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Gastric electrical stimulation is a pacemaker-like device with electrical connections to the surface of the stomach. The device works by disrupting of the motility cycle or stimulating enteric nervous system. There are a number of different devices on the market including Transend, Maestro, and Diamond. [1]
Gastric pacing is the process where a pacemaker is placed external to the stomach, [1] and leads penetrate the gastric tissue to ensure that an adequate current is running through the cells. It is used as a treatment for gastroparesis .
Gastric electrical stimulation is the most common surgery for gastroparesis and uses small shocks to induce stomach contractions to move food along.
The cells that respond to and secrete these substances include I cells and K cells in the proximal small intestine, whose stimulation is dependent on nutrient exposure and entry into the duodenum, and L cells in the distal small intestine and colon which are stimulated by unabsorbed nutrients and gastric emptying.
The electrical stimulation used in HWT differs from other forms of electrical stimulation such as TENS in terms of its waveform; it is intended to emulate the H waveform found in nerve signals, thus permitting the machine to use less power while attaining greater and deeper penetration of its low-frequency current.
On Lok Senior Health Services was created in 1971 to address the long-term care needs of older immigrants in San Francisco's Chinatown-North Beach neighborhood. [3] After its founding, between 1973 and 1975, On Lok expanded to include day centers, in-home care, home-delivered meals, and housing assistance. [ 3 ]