7th
Annual meeting of the International Functional Electrical Stimulation Society
Ljubljana,
Slovenia June 25-29, 2002
G. Krolczyk, D. Zurowski J. Sobocki*, J.
Laskiewicz, P.J. Thor.
Department
of Pathophysiology Jagiellonian University
18
Czysta str. 31-121 Krakow Poland
mbkrolcz@cyf-kr.edu.pl
*1st
Department of General and GI Surgery Jagiellonian University
40
Kopernika str. 31-501 Krakow Poland
jsobocki@mp.pl
1. Introduction. Functional magnetic stimulation has been applied by neurophysiologists as a safe and non-invasive method for stimulation of nervous tissue (1,2). Patients who underwent abdominal surgery often require electrical pacing of the stomach. The electrical pacing which is very effective however remains invasive in its nature. The remote induction of GI motility may be also possible by stimulation of gastric autonomic nerves with local magnetic field (3).
The Aim of this study was to estimate effects of the magnetic stimulation on the tonic and phasic activity of the rat stomach.
2. Material and methods. Male Wistar rats (n=8, 250-350 g) were anaesthetised with pentobarbital (Vetbutal 0.25 mg/kg i.p. Biowet, Poland) and underwent surgical implantation of the plastic gastric fistula (GF) in the distal stomach. After ten days of recovery fasted rats were placed in the plastic cage with vertically positioned induction coil. The catheter with latex balloon (1cm3) was placed via the GF in the body of the stomach and connected to the pressure transducer and amplifier (PowerLab system). The fasting recordings of gastric motility during and between the generation of single magnetic impulse of with parameters: 2250V, 56 mF were done in conscious rats. The parameters of magnetic impulse were tested gradually form 2250, 56 mF to 4500V, 100 mF and were chosen the lowest and most effective. The magnetic stimulation was used during the period without gastric contractions.
3. Results. The impulse caused first tonic contraction with basal pressure increased of 3,1 ± 0,9cmH2O which was followed with high amplitude phasic contraction. The mean frequency of gastric contractions reached 10 ± 3 /10 min and their mean amplitude was 12,3 ± 9,6 cmH2O. The amount of the phasic contractions and their amplitude did not depend upon intensity of the used magnetic field in chosen range. The stimulatory effect of the magnetic field on gastric motility lasted about 10 minutes. The timing and amplitude of the observed contractions was similar to spontaneous phase III of gastric MMC.
4. Conclusions. The electromagnetic impulse strongly stimulates gastric motility in rat inducing phase III-like motor activity of the stomach.
1. Khedr
EM, Trakhan MN. Localization of diaphragm motor cortical representation and
determination of corticodiaphragmatic latencies by using magnetic stimulation
in normal adult human subjects .Eur-J-Appl-Physiol. 2001 Oct; 85(6): 560-6
2. Watson
AC, Hughes PD at all. Measurement of twitch transdiaphragmatic, esophageal ,and
endotracheal tube pressure with bilateral anterolateral magnetic phrenic nerve
stimulation in patients in the intensive care unit. Crit-Care-Med. 2001 Jul;
29(7):1325-31
3. Lin
VW, Hsiao I, Xu H, Bushnik T, Perkash I. Functional magnetic facilitates
gastrointestinal transit of liquids in rats. Muscle-Nerve. 2000 Jun;
23(6):919-24