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Systematic review on gastric electrical stimulation in obesity treatment
Published in Expert Review of Medical Devices, 2019
Alimujiang Maisiyiti, Jiande Dz Chen
GES is, however, different from other neuromodulation methods. When an electrical stimulus is applied to the seromuscular layer of the gastric wall, it interacts with the intrinsic enteric nerves, the extrinsic autonomic nerve, the interstitial cells of Cajal and the smooth muscle. Their combined responses to the stimulation determine the final outcomes. Therefore, stimulation parameters have been carefully selected in order to achieve expected outcome. Moreover, the stomach has its own electrical rhythm and this must be also taken into consideration whether the stimulation should be designed to enhance or disrupt this intrinsic electrical activity.