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World J Gastrointest Surg. Jun 27, 2022; 14(6): 544-555
Published online Jun 27, 2022. doi: 10.4240/wjgs.v14.i6.544
Clinical application and research progress of extracellular slow wave recording in the gastrointestinal tract
Fan Ding, Run Guo, Zheng-Yu Cui, Hai Hu, Gang Zhao
Fan Ding, Hai Hu, Gang Zhao, Center of Gallbladder Disease, East Hospital of Tongji University, Shanghai 200120, China
Fan Ding, Hai Hu, Gang Zhao, Institute of Gallstone Disease, Tongji University School of Medicine, Shanghai 200331, China
Run Guo, Department of Ultrasonography, East Hospital of Tongji University, Shanghai 200120, China
Zheng-Yu Cui, Department of Internal Medicine of Traditional Chinese Medicine, East Hospital of Tongji University, Shanghai 200120, China
Author contributions: Ding F and Cui ZY drafted the manuscript; Hu H and Zhao G conceived the review; Guo R provided critical feedback; all authors read and approved the final version to be submitted.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Gang Zhao, PhD, Director, Center of Gallbladder Disease, East Hospital of Tongji University, No. 150 Jimo Road, Shanghai 200120, China. zhao_gang7@126.com
Received: January 6, 2022
Peer-review started: January 6, 2022
First decision: March 12, 2022
Revised: March 21, 2022
Accepted: May 16, 2022
Article in press: May 16, 2022
Published online: June 27, 2022
Abstract

The physiological function of the gastrointestinal (GI) tract is based on the slow wave generated and transmitted by the interstitial cells of Cajal. Extracellular myoelectric recording techniques are often used to record the characteristics and propagation of slow wave and analyze the models of slow wave transmission under physiological and pathological conditions to further explore the mechanism of GI dysfunction. This article reviews the application and research progress of electromyography, bioelectromagnetic technology, and high-resolution mapping in animal and clinical experiments, summarizes the clinical application of GI electrical stimulation therapy, and reviews the electrophysiological research in the biliary system.

Keywords: Gastrointestinal tract, Slow wave, Electromyography, High-resolution mapping, Bioelectromagnetic technology

Core Tip: The motility pattern of the gastrointestinal (GI) tract is fundamental in studying functional GI disorders. Extracellular recording has been used to characterize the generation and propagation of slow waves and abnormalities that may lead to GI motility disorders. This review focuses on the application and progress of extracellular recording techniques in the physiological and pathological state of the alimentary system.