A study on the classification of intestinal contents based on miniature reflection ultrasound_Journal of Biomedical Engineering

Authors：

LI Jianguo , LIANG Xiaoxiang , SHANG Xianhui ,  ZHENG Xingbin

Department of General Surgery, Affiliated Hospital, Zunyi Medical College, Zunyi, Guizhou 563000, P.R.China;

Corresponding author：

ZHENG Xingbin, Email: zxb8819488@qq.com

Keywords：

ultrasound; reflected wave; intestinal content

DOI：

10.7507/1001-5515.201610009

Video：

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Abstract Full text Figures/Tables Video References Cited by

The present artificial anal sphincter fails to distinguish the different states of intestinal contents. In this study, we tried to distinguish the intestinal content by using a reflection type ultrasonic system, so as to lay the foundation for the development of artificial anal sphincter with sensing function. We measured the numbers of reflected waves when there were solid, liquid, gaseous or no contents in the recta of 30 Bama Miniature pigs. The results showed significant difference among the numbers of reflected waves of the 4 conditions (F = 1 088, P < 0.05). Our research suggested the reflection-type ultrasonic system could be utilized to distinguish various contents inside the intestinal lumen, thus it might offer a new effective method for the development of artificial anal sphincter with sensing function.

Citation： LI Jianguo, LIANG Xiaoxiang, SHANG Xianhui, ZHENG Xingbin. A study on the classification of intestinal contents based on miniature reflection ultrasound. Journal of Biomedical Engineering, 2018, 35(1): 60-63. doi: 10.7507/1001-5515.201610009 Copy

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2.	Omotosho T B, Rogers R G. Evaluation and treatment of anal incontinence, constipation, and defecatory dysfunction. Obstet Gynecol Clin North Am, 2009, 36(3): 673-697.
3.	Jodorkovsky D, Gearhart S, Dunbar K B, et al. Biofeedback therapy for defecatory dysfunction: " real life” experience. J Clin Gastroenterol, 2011, 140(5, 1): S799.
4.	Boselli A S, Pinna F, Cecchini S, et al. Biofeedback therapy plus anal electro-stimulation for fecal incontinence: prognostic factors and effects on anorectal physiology. World J Surg, 2010, 34(4): 815-821.
5.	Lee H J, Jung K W, Myung S J. Technique of functional and motility test: how to perform biofeedback for constipation and fecal incontinence. J Neurogastroenterol Motil, 2013, 19(4): 532-537.
6.	Melao S, Lima D R, Ratin R F, et al. Effectiveness of treatment using fecal incontinence biofeedback isolated or associated with electrical stimulation. J Coloproctol, 2014, 34(4): 240-244.
7.	Gleason J L, Markland A, Greer W J, et al. Anal sphincter repair for fecal incontinence: effect on symptom severity, quality of Life, and anal sphincter squeeze pressures. Int Urogynecol J, 2011, 22(12): 1587-1592.
8.	Bochenska K, Boller A M. Fecal incontinence: epidemiology, impact, and treatment. Clin Colon Rectal Surg, 2016, 29(3): 264-270.
9.	Al-Ozaibil, Kazim Y, Hazim W, et al. The Gatekeeper^TM for fecal incontinence: another trial and error. Int J Surg Case Rep, 2014, 5(12): 936-938.
10.	Michot F, Lefebure B, Bridoux V, et al. Artificial anal sphincter for severe fecal incontinence implanted by a transvaginal approach: experience with 32 patients treated at one institution. Dis Colon Rectum, 2010, 53(8): 1155-1160.
11.	李建国, 史福军, 徐帅, 等. 智能肠内容物感知神经的初步研究. 中国组织工程研究与临床康复, 2011, 15(48): 9011-9014.
12.	陈曼珊, 袁杨. 医用超声诊断仪的基本结构与故障维修. 中国医疗设备, 2013, 28(7): 136-138.
13.	Sridharan A, Eisenbrey J R, Machado P A, et al. Quantitative analysis of vascular heterogeneity in breast lesions using Contrast-Enhanced 3-D harmonic and subharmonic ultrasound imaging. IEEE Trans Ultrason Ferroelectr Freq Control, 2015, 62(3): 502-510.
14.	李建国, 唐成先, 杨雪峰, 等. 超声波探测系统模拟肠内容物感知神经的作用. 中国组织工程研究, 2013, 17(37): 6601-6606.
15.	Kleinerman R, Whang T B, Bard R L, et al. Ultrasound in dermatology: principles and applications. J Am Acad Dermatol, 2012, 67(3): 478-487.

1. Bajwa A, Emmanuel A. The physiology of continence and evacuation. Best Pract Res Clin Gastroenterol, 2009, 23(4): 477-485.
2. Omotosho T B, Rogers R G. Evaluation and treatment of anal incontinence, constipation, and defecatory dysfunction. Obstet Gynecol Clin North Am, 2009, 36(3): 673-697.
3. Jodorkovsky D, Gearhart S, Dunbar K B, et al. Biofeedback therapy for defecatory dysfunction: " real life” experience. J Clin Gastroenterol, 2011, 140(5, 1): S799.
4. Boselli A S, Pinna F, Cecchini S, et al. Biofeedback therapy plus anal electro-stimulation for fecal incontinence: prognostic factors and effects on anorectal physiology. World J Surg, 2010, 34(4): 815-821.
5. Lee H J, Jung K W, Myung S J. Technique of functional and motility test: how to perform biofeedback for constipation and fecal incontinence. J Neurogastroenterol Motil, 2013, 19(4): 532-537.
6. Melao S, Lima D R, Ratin R F, et al. Effectiveness of treatment using fecal incontinence biofeedback isolated or associated with electrical stimulation. J Coloproctol, 2014, 34(4): 240-244.
7. Gleason J L, Markland A, Greer W J, et al. Anal sphincter repair for fecal incontinence: effect on symptom severity, quality of Life, and anal sphincter squeeze pressures. Int Urogynecol J, 2011, 22(12): 1587-1592.
8. Bochenska K, Boller A M. Fecal incontinence: epidemiology, impact, and treatment. Clin Colon Rectal Surg, 2016, 29(3): 264-270.
9. Al-Ozaibil, Kazim Y, Hazim W, et al. The Gatekeeper^TM for fecal incontinence: another trial and error. Int J Surg Case Rep, 2014, 5(12): 936-938.
10. Michot F, Lefebure B, Bridoux V, et al. Artificial anal sphincter for severe fecal incontinence implanted by a transvaginal approach: experience with 32 patients treated at one institution. Dis Colon Rectum, 2010, 53(8): 1155-1160.
11. 李建国, 史福军, 徐帅, 等. 智能肠内容物感知神经的初步研究. 中国组织工程研究与临床康复, 2011, 15(48): 9011-9014.
12. 陈曼珊, 袁杨. 医用超声诊断仪的基本结构与故障维修. 中国医疗设备, 2013, 28(7): 136-138.
13. Sridharan A, Eisenbrey J R, Machado P A, et al. Quantitative analysis of vascular heterogeneity in breast lesions using Contrast-Enhanced 3-D harmonic and subharmonic ultrasound imaging. IEEE Trans Ultrason Ferroelectr Freq Control, 2015, 62(3): 502-510.
14. 李建国, 唐成先, 杨雪峰, 等. 超声波探测系统模拟肠内容物感知神经的作用. 中国组织工程研究, 2013, 17(37): 6601-6606.
15. Kleinerman R, Whang T B, Bard R L, et al. Ultrasound in dermatology: principles and applications. J Am Acad Dermatol, 2012, 67(3): 478-487.

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