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In rhythm with the body

An award-winning new device detects difference­s in electrical activity in healthy and abnormally functionin­g guts.

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We’ve all heard of electrocar­diograms to check electrical activity in the heart, but now New Zealand scientists are developing a similar device to diagnose problems in the gut.

Researcher Peng Du, a senior research fellow at the Auckland Bioenginee­ring Institute at the University of Auckland, was in March awarded the $200,000 Prime Minister’s MacDiarmid Emerging Scientist Prize for his work on the device, which can detect difference­s in electrical activity in healthy and abnormally functionin­g guts. The muscular contractio­ns, which move food through the gut, are triggered by waves of electrical activity, although the signals are much more subtle and difficult to measure than those in the heart.

He says three types of gut disease are definitely associated with electrical abnormalit­ies: stomach paralysis (which can be the end stage of very severe indigestio­n), chronic nausea and vomiting, and in certain cases, gastric cancer. “Indigestio­n, nausea and vomiting are symptoms, but they don’t tell us what is causing the disease. Understand­ing the electrical rhythm and relating it to the disease help the clinician with the mechanism for why it is happening.” In the US, the Auckland device was used in studies on patients who were having an implanted gastric pacemaker to normalise the electrical activity in their gut.

Because irritable bowel syndrome is a catch-all descriptor of a number of gut conditions, Peng says it’s possible a subgroup of people with the condition could also have electrical dysrhythmi­as in their small intestine.

The first device was tested in people having gut surgery at Auckland City Hospital, and Auckland will now lead internatio­nal multi-centre trials, expected to begin this year, to validate results from the device.

Three types of gut disease are definitely associated with electrical abnormalit­ies: stomach paralysis, chronic nausea and vomiting, and gastric cancers.

 ??  ?? Gut feeling: researcher Peng Du prepares an electrode array that will be used to record electrical activity in the gut.
Gut feeling: researcher Peng Du prepares an electrode array that will be used to record electrical activity in the gut.

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