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Published in: Obesity Surgery 6/2015

01-06-2015 | Original Contributions

Gastric Electrical Stimulation Optimized to Inhibit Gastric Motility Reduces Food Intake in Dogs

Authors: Geng-Qing Song, Hongbing Zhu, Yong Lei, Charlene Yuan, Warren Starkebaum, Jieyun Yin, Jiande D. Z. Chen

Published in: Obesity Surgery | Issue 6/2015

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Abstract

Aims

The aim of this study was to test the hypothesis that that a method of gastric electrical stimulation (GES) optimized to inhibit gastric motility was effective in reducing food intake in dogs.

Methods

Female dogs with a gastric cannula and gastric serosal electrodes were studied in three experiments: (1) to determine the best parameters and locations of GES in inhibiting gastric tone, slow waves, and contractions in dogs;( 2) to investigate the reproducibility of the inhibitory effects of GES; and (3) to study the effect of the GES method on food intake in dogs.

Results

(1) For GES to exert significant effects on gastric motility, a pulse width of ≥2 ms was required, and with other appropriate inhibitory parameters, GES was able to increase gastric volume by 190.4 %, reduce antral contractions by 39.7 %, and decrease the percentage of normal slow waves by 47.6 %. In addition, the inhibitory effect of GES was more potent with the stimulation electrodes placed along the lesser or greater curvature than placed in the middle, and more potent with the electrodes placed in the distal stomach than in the proximal stomach; (2) the inhibitory effects of GES on gastric motility were reproducible; (3) the GES method optimized to inhibit gastric motility produced a 20 % reduction in food intakes in non-obese dogs.

