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APPETITE, OBESITY, AND DIGESTION

Inhibitory effects and mechanisms of intestinal electrical stimulation on gastric tone, antral contractions, pyloric tone, and gastric emptying in dogs

¹Division of Gastroenterology, Department of Internal Medicine, University of Texas Medical Branch, Galveston, Texas; and ²Transtimulation Research, Inc., Oklahoma City, Oklahoma

Submitted 23 July 2008 ; accepted in final form 9 October 2008

The aim of this study was to investigate the effects and mechanisms of intestinal electrical stimulation (IES) on gastric tone, antral and pyloric contractions, and gastric emptying in dogs. Female hound dogs were equipped with a duodenal or gastric cannula, and one pair of serosal electrodes was implanted in the small intestine. The study consisted of five different experiments. Liquid gastric emptying was assessed by collection of chyme from the duodenal cannula in a number of sessions with and without IES and with and without N-nitro-L-arginine (L-NNA). Postprandial antral and pyloric contractions were measured with and without IES and in the absence and presence of L-NNA or phentolamine by placement of a manometric catheter into the antrum and pylorus via the duodenal cannula. Gastric tone was assessed by measurement of gastric volume at a constant pressure. Gastric emptying was substantially and significantly delayed by IES or L-NNA compared with the control session. IES-induced delay of gastric emptying became normal with addition of L-NNA. IES reduced gastric tone, which was blocked by L-NNA. IES also inhibited antral contractions (frequency and amplitude), and this inhibitory effect was not blocked by L-NNA but was blocked by phentolamine. IES alone did not affect pyloric tone or resistance, but IES + L-NNA decreased pyloric tone. In conclusion, IES reduces gastric tone via the nitrergic pathway, inhibits antral contractions via the adrenergic pathway, does not affect pyloric tone, and delays liquid gastric emptying. IES-induced delay of gastric emptying is attributed to its inhibitory effects on gastric motility.

gastrointestinal motility; gastric pacing