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Gastric Slow Waves (gastric + slow_wave)

Distribution by Scientific Domains

Medical Sciences	100%

Selected Abstracts

Effects of audio stimulation on gastric myoelectrical activity and sympathovagal balance in healthy adolescents and adults

JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, Issue 1 2008
Dennis D Chen
Abstract Aim:, The primary aim of this study was to investigate the effects of different audio stimulations on gastric myoelectrical activity and sympathovagal balance in adolescents compared with adults. Methods:, The study was performed in 11 adults and 12 adolescents. Each subject underwent two sessions, one for classical music, and the other for noise. Each session consisted of 30 min of baseline, 30 min of fasting audio stimulation, a test meal, 30 min of fed audio stimulation, and 30 min of recovery. Electrocardiogram and electrogastrogram were both recorded throughout each session. Results:, (i) In the fasting state, both classical music and noise impaired gastric slow wave activity in adolescents. In adults, noise had no effects while classical music moderately improved slow wave rhythmicity. (ii) In the fed state, neither noise nor music had any effects on gastric slow waves. (iii) In the fasting state, both noise and music increased the sympathovagal balance in adolescents; in adults only noise had such an effect. (iv) The test meal increased the sympathovagal balance in all groups. Conclusions:, Gastric slow waves and the sympathovagal balance are more strongly affected by audio stimulation in adolescents than in adults. The test meal normalizes the audio stimulation-induced differences between the groups. [source]

47 Effects of retrograde gastric electrical stimulation on gastric motility and plasma hormones in dogs

NEUROGASTROENTEROLOGY & MOTILITY, Issue 6 2006
G SONG
Aims:, The aim of this study was to investigate the effect of different parameters of RGES with trains of long pulses in turning gastric slow waves into tachygastria, and evaluate the effects of RGES with the efficient trains of pulses on gastric slow waves, gastric emptying of solids and plasma concentrations of satiety-related peptides and glucose. Methods:, Seven female dogs implanted with four pairs of gastric electrodes were studied in two experiments. The first experiment included a series of sessions with different pacing parameters in the fasting state, each lasting 10 min. The second experiment included two randomized sessions (control and RGES). Gastric emptying of solid was measured by scintigraphy for a period of 4 h. Blood samples were collected at 45 and 15 min before, 30, 60 and 120 min after the meal. Plasma leptin, insulin and glucagon were measured using radioimmunoassay method. Plasma glucose was assessed with a commercially available glucometer. RGES was applied via the distal pair of electrodes (2 cm above the pylorus) with trains of pulses. RGES was initiated 30 min before the first blood sample and maintained for a period of 2.5 h. Gastric slow waves and symptomatic response were also recorded in each session. Results:, (1) RGES with pulse trains (12 trains/min) was able to turn regular gastric slow waves into tachygastria. (2) RGES with the efficient parameters (frequency: 40 Hz; pulse width: 2 ms; amplitude: 5 mA; train on-time, 2 s; off-time, 3 s) was capable of delaying gastric emptying of solids (P < 0.05). (3) Compared with the control session without RGES, the total AUC's of plasma insulin with RGES was significantly decreased in the fasting and postprandial periods (p < 0.05). However, the total area under curves (AUC's) of plasma leptin, glucagon, and glucose were not significantly affected by RGES (p > 0.05). (4) This method of GES induced no noticeable symptoms. Conclusion:, RGES with at a tachygastrial frequency decreases gastric emptying of solids and plasma insulin, but has no effects on plasma leptin, glucagons, and glucose. [source]

Detection of gastric slow wave uncoupling from multi-channel electrogastrogram: validations and applications

NEUROGASTROENTEROLOGY & MOTILITY, Issue 5 2003
Z. S. Wang
Abstract Current methodology of single channel electrogastrography is unable to detect coupling or uncoupling of gastric slow waves, which is crucial for gastric emptying. In this study, a new methodology, called cross-spectral analysis method, was established to compute the coupling percentage of multi-channel gastric slow waves recorded using serosal electrodes and electrogastrogram (EGG). Two experiments were performed to validate the method and demonstrate its applications in clinical research. In experiment 1, simultaneous recordings of gastric slow waves were made in five dogs from serosal electrodes and cutaneous electrodes. In experiment 2, four-channel fasting EGGs were made in 10 volunteers for 30 min during waking and 30 min during non-rapid eye movement (REM) sleep. The validation study (experiment 1) showed that the slow wave coupling calculated from the EGGs was correlated with that computed from the serosal recordings. The gastric slow wave coupling percentages detected from both serosal and cutaneous recordings were significantly impaired during vasopressin infusion (6.3 ± 2.6 vs 62.4 ± 6.3, P < 0.001 for serosal recordings; 6.7 ± 3.0 vs 57.2 ± 2.7, P < 0.001 for cutaneous recordings), and the coupling percentages respectively calculated from serosal and cutaneous recordings were significantly correlated during the baseline recording period (R = 0.922, P < 0.05) and vasopressin infusion period (R = 0.916, P < 0.05). In experiment 2, the gastric slow wave became less coupled when healthy volunteers fell asleep. The percentage of slow wave coupling calculated from the EGGs was 68.2 ± 17.9% during waking but 41.9 ± 20.8 during non-REM sleep (P < 0.05). The method developed in this study is reliable for the detection of slow wave uncoupling from multi-channel EGGs. Gastric slow wave coupling is impaired during vasopressin infusion and sleep. These data suggest that this method has potential applications in physiological and clinical studies. [source]

