A kind of fat stomach band associating Gastroenteric Electrical stimulating apparatus and using method thereof for the treatment ofTechnical field
The present invention relates to a kind of medicine equipment, specifically a kind ofly treat fat stomach band associating Gastroenteric Electrical stimulating apparatus and makeUse method.
Background technology
Obesity is one of global modal public health problem, and its incidence of disease is just with alarming speed rising. A nextPoint out from national nutrition and healthy census report in 2002: the super severe one of Chinese adult accounts for 18.9%, and obesity is 2.9%. ?In short 10 years (1992-2002), the incidence that adult is overweight has just increased by 39.0%, and obesity has increased by 97.2%.Equally, in population of adolescent, fat incidence is also and increases progressively trend. From 1991 to 2006,7-17 year crowdThe incidence of Overweight and obesity is increased to 13.2% by 5.2%. In 2000,7-12 year Overweight and obesity children reached the male sexTo 29%, women is 15-17%. Along with the incidence of disease increases, the expense of prevention and treatment also rises year by year. In 2003,China is directly used in Overweight and obesity medical expense and just reaches 27.4 hundred million yuan. Unfortunately, treat now fat effective meansVery limited. Comprise forging and the methods for the treatment of such as practice, go on a diet by adjusting life style, approximately 50% patient returns to after 1 year originallyBody weight, nearly all patient all got back to original body weight in 5 years. Medicine treatment is because side effect or shortage long-term efficacyAnd prospect is not good enough. Operation is the unique treatment side that makes severe obesity patient obtain for a long time, stablize, effectively lose weight at presentMethod is also treatment diabetes B, hypertension, hyperlipidemia and the Obstructive sleep apnea syndrom relevant with obesityDeng one of most effectual way of metabolic disorder disease.
Along with maturation and the development of endoscope-assistant surgery technology, lose weight postoperative complication and the death rate of laparoscope obviously declines. ClinicalUpper laparoscopic surgery replaces conventional abdominal treatment of obesity, has become fashion trend. Conventional laparoscopic surgery mode bagDraw together: (1) restriction property taken in operation: laparoscope adjustable gastric band art (LaparoscopicadjustablegastricBanding, LAGB), laparoscopic vertical band gastroplasty (Laparoscopicverticalgastricbanding,LVGB), laparoscope sleeve shape gastrectomy (Laparoscopicsleevegastrectomy, LSG) etc.; (2) reduce and inhaleReceive operation: laparoscope courage pancreas shunt (Laparoscopicbiliopancreaticdiversion, LBPD), abdominal cavityMirror courage pancreas shunt and duodenum version (LaparoscopicbiliopancreaticdiversionwithDuodenalswitch, LBPDDS); (3) restriction is taken in and is reduced and absorbs combined surgery: by laparoscope Roux-en-Y stomachRoad art (LaparoscopicRoux-en-Ygastricbypass, LRGB). Wherein LAGB and LRGB be two kinds the most normalWith art formula, occupy 90% case. Because LAGB is simpler than LRGB, safety, economy, invertibity, complication and deathThe advantages such as rate is few. Therefore often by much Europe American States as first-selected art formula. But research is recently pointed out, LAGB postoperative 4Year unnecessary percentage of losing weight and some fat cure rates that merge metabolic disorder diseases (as diabetes B) are dividedBe not 45% and 48%, be starkly lower than 68% and 84% of LRGB. Exist the displacement of stomach band and the expansion of microgastria capsule etc. also simultaneouslySend out disease, affect fat-reducing effect, even need again to perform the operation.
As everyone knows, the goldstandard that current LRGB is regarded as bariatric surgery is used for the treatment of obesity. But the complication of LRGB andThe death rate is but apparently higher than LAGB, and LRGB is a kind of irreversibility modus operandi simultaneously, and it will be controlled by its method thoseTreat invalid patient and bring great problem. Recently, place stomach and intestine electrode by laparoscope, carry out Gastroenteric Electrical stimulationThe treatment of (Gastrointestinalelectricalstimulation, GIES) art is fat, is closed widely graduallyNote, and obtained gratifying development and result. Some basic research and clinical testing find GIES can: (1) delays stomachRow, accelerate small intestine transhipment; (2) change body hormonal readiness: reduce hungry element (Ghrelin) and increase hyperglycemic factorSample peptide (GLP-1); (2) reduce alimentary canal nutrient absorption; (3) by vagus nerve path, the excited maincenter god that is satiated with foodThrough unit, produce glutted/early full sense; (4) reduce food intake and lose weight. This fully shows GIES treatment obesityPotential. Therefore, theoretically, GIES not only can lose weight, and can improve some fat metabolic diseases that merge(as diabetes B), thus can make up the deficiency of LAGB. Therefore, LAGB associating GIES and simple LAGB or GIESCompare, it keep original advantage, strengthens again the effect for the treatment of obesity and complication thereof.
