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Laparoscopic Electromyography and Electrostimulation of the Gastrointestinal Tract Before Placement of Theranostic Devices.
Schiemer, Jonas F; Stumm, Karen; Somerlik-Fuchs, Karin H; Hoffmann, Klaus-Peter; Ruff, Roman; Lang, Hauke; Farkas, Stefan; Baumgart, Jan; Kneist, Werner.
Afiliación
  • Schiemer JF; Department of General, Visceral and Transplant Surgery, University Medical Center of the Johannes Gutenberg-University Mainz, Germany.
  • Stumm K; Department of General and Visceral Surgery, St Josefs-Hospital Wiesbaden, Germany.
  • Somerlik-Fuchs KH; Translational Animal Research Center, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany.
  • Hoffmann KP; Department of Research and Development, inomed Medizintechnik GmbH, Emmendingen, Germany.
  • Ruff R; Department of Biomedical Engineering, Fraunhofer Institute for Biomedical Engineering, St. Ingbert, Germany.
  • Lang H; Department of Biomedical Engineering, Fraunhofer Institute for Biomedical Engineering, St. Ingbert, Germany.
  • Farkas S; Department of General, Visceral and Transplant Surgery, University Medical Center of the Johannes Gutenberg-University Mainz, Germany.
  • Baumgart J; Department of General and Visceral Surgery, St Josefs-Hospital Wiesbaden, Germany.
  • Kneist W; Translational Animal Research Center, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany.
Surg Innov ; 30(5): 632-635, 2023 Oct.
Article en En | MEDLINE | ID: mdl-36571836
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Terapia por Estimulación Eléctrica / Laparoscopía Límite: Animals / Humans Idioma: En Revista: Surg Innov Año: 2023 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Terapia por Estimulación Eléctrica / Laparoscopía Límite: Animals / Humans Idioma: En Revista: Surg Innov Año: 2023 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Estados Unidos