Back to Search Start Over

Laparoscopic Electromyography and Electrostimulation of the Gastrointestinal Tract Before Placement of Theranostic Devices.

Laparoscopic Electromyography and Electrostimulation of the Gastrointestinal Tract Before Placement of Theranostic Devices.

Authors :
Schiemer, Jonas F.
Stumm, Karen
Somerlik-Fuchs, Karin H.
Hoffmann, Klaus-Peter
Ruff, Roman
Lang, Hauke
Farkas, Stefan
Baumgart, Jan
Kneist, Werner
Source :
Surgical Innovation; Oct2023, Vol. 30 Issue 5, p632-635, 4p
Publication Year :
2023

Abstract

Need: Electrical stimulation (ES) is a promising therapy for multisegmental gastrointestinal (GI) motility disorders such as gastroparesis with slow-transit constipation or chronic intestinal pseudo-obstruction. Wireless communicating GI devices for smart sensing and ES-based motility modulation will soon be available. Before placement, a potential benefit for each GI segment must be intraoperatively assessed. Technical Solution: A minimally invasive multisegmental electromyography (EMG) analysis with ES of the GI tract is required. Proof of Concept: Two porcine experiments were performed with a laparoscopic setup. Multiple hook-needle electrodes were subserosally applied in the stomach, duodenum, jejunum, ileum, and colon. EMG signals were acquired for computer-assisted motility analysis. Gastric ES, duodenal ES, jejunal ES, ileal ES, and colonic ES were applied. Next Steps: Further technological and rapid regulatory solutions are desired to initialize a clinical trial of the next generation devices in the near future. Conclusion: We demonstrate a laparoscopic strategy with EMG analysis and ES of multiple GI segments. Thus, GI function may be evaluated before theranostic devices are placed. Extended GI resection or organ transplantation may be delayed or even avoided in affected patients. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
15533506
Volume :
30
Issue :
5
Database :
Complementary Index
Journal :
Surgical Innovation
Publication Type :
Academic Journal
Accession number :
172303881
Full Text :
https://doi.org/10.1177/15533506221147718