A new method enables patients who could benefit from this treatment to be identified, and electrical stimulation leads to reduced nausea and fewer days in hospital, shows a study from the Sahlgrenska Academy at the University of Gothenburg, Sweden.
Gastric electrical stimulation has previously been shown to be effective in most diabetics who suffer from severe vomiting due to the disease. New research shows that people with other severe stomach disorders could also benefit from this treatment.
27 patients were included in a study testing electrical stimulation of the stomach. 22 had fewer symptoms as a result of initial temporary stimulation, and 20 of these then had a permanent pacemaker surgically inserted into the stomach. Of the patients who responded well to temporary stimulation, 90% also had good results in a long-term follow-up of the surgically inserted pacemaker. The treatment led to reduced nausea and vomiting. In another study of 16 patients, electrical stimulation led to fewer days in hospital in the year following treatment.
Simple temporary stimulation through the skin can be used to identify the patients who could benefit from the treatment.
"We insert gastric electrodes into the patient under local anaesthesia through a small incision in the skin, and these are then connected to an external pacemaker," explains junior doctor Stina Andersson, a doctoral student at the Department of Internal Medicine. "If the results are positive, we can be relatively certain that treatment with a surgically inserted pacemaker will work for that patient. The next step is to insert a pacemaker using keyhole surgery."
Based on these studies and previous research, gastric electrical stimulation does not seem to affect the stomach locally.
"We believe instead that the stimulation somehow acts on the brain's centre for nausea and vomiting by activating the neural pathways running from the stomach to the brain," says Andersson.
Some diabetics with severe symptoms are already being treated clinically with a gastric pacemaker. Other patients with hard-to-treat gastrointestinal disorders could also now receive the treatment following careful examination and successful temporary stimulation of the stomach.
"The treatment could, for example, work on intractable nausea following chemotherapy or extreme nausea during pregnancy," says Andersson. "No studies have yet been performed in these areas, however."Stomach disorders
The thesis has been defended.
GLUT5 fluorescent probe fingerprints cancer cells
20.04.2018 | Michigan Technological University
Scientists re-create brain neurons to study obesity and personalize treatment
20.04.2018 | Cedars-Sinai Medical Center
University of Connecticut researchers have created a biodegradable composite made of silk fibers that can be used to repair broken load-bearing bones without the complications sometimes presented by other materials.
Repairing major load-bearing bones such as those in the leg can be a long and uncomfortable process.
Study published in the journal ACS Applied Materials & Interfaces is the outcome of an international effort that included teams from Dresden and Berlin in Germany, and the US.
Scientists at the Helmholtz-Zentrum Dresden-Rossendorf (HZDR) together with colleagues from the Helmholtz-Zentrum Berlin (HZB) and the University of Virginia...
Novel highly efficient and brilliant gamma-ray source: Based on model calculations, physicists of the Max PIanck Institute for Nuclear Physics in Heidelberg propose a novel method for an efficient high-brilliance gamma-ray source. A giant collimated gamma-ray pulse is generated from the interaction of a dense ultra-relativistic electron beam with a thin solid conductor. Energetic gamma-rays are copiously produced as the electron beam splits into filaments while propagating across the conductor. The resulting gamma-ray energy and flux enable novel experiments in nuclear and fundamental physics.
The typical wavelength of light interacting with an object of the microcosm scales with the size of this object. For atoms, this ranges from visible light to...
Stable joint cartilage can be produced from adult stem cells originating from bone marrow. This is made possible by inducing specific molecular processes occurring during embryonic cartilage formation, as researchers from the University and University Hospital of Basel report in the scientific journal PNAS.
Certain mesenchymal stem/stromal cells from the bone marrow of adults are considered extremely promising for skeletal tissue regeneration. These adult stem...
In the fight against cancer, scientists are developing new drugs to hit tumor cells at so far unused weak points. Such a “sore spot” is the protein complex...
13.04.2018 | Event News
12.04.2018 | Event News
09.04.2018 | Event News
20.04.2018 | Physics and Astronomy
20.04.2018 | Interdisciplinary Research
20.04.2018 | Physics and Astronomy