Conclusion

GES with appropriate parameters inhibits gastric motility, and the effects are reproducible. The GES method optimized to inhibit gastric motility reduces food intake in healthy dogs and may have a therapeutic potential for treating obesity.
Literature
1.
go back to reference Chen J. Mechanisms of action of the implantable gastric stimulator for obesity. Obes Surg. 2004;14 Suppl 1:S28–32.CrossRefPubMed Chen J. Mechanisms of action of the implantable gastric stimulator for obesity. Obes Surg. 2004;14 Suppl 1:S28–32.CrossRefPubMed
2.
go back to reference Cigaina V. Gastric pacing as therapy for morbid obesity: preliminary results. Obes Surg. 2002;12 Suppl 1:12S–6.CrossRefPubMed Cigaina V. Gastric pacing as therapy for morbid obesity: preliminary results. Obes Surg. 2002;12 Suppl 1:12S–6.CrossRefPubMed
3.
go back to reference Cigaina V. Long-term follow-up of gastric stimulation for obesity: the Mestre 8-year experience. Obes Surg. 2004;14 Suppl 1:S14–22.CrossRefPubMed Cigaina V. Long-term follow-up of gastric stimulation for obesity: the Mestre 8-year experience. Obes Surg. 2004;14 Suppl 1:S14–22.CrossRefPubMed
4.
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–5.CrossRefPubMed D’Argent J. Gastric electrical stimulation as therapy of morbid obesity: preliminary results from the French study. Obes Surg. 2002;12 Suppl 1:21S–5.CrossRefPubMed
5.
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 Suppl 1:S33–9.CrossRefPubMed 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 Suppl 1:S33–9.CrossRefPubMed
6.
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 Suppl 1:S40–8.CrossRefPubMed 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 Suppl 1:S40–8.CrossRefPubMed
7.
go back to reference McCallum RW, Sarosiek I, Lin Z, et al. Preliminary results of gastric electrical stimulation on weight loss and gastric emptying in morbidly obese patients: a randomized double-blinded trial. Neurogastroenterol Motil. 2002;14:440. McCallum RW, Sarosiek I, Lin Z, et al. Preliminary results of gastric electrical stimulation on weight loss and gastric emptying in morbidly obese patients: a randomized double-blinded trial. Neurogastroenterol Motil. 2002;14:440.
8.
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.CrossRefPubMed 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.CrossRefPubMed
9.
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.CrossRefPubMed 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.CrossRefPubMed
10.
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
11.
go back to reference Ouyang H, Yin J, Chen JD. Gastric or intestinal electrical stimulation-induced increase in gastric volume is correlated with reduced food intake. Scand J Gastroenterol. 2006;41:1261–6.CrossRefPubMed Ouyang H, Yin J, Chen JD. Gastric or intestinal electrical stimulation-induced increase in gastric volume is correlated with reduced food intake. Scand J Gastroenterol. 2006;41:1261–6.CrossRefPubMed
12.
go back to reference Spyropoulos C, Katsakoulis E, Mead N, et al. Intragastric balloon for high-risk super-obese patients: a prospective analysis of efficacy. Surg Obes Relat Dis. 2007;3:78–83.CrossRefPubMed Spyropoulos C, Katsakoulis E, Mead N, et al. Intragastric balloon for high-risk super-obese patients: a prospective analysis of efficacy. Surg Obes Relat Dis. 2007;3:78–83.CrossRefPubMed
13.
go back to reference Wang GJ, Tomasi D, Backus W, et al. Gastric distention activates satiety circuitry in the human brain. NeuroImage. 2008;39:1824–31.CrossRefPubMed Wang GJ, Tomasi D, Backus W, et al. Gastric distention activates satiety circuitry in the human brain. NeuroImage. 2008;39:1824–31.CrossRefPubMed
14.
go back to reference Vazquez Roque MI, Camilleri M, Clark MM, et al. Alteration of gastric functions and candidate genes associated with weight reduction in response to sibutramine. Clin Gastroenterol Hepatol. 2007;5:829–37.CrossRefPubMed Vazquez Roque MI, Camilleri M, Clark MM, et al. Alteration of gastric functions and candidate genes associated with weight reduction in response to sibutramine. Clin Gastroenterol Hepatol. 2007;5:829–37.CrossRefPubMed
15.
go back to reference Aviello G, Matias I, Capasso R, et al. Inhibitory effect of the anorexic compound oleoylethanolamide on gastric emptying in control and overweight mice. J Mol Med. 2008;86:413–22.CrossRefPubMed Aviello G, Matias I, Capasso R, et al. Inhibitory effect of the anorexic compound oleoylethanolamide on gastric emptying in control and overweight mice. J Mol Med. 2008;86:413–22.CrossRefPubMed
16.
go back to reference Zhang J, Xu X, Chen JD. Chronic tachygastrial electrical stimulation reduces food intake in dogs. Obesity (Silver Spring). 2007;15:330–9.CrossRef Zhang J, Xu X, Chen JD. Chronic tachygastrial electrical stimulation reduces food intake in dogs. Obesity (Silver Spring). 2007;15:330–9.CrossRef