22 Comparison of multichannel electrogastrograms obtained with the use of three different electrode types

NEUROGASTROENTEROLOGY & MOTILITY, Issue 6 2006
K JONDERKO
Background/Aims:, Multichannel recording of the gastric myoelectrical activity (GMA) is a promising evolution of electrogastrography. In the study we searched for electrodes the most suitable to obtain high quality multi-channel electrogastrograms. Methods:, Twelve young volunteers (9 F, 3 M, aged 24.3 ± 0.6 years) underwent on separate days three four-channel electrogastrographic recordings of the GMA: 30 min fasted and 90 min after a solid meal stimulation. The electrogastrograms were recorded in randomized order with 3M Red Dot class Ag/AgCl electrodes designed primarily for long-term electrocardiographic monitoring: type2222 (conductive area, CA/total area, TA): 2.00/10.24 cm2, type2271 2.54/29.64 cm2, type2660 11.64/11.64 cm2 (total surface conductive!) and subsequently analysed with Polygram NetÔ EGG 311224 software (Medtronic, USA). Electrical resistance between active electrodes relative to the reference one was measured with a digital ohmmeter before and after the recording session. Results:, Type2660 yielded consistently higher electrical resistance than the other electrode types, moreover in the case of type2271 and type2660 electrical conductivity significantly improved at the end of the recording relative to the basal measurement. Analysis of variance involving the relative time-share of normogastria, meal-induced change in dominant power, as well as a set of parameters unique for the multichannel electrogastrography and intended to characterize the so-called spatial displacement of the gastric slow waves did not reveal any statistically significant effect of the electrode type on the parameters of the multichannel electrogastrogram. Although, when particular numerical data were inspected, type2271 was found to perform slightly worse than the other electrode types. Type2271 was also rated the less handy among the electrodes tested. Conclusion:, Multichannel surface electrogastrography seems to be technically feasible with any type of high quality Ag/AgCl electrodes available on the market, whereas small dimensions enabling easy placement on the abdomen may be a feature favouring the choice of a particular electrode type for this examination. [source]

34 Senso-reflexory control of the gastric myoelectrical activity , effect of oral exposure to a sweet or a bitter taste on a multichannel electrogastrogram

NEUROGASTROENTEROLOGY & MOTILITY, Issue 6 2006
M DZIELICKI
Aim:, To examine the effect of sensory stimulation with a sweet or a bitter taste on the interdigestive gastric myoelectrical activity (GMA) in humans. Methods:, Eighteen healthy subjects (10F, 8M) underwent on two separate days four-channel electrogastrographic recordings comprising three consecutive 35 min periods: (i) basal fasted, (ii) a stimulation epoch while a subject was chewing an agar cube soaked with a taste-delivering substance (saccharose for the sweet taste, quinine hydrochloride for the bitter taste), (iii) a post-stimulatory (recovery) epoch. An electrocardiogram was simultaneously registered for the purpose of the heart rate variability (HRV) analysis. Results:, Exposure to the sweet taste brought about an increase in the power of the high frequency (HF: 0.15,0.4 Hz) band of the power spectrum-analyzed HRV data. The bitter taste had no effect on the HRV. During the stimulation and the recovery epoch a statistically significant augmentation in the relative time share of tachy- and bradygastria within the multichannel electrogastrogram was found either with the sweet or the bitter taste. Whereas no any other modifications of the GMA were elicited by the sweet taste, the exposure to the bitter taste resulted in a statistically significant decrease in the relative time share of normogastria, a decline in the dominant frequency and the dominant power of the gastric slow waves, as well as a reduction in the percentage of the slow wave coupling. Conclusions:, (i) Exposure to the sweet taste elicits a vagal arousal expressed by an increase in the HF power, whereas the bitter taste does not affect the equilibrium between the parasympathetic and the sympathetic component of the autonomous nervous system; (ii) The increased relative time contribution of tachy- and bradygastria within the electrogastrogram during both the stimulation and the recovery epoch should be considered an unspecific phenomenon because it accompanied stimulation either with the sweet or the bitter taste; (iii) The inhibitory effect of the bitter taste on the GMA, reflected by a diminution in the dominant frequency and the dominant power of the gastric slow waves, as well as their reduced coupling, may be indicative of an evolutionary archetype of a warning reaction of the human (mammalian) organism towards this taste. [source]

