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Published in: Neurosurgical Review 1/2012

01-01-2012 | Review

Deep brain stimulation for obesity—from theoretical foundations to designing the first human pilot study

Authors: Nestor D. Tomycz, Donald M. Whiting, Michael Y. Oh

Published in: Neurosurgical Review | Issue 1/2012

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Abstract

Obesity is perhaps an evolutionary consequence of a species reared with intermittent caloric reward. Humans are hardwired to enjoy food, and our bodies voraciously extract and store energy from food as if each meal was the last. As an amalgam of behavioral and metabolic disturbance, obesity is an attractive target for deep brain stimulation (DBS) since neuromodulation may be able to influence both eating behavior and metabolism. The current pandemic proportions of obesity combined with the failures and morbidity of modern treatments remain the impetus behind the application of DBS to this complex disease. We review the rationale and scientific foundations for obesity DBS and explain how this preclinical evidence has helped sculpt the design of the first human pilot study.
Literature
1.
go back to reference Anand BK, Brobeck JR (1951) Localization of a “feeding center” in the hypothalamus of the rat. Proc Soc Exp Biol Med 77:323–324PubMed Anand BK, Brobeck JR (1951) Localization of a “feeding center” in the hypothalamus of the rat. Proc Soc Exp Biol Med 77:323–324PubMed
2.
go back to reference Andersson B (1951) The effect and localization of electrical stimulation of certain parts of the brain stem in sheep and goats. Acta Physiol Scand 23:8–23PubMedCrossRef Andersson B (1951) The effect and localization of electrical stimulation of certain parts of the brain stem in sheep and goats. Acta Physiol Scand 23:8–23PubMedCrossRef
3.
go back to reference Benoit SC, Clegg DJ, Seeley RJ et al (2004) Insulin and leptin as adiposity signals. Recent Prog Horm Res 59:267–285PubMedCrossRef Benoit SC, Clegg DJ, Seeley RJ et al (2004) Insulin and leptin as adiposity signals. Recent Prog Horm Res 59:267–285PubMedCrossRef
4.
go back to reference Bernardis LL, Bellinger LL (1993) The lateral hypothalamic area revisited: neuroanatomy, body weight regulation, neuroendocrinology, and metabolism. Neurosci Biobehav Rev 17:141–193PubMedCrossRef Bernardis LL, Bellinger LL (1993) The lateral hypothalamic area revisited: neuroanatomy, body weight regulation, neuroendocrinology, and metabolism. Neurosci Biobehav Rev 17:141–193PubMedCrossRef
5.
go back to reference Bray GA, Nielsen SJ, Popkin BM (2004) Consumption of high-fructose corn syrup in beverages may play a role in the epidemic of obesity. Am J Clin Nutr 79:537–543PubMed Bray GA, Nielsen SJ, Popkin BM (2004) Consumption of high-fructose corn syrup in beverages may play a role in the epidemic of obesity. Am J Clin Nutr 79:537–543PubMed
6.
go back to reference Champault A, Duwat O, Polliand C et al (2006) Quality of life after laparoscopic gastric banding: prospective study (152 cases) with a follow-up of 2 years. Surg Laparosc Endosc Percutan Tech 16:131–136PubMedCrossRef Champault A, Duwat O, Polliand C et al (2006) Quality of life after laparoscopic gastric banding: prospective study (152 cases) with a follow-up of 2 years. Surg Laparosc Endosc Percutan Tech 16:131–136PubMedCrossRef
7.
go back to reference Cho M, Pinto D, Carrodeguas L et al (2006) Frequency and management of internal hernias after laparoscopic antecolic antegastric Roux-en-Y gastric bypass without division of the small bowel mesentery of closure of mesenteric defects: review of 1400 consecutive cases. Surg Obes Relat Dis 2:87–91PubMedCrossRef Cho M, Pinto D, Carrodeguas L et al (2006) Frequency and management of internal hernias after laparoscopic antecolic antegastric Roux-en-Y gastric bypass without division of the small bowel mesentery of closure of mesenteric defects: review of 1400 consecutive cases. Surg Obes Relat Dis 2:87–91PubMedCrossRef
8.