17.
go back to reference Yao S, Ke M, Wang Z, 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.CrossRefPubMed Yao S, Ke M, Wang Z, 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.CrossRefPubMed
18.
go back to reference Liu J, Hou X, Song G, et al. Gastric electrical stimulation using endoscopically placed mucosal electrodes reduces food intake in humans. Am J Gastroenterol. 2006;101:798–803.CrossRefPubMed Liu J, Hou X, Song G, et al. Gastric electrical stimulation using endoscopically placed mucosal electrodes reduces food intake in humans. Am J Gastroenterol. 2006;101:798–803.CrossRefPubMed
19.
go back to reference Tack J, Coulie B, Wilmer A, et al. Influence of sumatriptan on gastric fundus tone and on the perception of gastric distension in man. Gut. 2000;46:468–73.CrossRefPubMedCentralPubMed Tack J, Coulie B, Wilmer A, et al. Influence of sumatriptan on gastric fundus tone and on the perception of gastric distension in man. Gut. 2000;46:468–73.CrossRefPubMedCentralPubMed
20.
go back to reference Zhu H, Chen JD. Implantable gastric stimulation inhibits gastric motility via sympathetic pathway in dogs. Obes Surg. 2005;15:95–100.CrossRefPubMed Zhu H, Chen JD. Implantable gastric stimulation inhibits gastric motility via sympathetic pathway in dogs. Obes Surg. 2005;15:95–100.CrossRefPubMed
21.
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.CrossRefPubMed 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.CrossRefPubMed
22.
go back to reference Li S, Chen JD. Cellular effects of gastric electrical stimulation on antral smooth muscle cells in rats. Am J Physiol Regul Integr Comp Physiol. 2010;298:R1580–7.CrossRefPubMed Li S, Chen JD. Cellular effects of gastric electrical stimulation on antral smooth muscle cells in rats. Am J Physiol Regul Integr Comp Physiol. 2010;298:R1580–7.CrossRefPubMed
23.
go back to reference Abell TL, Familoni B, Voeller G, et al. Electrophysiologic, morphologic, and serologic features of chronic unexplained nausea and vomiting: lessons learned from 121 consecutive patients. Surgery. 2009;145:476–85.CrossRefPubMed Abell TL, Familoni B, Voeller G, et al. Electrophysiologic, morphologic, and serologic features of chronic unexplained nausea and vomiting: lessons learned from 121 consecutive patients. Surgery. 2009;145:476–85.CrossRefPubMed
24.
go back to reference Familoni BO, Abell TL, Gan Z, et al. Driving gastric electrical activity with electrical stimulation. Ann Biomed Eng. 2005;33:356–64.CrossRefPubMed Familoni BO, Abell TL, Gan Z, et al. Driving gastric electrical activity with electrical stimulation. Ann Biomed Eng. 2005;33:356–64.CrossRefPubMed
25.
go back to reference Zhang J, Chen JD. Systematic review: applications and future of gastric electrical stimulation. Aliment Pharmacol Ther. 2006;24:991–1002.CrossRefPubMed Zhang J, Chen JD. Systematic review: applications and future of gastric electrical stimulation. Aliment Pharmacol Ther. 2006;24:991–1002.CrossRefPubMed
26.
go back to reference Eagon JC, Kelly KA. Effects of gastric pacing on canine gastric motility and emptying. Am J Physiol. 1993;265:G767–74.PubMed Eagon JC, Kelly KA. Effects of gastric pacing on canine gastric motility and emptying. Am J Physiol. 1993;265:G767–74.PubMed
27.
go back to reference Hocking MP, Vogel SB, Sninsky CA. Human gastric myoelectric activity and gastric emptying following gastric surgery and with pacing. Gastroenterology. 1992;103:1811–6.PubMed Hocking MP, Vogel SB, Sninsky CA. Human gastric myoelectric activity and gastric emptying following gastric surgery and with pacing. Gastroenterology. 1992;103:1811–6.PubMed
28.
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.CrossRefPubMed 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.CrossRefPubMed
29.
go back to reference Sun Y, Chen JD. Gastric electrical stimulation reduces gastric tone energy dependently. Scand J Gastroenterol. 2005;40:154–9.CrossRefPubMed Sun Y, Chen JD. Gastric electrical stimulation reduces gastric tone energy dependently. Scand J Gastroenterol. 2005;40:154–9.CrossRefPubMed
30.
go back to reference Xing JH, Chen JD. Effects and mechanisms of long-pulse gastric electrical stimulation on canine gastric tone and accommodation. Neurogastroenterol Motil. 2006;18:136–43.CrossRefPubMed Xing JH, Chen JD. Effects and mechanisms of long-pulse gastric electrical stimulation on canine gastric tone and accommodation. Neurogastroenterol Motil. 2006;18:136–43.CrossRefPubMed
31.
go back to reference Eagon JC, Kelly KA. Effect of electrical stimulation on gastric electrical activity, motility and emptying. Neurogastroenterol Motil. 1995;7:39–45.CrossRefPubMed Eagon JC, Kelly KA. Effect of electrical stimulation on gastric electrical activity, motility and emptying. Neurogastroenterol Motil. 1995;7:39–45.CrossRefPubMed
