Skip to main content
Top
Published in: Obesity Surgery 1/2014

Open Access 01-01-2014 | Original Contributions

Parameter Selection and Stimulating Effects of an Adjustable Gastric Electrical Stimulator in Dogs

Authors: Xiaojuan Guo, Yanmei Li, Shukun Yao, Shaoxuan Chen, Yuhui Du, Zhihua Wang

Published in: Obesity Surgery | Issue 1/2014

Login to get access

Abstract

Background

Gastric electrical stimulation (GES) has been proposed as a promising therapeutic option in treating obesity for 20 years. Currently, the available device of GES cannot meet the clinical needs. The purpose of this study is to verify the effect of a new type of adjustable gastric electrical stimulator in reducing food intake and body weight.

Methods

Eight beagle dogs randomly followed GES and sham GES for 3 months in a crossover design. Parameters were adjusted and individualized during the experiment. Symptoms of GES were recorded, and the effective parameters were selected. Resistance to GES was assessed. Food intake and body weight were measured to evaluate the effect of GES.

Results

The effective parameters were varied among the dogs. Resistance to GES was observed in different periods in dogs. Parameters needed to be adjusted every 10.2 ± 2.1 days during the period of GES. Food intake during GES for 3 months was significantly reduced than that during sham GES of 3 months (P < 0.05). With the decreased food intake, body weight was significantly reduced by the end of GES of 3 months compared with that of sham GES of 3 months (P < 0.05).