go back to reference Christou NV, Look D, Maclean LD (2006) Weight gain after short- and long-limb gastric bypass in patients followed for longer than 10 years. Ann Surg 244:734–740PubMedCrossRef Christou NV, Look D, Maclean LD (2006) Weight gain after short- and long-limb gastric bypass in patients followed for longer than 10 years. Ann Surg 244:734–740PubMedCrossRef
9.
go back to reference Covalin A, Feshali A, Judy J (2005) Deep brain stimulation for obesity control: analyzing stimulation parameters to modulate energy expenditure. Proceedings of the 2nd International IEEE EMBS, Conference on Neural Engineering. Arlington, VA: IEEE EMBS, pp. v–viii. Covalin A, Feshali A, Judy J (2005) Deep brain stimulation for obesity control: analyzing stimulation parameters to modulate energy expenditure. Proceedings of the 2nd International IEEE EMBS, Conference on Neural Engineering. Arlington, VA: IEEE EMBS, pp. v–viii.
10.
go back to reference Cox JE, Powley TL (1981) Intragastric pair feeding fails to prevent VMH obesity or hyperinsulinemia. Am J Physiol 240:E566–E572PubMed Cox JE, Powley TL (1981) Intragastric pair feeding fails to prevent VMH obesity or hyperinsulinemia. Am J Physiol 240:E566–E572PubMed
11.
go back to reference Dalcanale L, Oliveira CP, Faintuch J et al (2010) Long-term nutritional outcome after gastric bypass. Obes Surg 20:181–187PubMedCrossRef Dalcanale L, Oliveira CP, Faintuch J et al (2010) Long-term nutritional outcome after gastric bypass. Obes Surg 20:181–187PubMedCrossRef
12.
go back to reference Davis JR (1979) Weight loss, slower growth, and lower fasting heat production rates following LH lesions in female rats. Physiol Behav 23:121–127PubMedCrossRef Davis JR (1979) Weight loss, slower growth, and lower fasting heat production rates following LH lesions in female rats. Physiol Behav 23:121–127PubMedCrossRef
13.
go back to reference Davis L (1934) The relation of the hypophysis, hypothalamus, and the autonomic nervous system to carbohydrate metabolism. Ann Surg 100:654–666PubMedCrossRef Davis L (1934) The relation of the hypophysis, hypothalamus, and the autonomic nervous system to carbohydrate metabolism. Ann Surg 100:654–666PubMedCrossRef
14.
go back to reference De Prisco C, Levine SN (2005) Metabolic bone disease after gastric bypass surgery for obesity. Am J Med Sci 329:57–61PubMedCrossRef De Prisco C, Levine SN (2005) Metabolic bone disease after gastric bypass surgery for obesity. Am J Med Sci 329:57–61PubMedCrossRef
15.
go back to reference D’Haeninck A, De Leyn P, Swinnen F (2009) Internal herniation after Roux-en-Y gastric bypass: case reports and a review of the literature. Acta Chir Belg 109:385–391PubMed D’Haeninck A, De Leyn P, Swinnen F (2009) Internal herniation after Roux-en-Y gastric bypass: case reports and a review of the literature. Acta Chir Belg 109:385–391PubMed
16.
go back to reference Duffey BG, Pedro RB, Makhlouf A et al (2008) Roux-en-Y gastric bypass is associated with early increased risk factors for development of calcium oxalate nephrolithiasis. J Am Coll Surg 206:1145–1153PubMedCrossRef Duffey BG, Pedro RB, Makhlouf A et al (2008) Roux-en-Y gastric bypass is associated with early increased risk factors for development of calcium oxalate nephrolithiasis. J Am Coll Surg 206:1145–1153PubMedCrossRef
17.