32.
go back to reference Shikora SA. Implantable gastric stimulation—the surgical procedure: combining safety with simplicity. Obes Surg. 2004;14 Suppl 1:S9–13.CrossRefPubMed Shikora SA. Implantable gastric stimulation—the surgical procedure: combining safety with simplicity. Obes Surg. 2004;14 Suppl 1:S9–13.CrossRefPubMed
33.
go back to reference Champion JK, Williams M, Champion S, et al. Implantable gastric stimulation to achieve weight loss in patients with a low body mass index: early clinical trial results. Surg Endosc. 2006;20:444–7.CrossRefPubMed Champion JK, Williams M, Champion S, et al. Implantable gastric stimulation to achieve weight loss in patients with a low body mass index: early clinical trial results. Surg Endosc. 2006;20:444–7.CrossRefPubMed
34.
go back to reference Phillips RJ, Powley TL. Gastric volume rather than nutrient content inhibits food intake. Am J Physiol. 1996;271:R766–9.PubMed Phillips RJ, Powley TL. Gastric volume rather than nutrient content inhibits food intake. Am J Physiol. 1996;271:R766–9.PubMed
35.
go back to reference Allison C. Intragastric balloons: a temporary treatment for obesity. Issues Emerg Health Technol. 2006;79:1–4.PubMed Allison C. Intragastric balloons: a temporary treatment for obesity. Issues Emerg Health Technol. 2006;79:1–4.PubMed
36.
go back to reference Evans JD, Scott MH. Intragastric balloon in the treatment of patients with morbid obesity. Br J Surg. 2001;88:1245–8.CrossRefPubMed Evans JD, Scott MH. Intragastric balloon in the treatment of patients with morbid obesity. Br J Surg. 2001;88:1245–8.CrossRefPubMed
37.
go back to reference Yao S, Ke M, Wang Z, et al. Visceral sensitivity to gastric stimulation and its correlation with alterations in gastric emptying and accommodation in humans. Obes Surg. 2005;15:7.CrossRef Yao S, Ke M, Wang Z, et al. Visceral sensitivity to gastric stimulation and its correlation with alterations in gastric emptying and accommodation in humans. Obes Surg. 2005;15:7.CrossRef
38.
go back to reference Abell T, McCallum R, Hocking M, et al. Gastric electrical stimulation for medically refractory gastroparesis. Gastroenterology. 2003;125:421–8.CrossRefPubMed Abell T, McCallum R, Hocking M, et al. Gastric electrical stimulation for medically refractory gastroparesis. Gastroenterology. 2003;125:421–8.CrossRefPubMed
39.
go back to reference Abell TL, Van Cutsem E, Abrahamsson H, et al. Gastric electrical stimulation in intractable symptomatic gastroparesis. Digestion. 2002;66:204–12.CrossRefPubMed Abell TL, Van Cutsem E, Abrahamsson H, et al. Gastric electrical stimulation in intractable symptomatic gastroparesis. Digestion. 2002;66:204–12.CrossRefPubMed
40.
go back to reference McCallum R, Lin Z, Wetzel P, et al. Clinical response to gastric electrical stimulation in patients with postsurgical gastroparesis. Clin Gastroenterol Hepatol. 2005;3:49–54.CrossRefPubMed McCallum R, Lin Z, Wetzel P, et al. Clinical response to gastric electrical stimulation in patients with postsurgical gastroparesis. Clin Gastroenterol Hepatol. 2005;3:49–54.CrossRefPubMed
41.
go back to reference Song GQ, Hou X, Zhu H, et al. Effects and mechanisms of vaginal electrical stimulation on gastric tone in dogs. Neurogastroenterol Motil. 2008;20:377–84.CrossRefPubMed Song GQ, Hou X, Zhu H, et al. Effects and mechanisms of vaginal electrical stimulation on gastric tone in dogs. Neurogastroenterol Motil. 2008;20:377–84.CrossRefPubMed
42.
go back to reference McCallum RW, Chen JD, Lin Z, et al. Gastric pacing improves emptying and symptoms in patients with gastroparesis. Gastroenterology. 1998;114:456–61.CrossRefPubMed McCallum RW, Chen JD, Lin Z, et al. Gastric pacing improves emptying and symptoms in patients with gastroparesis. Gastroenterology. 1998;114:456–61.CrossRefPubMed
43.
go back to reference Sanmiguel CP, Haddad W, Aviv R, et al. The TANTALUS system for obesity: effect on gastric emptying of solids and ghrelin plasma levels. Obes Surg. 2007;17:1503–9.CrossRefPubMed Sanmiguel CP, Haddad W, Aviv R, et al. The TANTALUS system for obesity: effect on gastric emptying of solids and ghrelin plasma levels. Obes Surg. 2007;17:1503–9.CrossRefPubMed
Metadata
Title
Gastric Electrical Stimulation Optimized to Inhibit Gastric Motility Reduces Food Intake in Dogs
Authors
Geng-Qing Song
Hongbing Zhu
Yong Lei
Charlene Yuan
Warren Starkebaum
Jieyun Yin
Jiande D. Z. Chen
Publication date
01-06-2015
Publisher
Springer US
Published in
Obesity Surgery / Issue 6/2015
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-014-1491-8

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