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Cisplatin-Induced Gastric Dysrhythmia and Emesis in Dogs and Possible Role of Gastric Electrical Stimulation

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Abstract

The aim of this study was to investigate the effect of cisplatin on gastric myoelectrical activity and the role of gastric electrical stimulation in the treatment of cisplatin-induced emesis in dogs. Seven dogs implanted with electrodes on the gastric serosa were used in a two-session study. Cisplatin was infused in both the control session and the gastric electrical stimulation session, and gastric electrical stimulation was applied in the gastric electrical stimulation session. Gastric slow waves and emesis, as well as behaviors suggestive of nausea, were recorded during each session. The results were as follows: (1) cisplatin induced vomiting and other symptoms and induced gastric dysrhythmia. The percentage of normal slow waves decreased significantly during the 2.5 h before vomiting (P = 0.01) and the period of vomiting (P < 0.001). (2) Gastric electrical stimulation reduced emesis and the symptoms score. The total score in the control session was higher than that in the gastric electrical stimulation session (P = 0.02). However, gastric electrical stimulation had no effects on gastric dysrhythmia. It is concluded that cisplatin induces emesis and gastric dysrhythmia. Gastric electrical stimulation may play a role in relieving chemotherapy-induced emetic responses and deserves further investigation.

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Acknowledgment

The authors would like to thank Jianwei Zheng, Gengqing Song and Chunyou Chen for their excellent technical assistance.

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Authors and Affiliations

  1. Division of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Road, Wuhan, 430022, People’s Republic of China

    Xiaoyun Yu, Jie Yang, Xiaohua Hou, Kan Zhang & Wei Qian

  2. Division of Gastroenterology, GI Research, University of Texas Medical Branch, Route 0632, Room 221, Microbiology Building, 1108 The Strand, Galveston, TX, 77555-0632, USA

    J. D. Z. Chen

Authors
  1. Xiaoyun Yu
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  2. Jie Yang
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  3. Xiaohua Hou
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  4. Kan Zhang
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  5. Wei Qian
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  6. J. D. Z. Chen
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Correspondence to Xiaohua Hou or J. D. Z. Chen.

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Yu, X., Yang, J., Hou, X. et al. Cisplatin-Induced Gastric Dysrhythmia and Emesis in Dogs and Possible Role of Gastric Electrical Stimulation. Dig Dis Sci 54, 922–927 (2009). https://doi.org/10.1007/s10620-008-0470-0

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