Conclusions

Food intake and body weight of dogs are significantly reduced by adjustable GES. Individual parameters and resistance during GES are required to be considered. The new adjustable device may have good prospects of clinical application for obesity.
Literature
1.
3.
go back to reference Cigaina VV, Saggioro A, Rigo VV, et al. Long-term effects of gastric pacing to reduce feed intake in swine. Obes Surg. 1996;6:250–3.PubMedCrossRef Cigaina VV, Saggioro A, Rigo VV, et al. Long-term effects of gastric pacing to reduce feed intake in swine. Obes Surg. 1996;6:250–3.PubMedCrossRef
4.
go back to reference Hasler WL. Methods of gastric electrical stimulation and pacing: a review of their benefits and mechanisms of action in gastroparesis and obesity. Neurogastroenterol Motil. 2009;21:229–43.PubMedCrossRef Hasler WL. Methods of gastric electrical stimulation and pacing: a review of their benefits and mechanisms of action in gastroparesis and obesity. Neurogastroenterol Motil. 2009;21:229–43.PubMedCrossRef
5.
go back to reference Bohdjalian A, Prager G, Aviv R, et al. One-year experience with Tantalus: a new surgical approach to treat morbid obesity. Obes Surg. 2006;16:627–34.PubMedCrossRef Bohdjalian A, Prager G, Aviv R, et al. One-year experience with Tantalus: a new surgical approach to treat morbid obesity. Obes Surg. 2006;16:627–34.PubMedCrossRef
6.
go back to reference Shikora SA. Implantable gastric stimulation for the treatment of severe obesity. Obes Surg. 2004;14:545–8.PubMedCrossRef Shikora SA. Implantable gastric stimulation for the treatment of severe obesity. Obes Surg. 2004;14:545–8.PubMedCrossRef
7.
go back to reference Yin J, Chen JD. Retrograde gastric electrical stimulation reduces food intake and weight in obese rats. Obes Res. 2005;13:1580–7.PubMedCrossRef Yin J, Chen JD. Retrograde gastric electrical stimulation reduces food intake and weight in obese rats. Obes Res. 2005;13:1580–7.PubMedCrossRef
8.
go back to reference Ouyang H, Xing J, Chen JD. Tachygastria induced by gastric electrical stimulation is mediated via alpha- and beta-adrenergic pathway and inhibits antral motility in dogs. Neurogastroenterol Motil. 2005;17:846–53.PubMedCrossRef Ouyang H, Xing J, Chen JD. Tachygastria induced by gastric electrical stimulation is mediated via alpha- and beta-adrenergic pathway and inhibits antral motility in dogs. Neurogastroenterol Motil. 2005;17:846–53.PubMedCrossRef
9.
go back to reference Shikora SA. Implantable gastric stimulation—the surgical procedure: combining safety with simplicity. Obes Surg. 2004;14:S9–S13.PubMedCrossRef Shikora SA. Implantable gastric stimulation—the surgical procedure: combining safety with simplicity. Obes Surg. 2004;14:S9–S13.PubMedCrossRef
11.
go back to reference Abell TL, Minocha A, Abidi N. Looking to the future: electrical stimulation for obesity. Am J Med Sci. 2006;331:226–32.PubMedCrossRef Abell TL, Minocha A, Abidi N. Looking to the future: electrical stimulation for obesity. Am J Med Sci. 2006;331:226–32.PubMedCrossRef
12.
go back to reference Bohdjalian A, Ludvik B, Guerci B, et al. Improvement in glycemic control by gastric electrical stimulation (Tantalus) in overweight subjects with type 2 diabetes. Surg Endosc. 2009;23(9):1955–60.PubMedCrossRef Bohdjalian A, Ludvik B, Guerci B, et al. Improvement in glycemic control by gastric electrical stimulation (Tantalus) in overweight subjects with type 2 diabetes. Surg Endosc. 2009;23(9):1955–60.PubMedCrossRef
13.
go back to reference Dellon ES, Bozymski EM. Gastric electrical stimulation: “scoping” out new directions. Gastrointest Endosc. 2007;66:987–9.PubMedCrossRef Dellon ES, Bozymski EM. Gastric electrical stimulation: “scoping” out new directions. Gastrointest Endosc. 2007;66:987–9.PubMedCrossRef
14.
go back to reference Favretti F, De Luca M, Segato G, et al. Treatment of morbid obesity with the Transcend Implantable Gastric Stimulator (IGS): a prospective survey. Obes Surg. 2004;14:666–70.PubMedCrossRef Favretti F, De Luca M, Segato G, et al. Treatment of morbid obesity with the Transcend Implantable Gastric Stimulator (IGS): a prospective survey. Obes Surg. 2004;14:666–70.PubMedCrossRef
15.
go back to reference Yin J, Chen JD. Implantable gastric electrical stimulation: ready for prime time? Gastroenterology. 2008;134:665–7.PubMedCrossRef Yin J, Chen JD. Implantable gastric electrical stimulation: ready for prime time? Gastroenterology. 2008;134:665–7.PubMedCrossRef
16.
go back to reference Chen J. Mechanisms of action of the implantable gastric stimulator for obesity. Obes Surg. 2004;14 Suppl 1:S28–32.PubMedCrossRef Chen J. Mechanisms of action of the implantable gastric stimulator for obesity. Obes Surg. 2004;14 Suppl 1:S28–32.PubMedCrossRef
17.