go back to reference Figlewicz DP, MacDonald NA, Sipols AJ (2006) Modulation of food reward by adiposity signals. Physiol Behav 91:473–478PubMedCrossRef Figlewicz DP, MacDonald NA, Sipols AJ (2006) Modulation of food reward by adiposity signals. Physiol Behav 91:473–478PubMedCrossRef
18.
go back to reference Frohlich A (1901) Ein fall von tumor der hypophysis cerebri ohne akromegalie. Wiener Klinische Rundschau 15(833–836):906–908 Frohlich A (1901) Ein fall von tumor der hypophysis cerebri ohne akromegalie. Wiener Klinische Rundschau 15(833–836):906–908
19.
go back to reference Gasteyger C, Suter M, Gaillard RC et al (2008) Nutritional deficiencies after Roux-en-Y gastric bypass for morbid obesity often cannot be prevented by standard multivitamin supplementation. Am J Clin Nutr 87:1128–1133PubMed Gasteyger C, Suter M, Gaillard RC et al (2008) Nutritional deficiencies after Roux-en-Y gastric bypass for morbid obesity often cannot be prevented by standard multivitamin supplementation. Am J Clin Nutr 87:1128–1133PubMed
20.
go back to reference Goldner WS, O’Dorisio TM, Dillon JS et al (2002) Severe metabolic bone disease as a long-term complications of obesity surgery. Obes Surg 12:685–692PubMedCrossRef Goldner WS, O’Dorisio TM, Dillon JS et al (2002) Severe metabolic bone disease as a long-term complications of obesity surgery. Obes Surg 12:685–692PubMedCrossRef
21.
22.
go back to reference Gottig S, Daskalakis M, Weiner S et al (2009) Analysis of safety and efficacy of intragastric balloon in extremely obese patients. Obes Surg 19:677–683PubMedCrossRef Gottig S, Daskalakis M, Weiner S et al (2009) Analysis of safety and efficacy of intragastric balloon in extremely obese patients. Obes Surg 19:677–683PubMedCrossRef
23.
go back to reference Halpern CH, Wolf JA, Bale TL et al (2008) Deep brain stimulation in the treatment of obesity: a review. J Neurosurg 109:625–634PubMedCrossRef Halpern CH, Wolf JA, Bale TL et al (2008) Deep brain stimulation in the treatment of obesity: a review. J Neurosurg 109:625–634PubMedCrossRef
24.
go back to reference Hamani C, McAndrews MP, Cohn M et al (2008) Memory enhancement induced by hypothalamic/fornix deep brain stimulation. Ann Neurol 63:119–123PubMedCrossRef Hamani C, McAndrews MP, Cohn M et al (2008) Memory enhancement induced by hypothalamic/fornix deep brain stimulation. Ann Neurol 63:119–123PubMedCrossRef
25.
go back to reference Harrell LE, Decastro JM, Balagura S (1975) A critical evaluation of body weight loss following lateral hypothalamic lesions. Physiol Behav 15:133–136PubMedCrossRef Harrell LE, Decastro JM, Balagura S (1975) A critical evaluation of body weight loss following lateral hypothalamic lesions. Physiol Behav 15:133–136PubMedCrossRef
26.
go back to reference Hefco V, Artenie V (1977) The hypothalamus and protein metabolism in rats. Physiologie 14:39–42PubMed Hefco V, Artenie V (1977) The hypothalamus and protein metabolism in rats. Physiologie 14:39–42PubMed
27.
go back to reference Heron GB, Johnston DA (1976) Hypothalamic tumor presenting as anorexia nervosa. Am J Psychiatry 133:580–582PubMed Heron GB, Johnston DA (1976) Hypothalamic tumor presenting as anorexia nervosa. Am J Psychiatry 133:580–582PubMed
28.
