Noninvasive electrical neuromodulation for gastrointestinal motility disorders.

IF 3.8 3区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Expert Review of Gastroenterology & Hepatology Pub Date : 2023-12-01 Epub Date: 2024-01-17 DOI:10.1080/17474124.2023.2288156

Jieyun Yin, Jiande Dz Chen

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Abstract

Introduction: Gastrointestinal motility disorders are highly prevalent without satisfactory treatment. noninvasive electrical neuromodulation is an emerging therapy for treating various gastrointestinal motility disorders.

Areas covered: In this review, several emerging noninvasive neuromodulation methods are introduced, including transcutaneous auricular vagal nerve stimulation, percutaneous auricular vagal nerve stimulation, transcutaneous cervical vagal nerve stimulation, transcutaneous electrical acustimulation, transabdominal interference stimulation, tibial nerve stimulation, and translumbosacral neuromodulation therapy. Their clinical applications in the most common gastrointestinal motility are discussed, including gastroesophageal reflux disease, functional dyspepsia, gastroparesis, functional constipation, irritable bowel syndrome, and fecal incontinence. PubMed database was searched from 1995 to June 2023 for relevant articles in English.

Expert opinion: Noninvasive neuromodulation is effective and safe in improving both gastrointestinal symptoms and dysmotility; it can be used when pharmacotherapy is ineffective. Future directions include refining the methodology, improving device development and understanding mechanisms of action.

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胃肠运动障碍的无创神经电调节。

胃肠运动障碍是一种非常普遍的疾病，但治疗不力。无创神经电调节是治疗各种胃肠运动障碍的一种新兴疗法。涵盖领域:本文介绍了几种新兴的无创伤神经调节方法，包括经皮耳迷走神经刺激、经皮耳迷走神经刺激、经皮颈迷走神经刺激、经皮电刺激、经腹干扰刺激、胫神经刺激和经腰骶神经调节疗法。讨论了它们在最常见的胃肠道运动中的临床应用，包括胃食管反流病、功能性消化不良、胃轻瘫、功能性便秘、肠易激综合征和大便失禁。检索PubMed数据库1995年至2023年6月的相关英文文章。专家意见:无创神经调节在改善胃肠道症状和运动障碍方面是有效和安全的;当药物治疗无效时可以使用它。未来的方向包括改进方法，改进设备开发和理解作用机制。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Expert Review of Gastroenterology & Hepatology GASTROENTEROLOGY & HEPATOLOGY-

CiteScore

6.80

自引率

2.60%

发文量

审稿时长

6-12 weeks

期刊介绍： The enormous health and economic burden of gastrointestinal disease worldwide warrants a sharp focus on the etiology, epidemiology, prevention, diagnosis, treatment and development of new therapies. By the end of the last century we had seen enormous advances, both in technologies to visualize disease and in curative therapies in areas such as gastric ulcer, with the advent first of the H2-antagonists and then the proton pump inhibitors - clear examples of how advances in medicine can massively benefit the patient. Nevertheless, specialists face ongoing challenges from a wide array of diseases of diverse etiology.