go back to reference D’Argent J. Gastric electrical stimulation as therapy of morbid obesity: preliminary results from the French study. Obes Surg. 2002;12 Suppl 1:21S–5S.PubMedCrossRef D’Argent J. Gastric electrical stimulation as therapy of morbid obesity: preliminary results from the French study. Obes Surg. 2002;12 Suppl 1:21S–5S.PubMedCrossRef
18.
go back to reference Cigaina V. Gastric pacing as therapy for morbid obesity: preliminary results. Obes Surg. 2002;12 Suppl 1:12S–6S.PubMedCrossRef Cigaina V. Gastric pacing as therapy for morbid obesity: preliminary results. Obes Surg. 2002;12 Suppl 1:12S–6S.PubMedCrossRef
19.
go back to reference Zhang J, Tang M, Chen JD. Gastric electrical stimulation for obesity: the need for a new device using wider pulses. Obesity (Silver Spring). 2009;17:474–80.CrossRef Zhang J, Tang M, Chen JD. Gastric electrical stimulation for obesity: the need for a new device using wider pulses. Obesity (Silver Spring). 2009;17:474–80.CrossRef
20.
go back to reference Zhang J, Chen JD. Systematic review: applications and future of gastric electrical stimulation. Aliment Pharmacol Ther. 2006;24:991–1002.PubMedCrossRef Zhang J, Chen JD. Systematic review: applications and future of gastric electrical stimulation. Aliment Pharmacol Ther. 2006;24:991–1002.PubMedCrossRef
21.
go back to reference Yao SK, Ke MY, Wang ZF, et al. Visceral sensitivity to gastric stimulation and its correlation with alterations in gastric emptying and accommodation in humans. Obes Surg. 2005;15:247–53.PubMedCrossRef Yao SK, Ke MY, Wang ZF, et al. Visceral sensitivity to gastric stimulation and its correlation with alterations in gastric emptying and accommodation in humans. Obes Surg. 2005;15:247–53.PubMedCrossRef
22.
go back to reference Yao SK, Ke MY, Wang ZF, et al. Visceral response to acute retrograde gastric electrical stimulation in healthy human. World J Gastroenterol. 2005;11:4541–6.PubMed Yao SK, Ke MY, Wang ZF, et al. Visceral response to acute retrograde gastric electrical stimulation in healthy human. World J Gastroenterol. 2005;11:4541–6.PubMed
23.
go back to reference Lei Y, Xing J, Chen JD. The effect on gastric tone of gastric electrical stimulation with trains of short pulses varies with sites and stimulation conditions. Dig Dis Sci. 2008;53(8):2066–71.PubMedCrossRef Lei Y, Xing J, Chen JD. The effect on gastric tone of gastric electrical stimulation with trains of short pulses varies with sites and stimulation conditions. Dig Dis Sci. 2008;53(8):2066–71.PubMedCrossRef
24.
go back to reference De Luca M, Segato G, Busetto L, et al. Progress in implantable gastric stimulation: summary of results of the European multi-center study. Obes Surg. 2004;14:S33–9.PubMedCrossRef De Luca M, Segato G, Busetto L, et al. Progress in implantable gastric stimulation: summary of results of the European multi-center study. Obes Surg. 2004;14:S33–9.PubMedCrossRef
25.
go back to reference Shikora SA, Bergenstal R, Bessler M, et al. Implantable gastric stimulation for the treatment of clinically severe obesity: results of the SHAPE trial. Surg Obes Relat Dis. 2009;5:31–7.PubMedCrossRef Shikora SA, Bergenstal R, Bessler M, et al. Implantable gastric stimulation for the treatment of clinically severe obesity: results of the SHAPE trial. Surg Obes Relat Dis. 2009;5:31–7.PubMedCrossRef
26.
go back to reference Hoeller E, Aigner F, Margreiter R, et al. Intragastric stimulation is ineffective after failed adjustable gastric banding. Obes Surg. 2006;16:1160–5.PubMedCrossRef Hoeller E, Aigner F, Margreiter R, et al. Intragastric stimulation is ineffective after failed adjustable gastric banding. Obes Surg. 2006;16:1160–5.PubMedCrossRef
27.
go back to reference Shikora SA. “What are the Yanks doing?” The U.S. experience with implantable gastric stimulation (IGS) for the treatment of obesity—update on the ongoing clinical trials. Obes Surg. 2004;14:S40–8.PubMedCrossRef Shikora SA. “What are the Yanks doing?” The U.S. experience with implantable gastric stimulation (IGS) for the treatment of obesity—update on the ongoing clinical trials. Obes Surg. 2004;14:S40–8.PubMedCrossRef
28.
go back to reference Zhang J, Maude-Griffin R, Zhu H, et al. Gastric electrical stimulation parameter dependently alters ventral medial hypothalamic activity and feeding in obese rats. Am J Physiol Gastrointest Liver Physiol. 2011;301:G912–8.PubMedCrossRef Zhang J, Maude-Griffin R, Zhu H, et al. Gastric electrical stimulation parameter dependently alters ventral medial hypothalamic activity and feeding in obese rats. Am J Physiol Gastrointest Liver Physiol. 2011;301:G912–8.PubMedCrossRef
29.