go back to reference Hetherington AW, Ranson SW (1940) Hypothalamic lesions and adiposity in the rat. Anat Rec 78:149–172CrossRef Hetherington AW, Ranson SW (1940) Hypothalamic lesions and adiposity in the rat. Anat Rec 78:149–172CrossRef
29.
go back to reference Iannelli A, Facchiano E, Gugenheim J (2006) Internal hernia after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Obes Surg 16:1265–1271PubMedCrossRef Iannelli A, Facchiano E, Gugenheim J (2006) Internal hernia after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Obes Surg 16:1265–1271PubMedCrossRef
30.
go back to reference Issa H, Al-Saif O, Al-Momen S et al (2010) Bleeding duodenal ulcer after Roux-en-Y gastric bypass surgery: the value of laparoscopic gastroduodenoscopy. Ann Saudi Med 30:67–69PubMed Issa H, Al-Saif O, Al-Momen S et al (2010) Bleeding duodenal ulcer after Roux-en-Y gastric bypass surgery: the value of laparoscopic gastroduodenoscopy. Ann Saudi Med 30:67–69PubMed
31.
go back to reference John S, Hoegerl C (2009) Nutritional deficiencies after gastric bypass surgery. J Am Osteopath Assoc 109:601–604PubMed John S, Hoegerl C (2009) Nutritional deficiencies after gastric bypass surgery. J Am Osteopath Assoc 109:601–604PubMed
32.
go back to reference Kamalian N, Keesey RE, ZuRhein GM (1975) Lateral hypothalamic demyelination and cachexia in a case of “malignant” multiple sclerosis. Neurol 25:25 Kamalian N, Keesey RE, ZuRhein GM (1975) Lateral hypothalamic demyelination and cachexia in a case of “malignant” multiple sclerosis. Neurol 25:25
33.
go back to reference Keesey RE, Corbett SW, Hirvonen MD et al (1984) Heat production and body weight changes following lateral hypothalamic lesions. Physiol Behav 32:309–317PubMedCrossRef Keesey RE, Corbett SW, Hirvonen MD et al (1984) Heat production and body weight changes following lateral hypothalamic lesions. Physiol Behav 32:309–317PubMedCrossRef
34.
go back to reference Keesey RE, Powley TL (1973) Self-stimulation and body weight in rats with lateral hypothalamic lesions. Am J Physiol 224:970–978PubMed Keesey RE, Powley TL (1973) Self-stimulation and body weight in rats with lateral hypothalamic lesions. Am J Physiol 224:970–978PubMed
35.
go back to reference Kolb B, Dodic R, Whishaw IQ (1979) Effects of serial lateral hypothalamic destruction on feeding behavior, body weight, and neocortical and hippocampal EEG activity. Exp Neurol 66:263–276PubMedCrossRef Kolb B, Dodic R, Whishaw IQ (1979) Effects of serial lateral hypothalamic destruction on feeding behavior, body weight, and neocortical and hippocampal EEG activity. Exp Neurol 66:263–276PubMedCrossRef
36.
go back to reference Lacan C, De Salles AAF, Gorgulho AA et al (2008) Modulation of food intake following deep brain stimulation of the ventromedial hypothalamus in the vervet monkey: laboratory investigation. J Neurosurg 108:336–342PubMedCrossRef Lacan C, De Salles AAF, Gorgulho AA et al (2008) Modulation of food intake following deep brain stimulation of the ventromedial hypothalamus in the vervet monkey: laboratory investigation. J Neurosurg 108:336–342PubMedCrossRef
37.
go back to reference Lauta AD (1974) Characteristics of the change in lipid metabolism in lesion of the hypothalamus. Fiziol Zh 20:517–522PubMed Lauta AD (1974) Characteristics of the change in lipid metabolism in lesion of the hypothalamus. Fiziol Zh 20:517–522PubMed
38.
