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Neuromodulation for constipation: Sacral and transcutaneous stimulation by B.P.W. van Wunnik; C.G.M.I. Baeten; B.R. Southwell is a Medicine article available to read on EtoBox.

What is Neuromodulation for constipation: Sacral and transcutaneous stimulation about?

Constipation is a frequently occurring digestive ailment that is usually treated conservatively. Neuromodulation is altering function of an organ by altering neural activity. This paper reviews methods of neuromodulation used to treat constipation. This includes direct stimulation of sacral nerves and stimulation across the skin. Direct stimulation of sacral nerves is the most well developed method and is presented in detail. It is generally accepted that the mechanism of action is modulation rather than stimulation so it is called sacral neuromodulation (SNM). SNM involves percutaneous placement of an electrode in the third sacral foramen and implanting a stimulating device under the skin in the buttocks. SNM is founded on the physiological principle that activity in one neural pathway modulates pre-existing activity in another through synaptic interaction. The mechanism of action in constipation may be neuromodulation of the extrinsic neural control of the large bowel or modulation of reflexes inhibiting large bowel function. Limited evidence is available to assess the outcome of SNM in constipation. Results in the medium term seem promising for selected patients with idiopathic

Who reads Neuromodulation for constipation: Sacral and transcutaneous stimulation?

Author

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

Publisher

Elsevier Science; Elsevier ; Bailliere Tindall Ltd; Elsevier BV (ISSN 1521-6918)

Published

2011

Language

EN

Field

Medicine (Health Sciences)