go back to reference Song GQ, Hou X, Sun Y, et al. Effects of retrograde gastric electrical stimulation with pulse trains on gastric emptying of solids and plasma hormones in dogs. Am J Surg. 2007;194:122–7.PubMedCrossRef Song GQ, Hou X, Sun Y, et al. Effects of retrograde gastric electrical stimulation with pulse trains on gastric emptying of solids and plasma hormones in dogs. Am J Surg. 2007;194:122–7.PubMedCrossRef
30.
go back to reference Du P, Li S, O’Grady G, et al. Effects of electrical stimulation on isolated rodent gastric smooth muscle cells evaluated via a joint computational simulation and experimental approach. Am J Physiol Gastrointest Liver Physiol. 2009;297:G672–80.PubMedCrossRef Du P, Li S, O’Grady G, et al. Effects of electrical stimulation on isolated rodent gastric smooth muscle cells evaluated via a joint computational simulation and experimental approach. Am J Physiol Gastrointest Liver Physiol. 2009;297:G672–80.PubMedCrossRef
31.
go back to reference Mizrahi M, Ben Ya’acov A, Ilan Y. Gastric stimulation for weight loss. World J Gastroenterol. 2012;18:2309–19.PubMedCrossRef Mizrahi M, Ben Ya’acov A, Ilan Y. Gastric stimulation for weight loss. World J Gastroenterol. 2012;18:2309–19.PubMedCrossRef
32.
go back to reference Gallas S, Sinno MH, Boukhettala N, et al. Gastric electrical stimulation increases ghrelin production and inhibits catecholaminergic brainstem neurons in rats. Eur J Neurosci. 2011;33:276–84.PubMedCrossRef Gallas S, Sinno MH, Boukhettala N, et al. Gastric electrical stimulation increases ghrelin production and inhibits catecholaminergic brainstem neurons in rats. Eur J Neurosci. 2011;33:276–84.PubMedCrossRef
33.
go back to reference Xu J, McNearney TA, Chen JD. Gastric/intestinal electrical stimulation modulates appetite regulatory peptide hormones in the stomach and duodenum in rats. Obes Surg. 2007;17:406–13.PubMedCrossRef Xu J, McNearney TA, Chen JD. Gastric/intestinal electrical stimulation modulates appetite regulatory peptide hormones in the stomach and duodenum in rats. Obes Surg. 2007;17:406–13.PubMedCrossRef
34.
go back to reference Lin Z, Forster J, Sarosiek I, et al. Effect of high-frequency gastric electrical stimulation on gastric myoelectric activity in gastroparetic patients. Neurogastroenterol Motil. 2004;16:205–12.PubMedCrossRef Lin Z, Forster J, Sarosiek I, et al. Effect of high-frequency gastric electrical stimulation on gastric myoelectric activity in gastroparetic patients. Neurogastroenterol Motil. 2004;16:205–12.PubMedCrossRef
35.
go back to reference Qin C, Chen JD, Zhang J, et al. Modulatory effects and afferent pathways of gastric electrical stimulation on rat thoracic spinal neurons receiving input from the stomach. Neurosci Res. 2007;57:29–39.PubMedCentralPubMedCrossRef Qin C, Chen JD, Zhang J, et al. Modulatory effects and afferent pathways of gastric electrical stimulation on rat thoracic spinal neurons receiving input from the stomach. Neurosci Res. 2007;57:29–39.PubMedCentralPubMedCrossRef
36.
go back to reference Zhang J, Liu S, Tang M, et al. Optimal locations and parameters of gastric electrical stimulation in altering ghrelin and oxytocin in the hypothalamus of rats. Neurosci Res. 2008;62:262–9.PubMedCrossRef Zhang J, Liu S, Tang M, et al. Optimal locations and parameters of gastric electrical stimulation in altering ghrelin and oxytocin in the hypothalamus of rats. Neurosci Res. 2008;62:262–9.PubMedCrossRef
37.
go back to reference Yao SK, Ke MY, Wang ZF, et al. Retrograde gastric pacing reduces food intake and delays gastric emptying in humans: a potential therapy for obesity? Dig Dis Sci. 2005;50:1569–75.PubMedCrossRef Yao SK, Ke MY, Wang ZF, et al. Retrograde gastric pacing reduces food intake and delays gastric emptying in humans: a potential therapy for obesity? Dig Dis Sci. 2005;50:1569–75.PubMedCrossRef
38.
go back to reference Xing JH, Brody F, Brodsky J, et al. Gastric electrical-stimulation effects on canine gastric emptying, food intake, and body weight. Obes Res. 2003;11:41–7.PubMedCrossRef Xing JH, Brody F, Brodsky J, et al. Gastric electrical-stimulation effects on canine gastric emptying, food intake, and body weight. Obes Res. 2003;11:41–7.PubMedCrossRef
39.
go back to reference Chen JZ, Ueno T, Xu X, et al. Reverse gastric pacing reduces food intake without inducing symptoms in dogs. Scand J Gastroenterol. 2006;41:30–6.PubMedCrossRef Chen JZ, Ueno T, Xu X, et al. Reverse gastric pacing reduces food intake without inducing symptoms in dogs. Scand J Gastroenterol. 2006;41:30–6.PubMedCrossRef
Metadata
Title
Parameter Selection and Stimulating Effects of an Adjustable Gastric Electrical Stimulator in Dogs
Authors
Xiaojuan Guo
Yanmei Li
Shukun Yao
Shaoxuan Chen
Yuhui Du
Zhihua Wang
Publication date
01-01-2014
Publisher
Springer US
Published in
Obesity Surgery / Issue 1/2014
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-013-1037-5

Other articles of this Issue 1/2014

Obesity Surgery 1/2014 Go to the issue