go back to reference Leone M, Franzini A, Felisati G et al (2005) Deep brain stimulation and cluster headache. Neurol Sci 26(2 Suppl):s138–s139PubMedCrossRef Leone M, Franzini A, Felisati G et al (2005) Deep brain stimulation and cluster headache. Neurol Sci 26(2 Suppl):s138–s139PubMedCrossRef
39.
go back to reference Lopez M, Lage R, Saha AK (2008) Hypothalamic fatty acid metabolism mediates the orexigenic action of ghrelin. Cell Metab 7:389–399PubMedCrossRef Lopez M, Lage R, Saha AK (2008) Hypothalamic fatty acid metabolism mediates the orexigenic action of ghrelin. Cell Metab 7:389–399PubMedCrossRef
40.
go back to reference Matrana MR, Davis WE (2009) Vitamin deficiency after gastric bypass surgery: a review. South Med J 102:1025–1031PubMedCrossRef Matrana MR, Davis WE (2009) Vitamin deficiency after gastric bypass surgery: a review. South Med J 102:1025–1031PubMedCrossRef
41.
go back to reference McLaughlin T, Peck M, Holst J et al (2010) Reversible hyperinsulinemic hypoglycemia after gastric bypass: a consequence of altered nutrient deficiency. J Clin Endocrinol Metab 95:1851–1855PubMedCrossRef McLaughlin T, Peck M, Holst J et al (2010) Reversible hyperinsulinemic hypoglycemia after gastric bypass: a consequence of altered nutrient deficiency. J Clin Endocrinol Metab 95:1851–1855PubMedCrossRef
42.
go back to reference Morton GJ (2007) Hypothalamic leptin regulation of energy homeostasis and glucose metabolism. J Physiol 583:437–443PubMedCrossRef Morton GJ (2007) Hypothalamic leptin regulation of energy homeostasis and glucose metabolism. J Physiol 583:437–443PubMedCrossRef
43.
44.
go back to reference Myers MG, Cowley MA, Munzberg H (2008) Mechanisms of leptin action and leptin resistance. Annu Rev Physiol 70:537–555PubMedCrossRef Myers MG, Cowley MA, Munzberg H (2008) Mechanisms of leptin action and leptin resistance. Annu Rev Physiol 70:537–555PubMedCrossRef
45.
go back to reference Ogden CL, Carroll MD, Curtin LR et al (2006) Prevalence of overweight and obesity in the United States, 1999–2004. JAMA 295:1549–1555PubMedCrossRef Ogden CL, Carroll MD, Curtin LR et al (2006) Prevalence of overweight and obesity in the United States, 1999–2004. JAMA 295:1549–1555PubMedCrossRef
46.
go back to reference Ohkawara K, Tanaka S, Ishikawa-Takata K et al (2008) Twenty-four hour analysis of elevated energy expenditure after physical activity in a metabolic chamber: models of daily total energy expenditure. Am J Clin Nutr 87:1268–1276PubMed Ohkawara K, Tanaka S, Ishikawa-Takata K et al (2008) Twenty-four hour analysis of elevated energy expenditure after physical activity in a metabolic chamber: models of daily total energy expenditure. Am J Clin Nutr 87:1268–1276PubMed
47.
go back to reference Padoin AV, Galvao NM, Moretto M et al (2009) Obese patients with type 2 diabetes submitted to banded gastric bypass: greater incidence of dumping syndrome. Obes Surg 19:1481–1484PubMedCrossRef Padoin AV, Galvao NM, Moretto M et al (2009) Obese patients with type 2 diabetes submitted to banded gastric bypass: greater incidence of dumping syndrome. Obes Surg 19:1481–1484PubMedCrossRef
48.
go back to reference Pandey S, Bhattacharya S (2010) Impact of obesity on gynecology. Womens Health 6:107–117CrossRef Pandey S, Bhattacharya S (2010) Impact of obesity on gynecology. Womens Health 6:107–117CrossRef
49.