Summary of the invention
The object of the present invention is to provide a kind of treat fat stomach band associating Gastroenteric Electrical stimulating apparatus and using method thereof.
For achieving the above object, the invention provides following technical scheme:
Treat a fat stomach band associating Gastroenteric Electrical stimulating apparatus, comprise that stomach band assembly and Gastroenteric Electrical stimulate assembly, instituteState stomach band assembly and comprise stomach band, water injection conduit and injector, stomach band connects injector by water injection conduit, described stomachIntestines electro photoluminescence assembly comprises stomach and intestine inductor, stimulating electrode and stimulator, and described stomach and intestine inductor is provided with three pairs, stimulating electrodeBe two pairs of bipolar electrodes, multiple stomach and intestine inductors are connected with stimulator respectively with stimulating electrode.
As the further scheme of the present invention: described stomach band adopts silica gel band.
As further scheme of the present invention: be provided with circuit between described stomach and intestine inductor, stimulating electrode and stimulator and distributeDevice and amplifier.
As further scheme of the present invention: the user of the stomach band associating Gastroenteric Electrical stimulating apparatus of described treatment obesityMethod, comprises the following steps:
(1) by laparoscopic surgery, a stomach band is looped around to the top of stomach, stomach be divided into top little gastric pouch and underTwo parts of large gastric pouch of portion; Stomach band after placing is connected in to water injection conduit and injector, by injecting/extract out stomach bundlePhysiological saline in band and injector, the size in regulation and control stomach band gap, erstricted diet enters amount and the speed of large gastric pouch;
(2) place after stomach band at laparoscope, three pairs of stomach and intestine inductors are placed on respectively to stomach large and small curved and 12 simultaneouslyDuodenum 12, two pairs of bipolar electrodes are embedded in respectively lesser curvature and duodenal bulb, when large gastric pouch or the duodenectasis of bottomTime, start stomach and intestine inductor in the large and small curved and duodenum place gastrointestinal wall of stomach, by divider chain and amplifier by stomach and intestineTension force strengthens signal and is delivered to the Gastroenteric Electrical stimulator that is embedded in abdominal subcutaneous, through the stomach and intestine tension force of identification and sequencing, fromMoving On/Off stomach and intestine point stimulator and enforcement Gastroenteric Electrical stimulate.
Compared with prior art, the invention has the beneficial effects as follows: by reducing the receptivity of stomach, restriction patient takes in diet,Reach effectively and lose weight, simple, safety, economy, there is invertibity, and can more effectively lose weight andCure some fat complication.
Brief description of the drawings
Fig. 1 is the structural representation while treating fat stomach band associating Gastroenteric Electrical stimulating apparatus use.
Fig. 2 is the structural representation of stomach band assembly in the fat stomach band associating Gastroenteric Electrical stimulating apparatus for the treatment of.
Fig. 3 is the structural representation after the use of stomach band assembly in the fat stomach band associating Gastroenteric Electrical stimulating apparatus for the treatment of.
Detailed description of the invention
Below in conjunction with the accompanying drawing in the embodiment of the present invention, the technical scheme in the embodiment of the present invention is carried out clearly and completelyDescribe, obviously, described embodiment is only the present invention's part embodiment, instead of whole embodiment. Based on thisEmbodiment in invention, those of ordinary skill in the art are not making the every other reality obtaining under creative work prerequisiteExecute example, all belong to the scope of protection of the invention.
Refer to Fig. 1～3, in the embodiment of the present invention, a kind of fat stomach band associating Gastroenteric Electrical stimulating apparatus for the treatment of, comprisesStomach band assembly and Gastroenteric Electrical stimulate assembly, and described stomach band assembly comprises stomach band 1, water injection conduit 2 and injector 3,Stomach band 1 adopts silica gel band, and stomach band 1 connects injector 3 by water injection conduit 2, and described Gastroenteric Electrical stimulates assembly bagDraw together stomach and intestine inductor 4, stimulating electrode 5 and stimulator 6, described stomach and intestine inductor 4 is provided with three pairs, and stimulating electrode 5 is twoTo bipolar electrode, multiple stomach and intestine inductors 4 are connected with stimulator 6 respectively with stimulating electrode 5, stomach and intestine inductor 4, stimulationBetween electrode 5 and stimulator 6, be provided with divider chain and amplifier.
