• Neuromodulation · Apr 2015

    Review

    Neurostimulation of the gastrointestinal tract: review of recent developments.

    • Thomas L Abell, Jiande Chen, Anton Emmanuel, Christopher Jolley, Abeezar I Sarela, and Hans Törnblom.
    • Department of Internal Medicine, Division of Gastroenterology, Hepatology and Nutrition, University of Louisville, Louisville, KY, USA.
    • Neuromodulation. 2015 Apr 1;18(3):221-7; discussion 227.

    ObjectiveNeurostimulation is one manifestation of neuromodulation of the gastrointestinal (GI) tract. This manuscript reviews the history of neurostimulation of the GI tract with emphasis on current methods of stimulation.Materials And MethodsA review was completed of the current research on GI neurostimulation methods with an emphasis on their clinical applications.ResultsUpper GI disorders can be modulated with both temporary (placed endoscopically or surgically) or permanent (placed surgically) gastric electrical stimulation (GES) devices. The current GI neurostimulation of stomach (GES) devices have been used in both children and adults, and some patients have been followed in excess of 15 years with good long-term results. Similar GES devices also have been used for a variety of lower GI disorders, including constipation and fecal incontinence, for a number of years.ConclusionsGI neurostimulation, as a type of neuromodulation, has been demonstrated to function at several locations in the GI tract for a variety of disorders. The future of neurostimulation in the GI tract will likely be influenced by a better understanding of pathophysiology as well as the development of new techniques and devices for neuromodulation.© 2015 International Neuromodulation Society.

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