go back to reference Parent A (1996) Carpenter’s human neuroanatomy, 9th edn. Williams & Wilkins, Baltimore Parent A (1996) Carpenter’s human neuroanatomy, 9th edn. Williams & Wilkins, Baltimore
50.
go back to reference Park AM, Storm DW, Fulmer BR et al (2009) A prospective study of risk factors for nephrolithiasis after Roux-en-Y gastric bypass surgery. J Urol 182:2334–2339PubMedCrossRef Park AM, Storm DW, Fulmer BR et al (2009) A prospective study of risk factors for nephrolithiasis after Roux-en-Y gastric bypass surgery. J Urol 182:2334–2339PubMedCrossRef
51.
go back to reference Penicaud L, Larue-Achagiotis C, Magnen JL (1983) Endocrine basis for weight gain after fasting or VMH lesion in rats. Am J Physiol Endocrinol Metab 245:246–252 Penicaud L, Larue-Achagiotis C, Magnen JL (1983) Endocrine basis for weight gain after fasting or VMH lesion in rats. Am J Physiol Endocrinol Metab 245:246–252
52.
go back to reference Pinsker MO, Bartsch T, Falk D et al (2008) Failure of deep brain stimulation of the posterior inferior hypothalamus in chronic cluster headache—report of two cases and review of the literature. Zentralbl Neurochir 69:76–79PubMedCrossRef Pinsker MO, Bartsch T, Falk D et al (2008) Failure of deep brain stimulation of the posterior inferior hypothalamus in chronic cluster headache—report of two cases and review of the literature. Zentralbl Neurochir 69:76–79PubMedCrossRef
53.
go back to reference Quaade F, Vaernet K, Larsson S (1974) Stereotaxic stimulation and electrocoagulation of the lateral hypothalamus in obese humans. Acta Neurochir (Wien) 30:111–117CrossRef Quaade F, Vaernet K, Larsson S (1974) Stereotaxic stimulation and electrocoagulation of the lateral hypothalamus in obese humans. Acta Neurochir (Wien) 30:111–117CrossRef
54.
go back to reference Reisin E, Wilson JR, Frohlich ED (1987) Hypertension and obesity in rats with ventromedial-hypothalamic lesions and low salt intake. J Hyperten 5:173–178CrossRef Reisin E, Wilson JR, Frohlich ED (1987) Hypertension and obesity in rats with ventromedial-hypothalamic lesions and low salt intake. J Hyperten 5:173–178CrossRef
55.
go back to reference Sangiao-Alvarellos S, Varela L, Vazquez MJ et al (2010) Influence of ghrelin and GH deficiency on AMPK and hypothalamic lipid metabolism. J Neuroendocrinol 22:543–556PubMedCrossRef Sangiao-Alvarellos S, Varela L, Vazquez MJ et al (2010) Influence of ghrelin and GH deficiency on AMPK and hypothalamic lipid metabolism. J Neuroendocrinol 22:543–556PubMedCrossRef
56.
go back to reference Sani S, Jobe K, Smith A et al (2007) Deep brain stimulation for treatment of obesity in rats. J Neurosurg 107:809–813PubMedCrossRef Sani S, Jobe K, Smith A et al (2007) Deep brain stimulation for treatment of obesity in rats. J Neurosurg 107:809–813PubMedCrossRef
57.
go back to reference Scarpace PJ, Zhang Y (2009) Leptin resistance: a predisposing factor for diet-induced obesity. Am J Physiol Regul Integr Comp Physiol 296:493–500CrossRef Scarpace PJ, Zhang Y (2009) Leptin resistance: a predisposing factor for diet-induced obesity. Am J Physiol Regul Integr Comp Physiol 296:493–500CrossRef
58.
go back to reference Schallert T, Whishaw IQ, Flannigan KP (1977) Gastric pathology and feeding deficits induced by hypothalamic damage in rats: effects of lesion type, size, and placement. J Comp Physiol Psychol 91:598–610PubMedCrossRef Schallert T, Whishaw IQ, Flannigan KP (1977) Gastric pathology and feeding deficits induced by hypothalamic damage in rats: effects of lesion type, size, and placement. J Comp Physiol Psychol 91:598–610PubMedCrossRef
59.
