjusted by smartphone controlled external configuration device (ECD). The results of blood tests, physiological parameters, CT scan and pathological examination showed no significant abnormality, which undoubtedly confirmed the safety of VCs. For efficacy studies, defecation frequency of beagles increased after administration of these capsules without influence on stool characters. Meanwhile, the mean time of capsule evacuation tended to be reduced while showing no significant difference between different modes. In summary, this study elucidates the safety and effectiveness of VC in prompting the passage of gastrointestinal walls thus greatly increasing the defecation frequency. This study innovatively displays the promising application of VC in the treatment of constipation.
便秘主要表现为腹部不适和排便困难,被认为是一种慢性疾病。由于缺乏有效的治疗方法,它给患者带来了巨大的经济负担,并严重影响了他们的生活质量,因此需要寻找新的、原创的方法。基于 Ron 等人对振动胶囊(VC)的研究,我们研究了一种创新的多模式 VC 在动物研究中对排便的安全性和有效性。可以通过智能手机控制的外部配置设备(ECD)检测和调整与 VC 不同操作模式相关的参数。血液检查、生理参数、CT 扫描和病理检查结果均无明显异常,这无疑证实了 VC 的安全性。在疗效研究中,这些胶囊给药后比格犬的排便频率增加,而粪便特征不受影响。同时,胶囊排空的平均时间趋于缩短,不同模式之间无显著差异。总之,本研究阐明了 VC 促进胃肠道壁通过的安全性和有效性,从而大大增加了排便频率。本研究创新性地展示了 VC 在治疗便秘方面的应用前景。