Neuromodulation for constipation: Sacral and transcutaneous stimulation

Wunnik, B.P.W. van; Baeten, C. G. M. I.; Southwell, Bridget R.

doi:10.1016/j.bpg.2010.12.008

Cited by 46 publications

(26 citation statements)

References 76 publications

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“…This method is successful but involves surgically implanting electrodes onto the spinal nerves and a stimulator under the skin on the buttocks. It has been shown to work for children [13]. TES is noninvasive and far cheaper than SNS and is effective in two thirds of patients.…”

Section: Discussionmentioning

confidence: 98%

Long-term effects of transabdominal electrical stimulation in treating children with slow-transit constipation

Leong

Yik

Catto‐Smith

et al. 2011

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 98%

Long-term effects of transabdominal electrical stimulation in treating children with slow-transit constipation

Leong

Yik

Catto‐Smith

et al. 2011

Journal of Pediatric Surgery

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“…Multiple laxatives have been routinely used in the treatment of childhood constipation with a number of new agents currently being trialed, mostly in adults 51 . At the present time published evidence suggests that polyethylene glycol 3350 should be the laxative of first choice in pediatrics for functional constipation 42 58 .…”

Section: Treatmentmentioning

confidence: 99%

Gastrointestinal and nutritional problems in neurologically impaired children

Quitadamo

Thapar

Staiano

et al. 2016

European Journal of Paediatric Neurology

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Fax: + 44 20 7813 8382Gut Motility disorders comprise a heterogeneous group of disorders that result from disruption of the functional integrity of the intrinsic neuromusculature of the gastrointestinal (GI) tract. This intrinsic neuromusculature includes the smooth muscle layers, the intrinsic nervous system of the GI tract (enteric nervous system or ENS) and the interstitial cells of Cajal. The contribution of each of these components to function can be compromised by alterations in structure (ranging from absence to derangement in numbers and/or anatomy) or of function (complete or partial failure in physiological function). This pathology can be primary or secondary to a number of insults e.g. infections, inflammation, toxins etc. In children disorders may be congenital being present from birth or acquired later in life. Finally involvement of the enteric neuromusculature can be patchy/segmental or affect the gastrointestinal tract diffusely.Neuro-gastroenterology is the study of the interface of all aspects of the gastrointestinal tract or digestive system with the different branches of the body's nervous system including the enteric, central and autonomic nervous systems. The combined terms 'Neurogastroenterology and motility' are designed to encompass the study of all the components of the enteric neuromuscualture and their modulating influences and represents one of the fastest growing areas in gastroenterology clinical practice and research. This chapter aims to address some of the most common neurogastroenterology and motility conditions seen in clinical practice ranging from those with defined pathology to those which fall under the umbrella of functional gastrointestinal disorders. The latter comprise some of the commonest but challenging disorders and the term 'functional' reflects the fact that in the majority of such conditions no organic cause can be found. It should also be noted that at the present time many functional disorders e.g. abdominal pain-related functional GI disorders, represent symptom complexes that can further be subdivided into more discrete entities e.g. irritable bowel syndrome, functional abdominal pain etc depending on the nature, location and associations of the symptoms. Clinicians will often rely on the presence or absence of 'red flags' e.g. associated weight loss, severe or significant symptoms etc to decide whether patients are likely to have organic or functional disorders. Exhaustive investigations in the latter are likely to prove fruitless, expensive and perpetuate 'illness behaviours' in the patients. Abdominal pain-related functional gastrointestinal disorders IntroductionAbdominal pain-related functional gastrointestinal disorders (FGID) constitute a spectrum of conditions characterised by the presence of recurrent abdominal pain in the absence of any defined pathology 1 . In the past these disorders fell under the single term 'Recurrent abdominal pain' (RAP) but have since been recategorised under an international initiative (Rome Foundation) to improve the dia...

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“…The posterior tibial nerve finds its roots in the sacral plexus and with PTNS and TENS this nerve is stimulated at the level of the ankle. [22][23][24] In PTNS a very fine needle is inserted in the tibial nerve posterior to the medial malleolus. An electrical impulse is given through this needle over a period of 30 minutes on a weekly basis.…”

Section: Amplitudementioning

confidence: 99%

“…With this technique a self-adhesive electrode is used on the on the belly and back at the level of the umbilicus. [22][23][24] …”

Section: Amplitudementioning

confidence: 99%

Successful sacral nerve modulation despite migration of tined lead

Dekkers

Schmitz

Heyden

et al. 2016

CSS

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Background: Sacral nerve modulation (SNM) is a minimally invasive treatment for chronic constipation or incontinence when conservative treatment is insufficient to provide relieve of symptoms. Case description: A 74-year-old patient with an implanted sacral nerve lead is presented in this case report with a dislodged lead without an adverse change in her incontinence treatment. This phenomenon has never been described before and raises the debate on sacral lead positioning in sacral nerve stimulation. Discussion: There are a lot of conflicting data regarding ideal lead positioning, such as S3 versus S2 or S4 implantation. The lead position in our case doesn't correspond to previously described locations and pathways which corroborate the legitimacy of new developments in this area such as percutaneous tibial nerve stimulation, transcutaneous tibial nerve stimulation and transcutaneous abdominal electrical stimulation (TEN). Conclusions: The implantation of SNM seems standardized but leaves voids in the technique where further research is needed to refine it.

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Neuromodulation for constipation: Sacral and transcutaneous stimulation

Cited by 46 publications

References 76 publications

Long-term effects of transabdominal electrical stimulation in treating children with slow-transit constipation

Long-term effects of transabdominal electrical stimulation in treating children with slow-transit constipation

Gastrointestinal and nutritional problems in neurologically impaired children

Successful sacral nerve modulation despite migration of tined lead

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