go back to reference Schaltenbrand G, Wahren W (1977) Atlas for stereotaxy of the human brain. Thieme, Stuttgart Schaltenbrand G, Wahren W (1977) Atlas for stereotaxy of the human brain. Thieme, Stuttgart
60.
go back to reference Schoenen J, Di Clemente L, Vandenheede M et al (2005) Hypothalamic stimulation in chronic cluster headache: a pilot study of efficacy and mode of action. Brain 128:940–947PubMedCrossRef Schoenen J, Di Clemente L, Vandenheede M et al (2005) Hypothalamic stimulation in chronic cluster headache: a pilot study of efficacy and mode of action. Brain 128:940–947PubMedCrossRef
61.
go back to reference Schulkin J, Ruger J (1980) Relation between lateral hypothalamic damage and impairment of sodium appetite: evidence of subcortical mass action. Behav Neur Biol 30:90–96CrossRef Schulkin J, Ruger J (1980) Relation between lateral hypothalamic damage and impairment of sodium appetite: evidence of subcortical mass action. Behav Neur Biol 30:90–96CrossRef
62.
go back to reference Sears D, Fillmore G, Bui M et al (2008) Evaluation of gastric bypass patients 1 year after surgery: changes in quality of life and obesity-related complications. Obes Surg 18:1522–1525PubMedCrossRef Sears D, Fillmore G, Bui M et al (2008) Evaluation of gastric bypass patients 1 year after surgery: changes in quality of life and obesity-related complications. Obes Surg 18:1522–1525PubMedCrossRef
63.
go back to reference Shahidzadeh R, Sridhar S (2008) Profound copper deficiency in a patient with gastric bypass. Am J Gastroenterol 103:2660–2662PubMedCrossRef Shahidzadeh R, Sridhar S (2008) Profound copper deficiency in a patient with gastric bypass. Am J Gastroenterol 103:2660–2662PubMedCrossRef
64.
go back to reference Shapiro A, Mu W, Roncal C et al (2008) Fructose-induced leptin resistance exacerbates weight gain in response to subsequent high-fat feeding. Am J Physiol Regul Integr Comp Physiol 295:1370–1375CrossRef Shapiro A, Mu W, Roncal C et al (2008) Fructose-induced leptin resistance exacerbates weight gain in response to subsequent high-fat feeding. Am J Physiol Regul Integr Comp Physiol 295:1370–1375CrossRef
65.
go back to reference Singh GK, Siahpush M, Kogan MD (2010) Rising social inequalities in US childhood obesity, 2003–2007. Ann Epidemiol 20:40–52PubMedCrossRef Singh GK, Siahpush M, Kogan MD (2010) Rising social inequalities in US childhood obesity, 2003–2007. Ann Epidemiol 20:40–52PubMedCrossRef
66.
go back to reference Sobocki J, Krolczyk G, Herman RM et al (2005) Influence of vagal nerve stimulation on food intake and body weight—results of experimental studies. J Physiol Pharmacol 56(6 Suppl):27–33PubMed Sobocki J, Krolczyk G, Herman RM et al (2005) Influence of vagal nerve stimulation on food intake and body weight—results of experimental studies. J Physiol Pharmacol 56(6 Suppl):27–33PubMed
67.
go back to reference Spiegel EA, Wycis HT, Freed H et al (1953) Thalamotomy and hypothalamotomy for the treatment of psychosis. Res Assoc Nerv Ment Dis 31:379–391 Spiegel EA, Wycis HT, Freed H et al (1953) Thalamotomy and hypothalamotomy for the treatment of psychosis. Res Assoc Nerv Ment Dis 31:379–391
68.
