Colonic Electrical Stimulation for Chronic Constipation: A Perspective Review

Chronic constipation affects around 20% of the population and there is no efficient solution. This perspective review explores the potential of colonic electric stimulation (CES) using neural implants and methods of bioelectronic medicine as a therapeutic way to treat chronic constipation. The revie...

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Main Authors: Iñaki Ortego-Isasa, Juan Francisco Ortega-Morán, Héctor Lozano, Thomas Stieglitz, Francisco M. Sánchez-Margallo, Jesús Usón-Gargallo, J. Blas Pagador, Ander Ramos-Murguialday
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/12/3/481
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author Iñaki Ortego-Isasa
Juan Francisco Ortega-Morán
Héctor Lozano
Thomas Stieglitz
Francisco M. Sánchez-Margallo
Jesús Usón-Gargallo
J. Blas Pagador
Ander Ramos-Murguialday
author_facet Iñaki Ortego-Isasa
Juan Francisco Ortega-Morán
Héctor Lozano
Thomas Stieglitz
Francisco M. Sánchez-Margallo
Jesús Usón-Gargallo
J. Blas Pagador
Ander Ramos-Murguialday
author_sort Iñaki Ortego-Isasa
collection DOAJ
description Chronic constipation affects around 20% of the population and there is no efficient solution. This perspective review explores the potential of colonic electric stimulation (CES) using neural implants and methods of bioelectronic medicine as a therapeutic way to treat chronic constipation. The review covers the neurophysiology of colonic peristaltic function, the pathophysiology of chronic constipation, the technical aspects of CES, including stimulation parameters, electrode placement, and neuromodulation target selection, as well as a comprehensive analysis of various animal models highlighting their advantages and limitations in elucidating the mechanistic insights and translational relevance for CES. Finally, the main challenges and trends in CES are discussed.
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spelling doaj.art-c1283b13014446ca91d7211fa53ca5d42024-03-27T13:22:28ZengMDPI AGBiomedicines2227-90592024-02-0112348110.3390/biomedicines12030481Colonic Electrical Stimulation for Chronic Constipation: A Perspective ReviewIñaki Ortego-Isasa0Juan Francisco Ortega-Morán1Héctor Lozano2Thomas Stieglitz3Francisco M. Sánchez-Margallo4Jesús Usón-Gargallo5J. Blas Pagador6Ander Ramos-Murguialday7TECNALIA, Basque Research and Technology Alliance (BRTA), 20009 San Sebastian, SpainJesús Usón Minimally Invasive Surgery Centre, 10071 Cáceres, SpainTECNALIA, Basque Research and Technology Alliance (BRTA), 20009 San Sebastian, SpainLaboratory for Biomedical Microtechnology, Department of Microsystems Engineering–IMTEK and BrainLinks-BrainTools Center, University of Freiburg, 79110 Freiburg, GermanyJesús Usón Minimally Invasive Surgery Centre, 10071 Cáceres, SpainJesús Usón Minimally Invasive Surgery Centre, 10071 Cáceres, SpainJesús Usón Minimally Invasive Surgery Centre, 10071 Cáceres, SpainTECNALIA, Basque Research and Technology Alliance (BRTA), 20009 San Sebastian, SpainChronic constipation affects around 20% of the population and there is no efficient solution. This perspective review explores the potential of colonic electric stimulation (CES) using neural implants and methods of bioelectronic medicine as a therapeutic way to treat chronic constipation. The review covers the neurophysiology of colonic peristaltic function, the pathophysiology of chronic constipation, the technical aspects of CES, including stimulation parameters, electrode placement, and neuromodulation target selection, as well as a comprehensive analysis of various animal models highlighting their advantages and limitations in elucidating the mechanistic insights and translational relevance for CES. Finally, the main challenges and trends in CES are discussed.https://www.mdpi.com/2227-9059/12/3/481constipationcolonic electric stimulation (CES)bioelectronicsneural implant
spellingShingle Iñaki Ortego-Isasa
Juan Francisco Ortega-Morán
Héctor Lozano
Thomas Stieglitz
Francisco M. Sánchez-Margallo
Jesús Usón-Gargallo
J. Blas Pagador
Ander Ramos-Murguialday
Colonic Electrical Stimulation for Chronic Constipation: A Perspective Review
Biomedicines
constipation
colonic electric stimulation (CES)
bioelectronics
neural implant
title Colonic Electrical Stimulation for Chronic Constipation: A Perspective Review
title_full Colonic Electrical Stimulation for Chronic Constipation: A Perspective Review
title_fullStr Colonic Electrical Stimulation for Chronic Constipation: A Perspective Review
title_full_unstemmed Colonic Electrical Stimulation for Chronic Constipation: A Perspective Review
title_short Colonic Electrical Stimulation for Chronic Constipation: A Perspective Review
title_sort colonic electrical stimulation for chronic constipation a perspective review
topic constipation
colonic electric stimulation (CES)
bioelectronics
neural implant
url https://www.mdpi.com/2227-9059/12/3/481
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