A using method for the treatment of fat stomach band associating Gastroenteric Electrical stimulating apparatus, comprises the following steps:
(1), by laparoscopic surgery, a low pressure, soft silica gel band are looped around to the top of stomach, as to stomach beingGo up a waistband, stomach has been divided into the little gastric pouch (about 20-25 milliliter volume) on top and two parts of large gastric pouch of bottom;Food enters little gastric pouch from esophagus, then slowly by after the close clearance producing because of stomach band 1 between two parts, enters largeGastric pouch; Stomach band after placing is connected in to water injection conduit 2 and injector 3, by injecting/extract out stomach band 1 and injector3 interior physiological saline, the size in regulation and control stomach band gap, erstricted diet enters amount and the speed of large gastric pouch; Conventionally after taking food,The little gastric pouch on food Fast Filling and expansion top, bringing out coat of the stomach tension force increases, and the latter, by autonomic nerve path, will increaseStomach tension signal be delivered to brain satiety center neuron, cause the releases such as some hormones of maincenter and periphery, polypeptide class, withTime feedback ground change gastroenteritic power, make body produce feeling of repletion, thereby control the absorption of food, cause losing weight;
(2) place after stomach band 1 at laparoscope, three pairs of stomach and intestine inductors 4 are placed on respectively simultaneously stomach large and small curved andDuodenum, two pairs of bipolar electrodes are also embedded in respectively lesser curvature and duodenal bulb, when large gastric pouch or 12 fingers of bottomWhen enterectasis, start the large and small curved and interior stomach and intestine inductor 4 of duodenum place gastrointestinal wall of stomach, by divider chain and amplificationDevice strengthens signal by stomach and intestine tension force and is delivered to the Gastroenteric Electrical stimulator that is embedded in abdominal subcutaneous, through the stomach and intestine of identification and sequencingTension force, can stimulate with enforcement Gastroenteric Electrical by automatic opening/closing stomach and intestine point stimulator, also can pass through external remote equipment,Artificial On/Off and various Gastroenteric Electrical stimulation parameters are set, regulation and control Gastroenteric Electrical stimulation mode, controls to reach optimal stimulusTherapeutic effect, do not have or minimal side effect prerequisite under, produce the improvement of weight loss and organism metabolism index to greatest extent.
The present invention is based upon existing peritoneoscope stomach band art and Gastroenteric Electrical stimulation is treated on fat basis, by both associatingsDevice and the using method thereof of a kind of novel therapeutic obesity of growing up of application, the method is simple, safety, economy, toolThere is invertibity, and can more effectively lose weight and cure some fat complication, basic fundamental circuit: application abdomenEndoscope-assistant surgery, is bundled in proximal gastric by a controllability stomach band, and whole stomach is divided into: the large stomach of the little gastric pouch in upper end and lower endTwo parts of capsule, the about 20-25 milliliter of volume of little gastric pouch, the method is by reducing the receptivity of stomach, and restriction patient takes in drinkFood, reaches effectively and loses weight; In surgical procedure, three pairs of stomach and intestine sensors are placed on respectively to stomach large and small curved simultaneouslyAnd duodenum, two pairs of bipolar electrodes are also placed on respectively lesser curvature and duodenal bulb, and electrode wires, through stomach wall, connectsIn being placed on subcutaneous Gastroenteric Electrical stimulator, by stomach tension change or external remote control, arrange and the stimulation of regulation and control Gastroenteric ElectricalParameter, carries out Gastroenteric Electrical stimulation, thus by Gastroenteric Electrical stimulus signal be delivered between gastrointestinal serosa, flesh, meissnar's plexusAnd central nervous system, affect gastrointestinal tract dynamia and change body internal hormone level, keep on a diet to reach, lose weight.Therefore, these two kinds of effective, different methods of weight-reducing are combined, can get undoubtedly the excellent fraud of abandoning, reach more effectively treatmentEffect.
To those skilled in the art, obviously the invention is not restricted to the details of above-mentioned example embodiment, and do not carrying on the backIn the situation of spirit of the present invention or essential characteristic, can realize the present invention with other concrete form. Therefore, no matter fromWhich point, all should regard embodiment as exemplary, and be nonrestrictive, scope of the present invention is by appended powerProfit requires instead of above-mentioned explanation limits, and is therefore intended to drop on all in the implication that is equal to important document of claim and scopeChange and include in the present invention. Any Reference numeral in claim should be considered as limiting related claim.
In addition although should be appreciated that this description is described according to embodiment, be not that each embodiment only comprises,A technical scheme independently, this narrating mode of description is only for clarity sake, those skilled in the art should be byDescription is done as a whole, and the technical scheme in each embodiment also can be through appropriately combined, and forming those skilled in the art canWith other embodiments of understanding.