go back to reference Spires WV, Morris DM (1987) Bleeding duodenal ulcer after gastric bypass procedure for obesity. South Med J 80:1325–1326PubMedCrossRef Spires WV, Morris DM (1987) Bleeding duodenal ulcer after gastric bypass procedure for obesity. South Med J 80:1325–1326PubMedCrossRef
69.
go back to reference Stevenson JAF (1949) Effects of hypothalamic lesions on water and energy metabolism in the rat. Recent Prog Horm Res 4:363–394 Stevenson JAF (1949) Effects of hypothalamic lesions on water and energy metabolism in the rat. Recent Prog Horm Res 4:363–394
70.
go back to reference Tack J, Arts J, Caenepeel P et al (2009) Pathophysiology, diagnosis, and management of postoperative dumping syndrome. Nat Rev Gastroenterol Hepatol 6:583–590PubMedCrossRef Tack J, Arts J, Caenepeel P et al (2009) Pathophysiology, diagnosis, and management of postoperative dumping syndrome. Nat Rev Gastroenterol Hepatol 6:583–590PubMedCrossRef
71.
go back to reference Thornton SN, Larue-Achagiotis N, Campfield A (1991) Body weight gain after VMH lesions in adult female rats guanethidine-sympathectomied at birth. Appetite 17:47–53PubMedCrossRef Thornton SN, Larue-Achagiotis N, Campfield A (1991) Body weight gain after VMH lesions in adult female rats guanethidine-sympathectomied at birth. Appetite 17:47–53PubMedCrossRef
72.
go back to reference Torres N, Chabardes S, Benabid AL (2011) Rationale for hypothalamus-deep brain stimulation in food intake disorders and obesity. Adv Tech Stand Neurosurg 36:17–30PubMedCrossRef Torres N, Chabardes S, Benabid AL (2011) Rationale for hypothalamus-deep brain stimulation in food intake disorders and obesity. Adv Tech Stand Neurosurg 36:17–30PubMedCrossRef
73.
go back to reference van Hout GC, Jakimowicz JJ, Fortuin FA et al (2007) Weight loss and eating behavior following vertical banded gastroplasty. Obes Surg 17:1226–1234PubMedCrossRef van Hout GC, Jakimowicz JJ, Fortuin FA et al (2007) Weight loss and eating behavior following vertical banded gastroplasty. Obes Surg 17:1226–1234PubMedCrossRef
74.
go back to reference Von Der Porten K, Davis JR (1979) Weight loss following LH lesions independent of changes in motor activity and metabolic rate. Physiol Behav 23:813–819CrossRef Von Der Porten K, Davis JR (1979) Weight loss following LH lesions independent of changes in motor activity and metabolic rate. Physiol Behav 23:813–819CrossRef
75.
go back to reference Weller RA, Weller EB (1982) Anorexia nervosa in a patient with an infiltrating tumor of the hypothalamus. Am J Psychiatry 139:824–825PubMed Weller RA, Weller EB (1982) Anorexia nervosa in a patient with an infiltrating tumor of the hypothalamus. Am J Psychiatry 139:824–825PubMed
76.
go back to reference Zerey M, Sigmon LB, Kuwada TS et al (2008) Bleeding duodenal ulcer after roux-en-Y gastric bypass surgery. J Am Osteopath Assoc 108:25–27PubMed Zerey M, Sigmon LB, Kuwada TS et al (2008) Bleeding duodenal ulcer after roux-en-Y gastric bypass surgery. J Am Osteopath Assoc 108:25–27PubMed
Metadata
Title
Deep brain stimulation for obesity—from theoretical foundations to designing the first human pilot study
Authors
Nestor D. Tomycz
Donald M. Whiting
Michael Y. Oh
Publication date
01-01-2012
Publisher
Springer-Verlag
Published in
Neurosurgical Review / Issue 1/2012
Print ISSN: 0344-5607
Electronic ISSN: 1437-2320
DOI
https://doi.org/10.1007/s10143-011-0359-9

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