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生物电子学在胃肠道中的应用。

Use of Bioelectronics in the Gastrointestinal Tract.

机构信息

Division of Gastroenterology, Department of Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Long Island Jewish Medical Center, New York, New York 11040.

School of Engineering & Computing Sciences, New York Institute of Technology (NYIT), Old Westbury, New York 11568.

出版信息

Cold Spring Harb Perspect Med. 2019 Sep 3;9(9):a034165. doi: 10.1101/cshperspect.a034165.


DOI:10.1101/cshperspect.a034165
PMID:30249600
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6719595/
Abstract

Gastrointestinal (GI) motility disorders are major contributing factors to functional GI diseases that account for >40% of patients seen in gastroenterology clinics and affect >20% of the general population. The autonomic and enteric nervous systems and the muscles within the luminal GI tract have key roles in motility. In health, this complex integrated system works seamlessly to transport liquid, solid, and gas through the GI tract. However, major and minor motility disorders occur when these systems fail. Common functional GI motility disorders include dysphagia, gastroesophageal reflux disease, functional dyspepsia, gastroparesis, chronic intestinal pseudo-obstruction, postoperative ileus, irritable bowel syndrome, functional diarrhea, functional constipation, and fecal incontinence. Although still in its infancy, bioelectronic therapy in the GI tract holds great promise through the targeted stimulation of nerves and muscles.

摘要

胃肠道(GI)运动障碍是导致功能性 GI 疾病的主要因素,占消化内科就诊患者的>40%,影响>20%的普通人群。自主神经系统和肠神经系统以及管腔 GI 道内的肌肉在运动中起关键作用。在健康状态下,这个复杂的综合系统能够无缝地将液体、固体和气体输送通过胃肠道。然而,当这些系统出现故障时,就会出现主要和次要的运动障碍。常见的功能性 GI 运动障碍包括吞咽困难、胃食管反流病、功能性消化不良、胃轻瘫、慢性假性肠梗阻、术后肠梗阻、肠易激综合征、功能性腹泻、功能性便秘和粪便失禁。尽管仍处于起步阶段,但通过对神经和肌肉的靶向刺激,胃肠道的生物电子疗法具有广阔的应用前景。

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本文引用的文献

[1]
A Miniature Configurable Wireless System for Recording Gastric Electrophysiological Activity and Delivering High-Energy Electrical Stimulation.

IEEE J Emerg Sel Top Circuits Syst. 2018-6

[2]
Bioelectronics for mapping gut activity.

Brain Res. 2018-8-15

[3]
Flexible microelectrode array for interfacing with the surface of neural ganglia.

J Neural Eng. 2018-3-9

[4]
Energy-efficient waveform for electrical stimulation of the cochlear nerve.

Sci Rep. 2017-10-19

[5]
Electrical therapies for gastrointestinal motility disorders.

Expert Rev Gastroenterol Hepatol. 2017-5

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Cochrane Database Syst Rev. 2016-7-5

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Dis Colon Rectum. 2016-2

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Electrical stimulation therapy of the lower esophageal sphincter is successful in treating GERD: long-term 3-year results.

Surg Endosc. 2016-7

[9]
Bilateral transcutaneous tibial nerve stimulation for chronic constipation.

Colorectal Dis. 2016-2

[10]
Complementary and Alternative Therapies for Chronic Constipation.

Evid Based Complement Alternat Med. 2015

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