47 Effects of retrograde gastric electrical stimulation on gastric motility and plasma hormones in dogs

Efficacy and efficiency of gastric electrical stimulation with short pulses in the treatment of vasopressin-induced emetic responses in dogs

NEUROGASTROENTEROLOGY & MOTILITY, Issue 5 2006
G. Song
Abstract, The aim of this study was to determine the most effective and efficient anti-emetic parameters of short-pulse gastric electrical stimulation (GES) in dogs. Seven female beagle dogs implanted with four pairs of gastric electrodes were studied in eight randomized sessions (saline, vasopressin, and six GES sessions with different parameters). Each session consisted of four 20-min recordings of gastric slow waves and symptoms. In sessions 1 and 2, saline and vasopressin, respectively, were infused during the second 20-min period. The protocol of the other six sessions was the same as session 2 except that GES was continuously applied. It was found that: (1) vasopressin induced gastric dysrhythmia and emetic response (P < 0.01, anova); (2) short-pulse GES with a frequency of 14 or 40 Hz and pulse width of 0.1 or 0.3 ms, but not 0.6 ms was able to reduce symptoms induced by vasopressin; (3) short-pulse GES with a pulse width of 0.3 ms was the most effective in preventing vasopressin-induced symptoms; (4) none of the tested GES methods improved vasopressin-induced gastric dysrhythmia. We conclude that vasopressin induces gastric dysrhythmia and symptoms. Short-pulse GES with a pulse width of 0.3 ms and frequency of 14 Hz is most effective and efficient in preventing vasopressin-induced emetic responses in dogs. [source]

Detection of gastric slow wave uncoupling from multi-channel electrogastrogram: validations and applications

Generation and propagation of gastric slow waves

CLINICAL AND EXPERIMENTAL PHARMACOLOGY AND PHYSIOLOGY, Issue 4 2010
Dirk F Van Helden
Summary 1. Mechanisms underlying the generation and propagation of gastrointestinal slow wave depolarizations have long been controversial. The present review aims to collate present knowledge on this subject with specific reference to slow waves in gastric smooth muscle. 2. At present, there is strong agreement that interstitial cells of Cajal (ICC) are the pacemaker cells that generate slow waves. What has been less clear is the relative role of primary types of ICC, including the network in the myenteric plexus (ICC-MY) and the intramuscular network (ICC-IM). It is concluded that both ICC-MY and ICC-IM are likely to serve a major role in slow wave generation and propagation. 3. There has been long-standing controversy as to how slow waves ,propagate' circumferentially and down the gastrointestinal tract. Two mechanisms have been proposed, one being action potential (AP)-like conduction and the other phase wave-based ,propagation' resulting from an interaction of coupled oscillators. Studies made on single bundle gastric strips indicate that both mechanisms apply with relative dominance depending on conditions; the phase wave mechanism is dominant under circumstances of rhythmically generating slow waves and the AP-like propagation is dominant when the system is perturbed. 4. The phase wave mechanism (termed Ca2+ phase wave) uses cyclical Ca2+ release as the oscillator, with coupling between oscillators mediated by several factors, including: (i) store-induced depolarization; (ii) resultant electrical current flow/depolarization through the pacemaker cell network; and (iii) depolarization-induced increase in excitability of downstream Ca2+ stores. An analogy is provided by pendulums in an array coupled together by a network of springs. These, when randomly activated, entrain to swing at the same frequency but with a relative delay along the row giving the impression of a propagating wave. 5. The AP-like mechanism (termed voltage-accelerated Ca2+ wave) propagates sequentially like a conducting AP. However, it is different in that it depends on regenerative store Ca2+ release and resultant depolarization rather than regenerative activation of voltage-dependent channels in the cell membrane. 6. The applicability of these mechanisms to describing propagation in large intact gastrointestinal tissues, where voltage-dependent Ca2+ entry is also likely to be functional, is discussed. [source]