Acta Med. 2023, 66: 11-18

https://doi.org/10.14712/18059694.2023.9

Wireless Monitoring of Gastrointestinal Transit Time, Intra-luminal pH, Pressure and Temperature in Experimental Pigs: A Pilot Study

Jan Bureša,b,c, Věra Radochovád, Jaroslav Květinaa, Darina Kohoutováa,e, Martin Vališf, Stanislav Rejchrtg, Jana Žďárová Karasováh, Ondřej Soukupa, Štěpán Suchánekb,c, Miroslav Zavoralb,c

aBiomedical Research Centre, University Hospital Hradec Králové, Czech Republic
bDepartment of Medicine, Charles University, First Faculty of Medicine, Praha and Military University Hospital Praha, Czech Republic
cInstitute of Gastrointestinal Oncology, Military University Hospital Praha, Czech Republic
dAnimal Laboratory, University of Defence, Faculty of Military Health Sciences, Hradec Králové, Czech Republic
eThe Royal Marsden Hospital NHS Foundation Trust, London, United Kingdom
fDepartment of Neurology, Charles University, Faculty of Medicine in Hradec Králové and University Hospital Hradec Králové, Czech Republic
g2nd Department of Medicine – Gastroenterology, Charles University, Faculty of Medicine in Hradec Králové and University Hospital Hradec Králové, Czech Republic
hDepartment of Toxicology and Military Pharmacy, University of Defence, Faculty of Military Health Sciences, Hradec Králové, Czech Republic

Received January 1, 2023
Accepted March 21, 2023

Background: There is no single gold standard for investigation of gastrointestinal motility function. Wireless motility monitoring involves a novel concept which provides a complex information on gastrointestinal function (gastrointestinal transit time, intra-luminal pH, pressure and temperature). Gastrointestinal motility functions of experimental pigs are very similar to those of humans. That is why porcine studies have already provided suitable experimental models for several preclinical projects. Aims: The aim of our study was to adopt methods of non-invasive wireless monitoring of gastrointestinal functions in experimental pigs. Methods: Five experimental adult female pigs were enrolled into the study. Wireless motility capsules were delivered into the porcine stomach endoscopically. Gastrointestinal transit and intra-luminal conditions were recorded for five days. Results: Records of animals provided good (3 pigs) or very good quality files (2 pigs). 31150 variables were evaluated. Mean time of the presence of capsules in the stomach was 926 ± 295 min, transfer of a capsule from the stomach into the duodenum lasted 5–34 min. Mean small intestinal transit time was 251 ± 43 min. Food intake was associated with an increase of gastric luminal temperature and a decrease of intra-gastric pressure. The highest intra-luminal pH was present in the ileum. The highest temperature and the lowest intra-luminal pressure were found in the colon. All data displayed a substantial inter-individual variability. Conclusions: This pilot study has proven that a long-term function monitoring of the gastrointestinal tract by means of wireless motility capsules in experimental pigs is feasible. However, both ketamine-based induction of general anaesthesia as well as long-lasting general anaesthesia (> 6 hours) should be avoided to prevent retention of a capsule in the porcine stomach.

Funding

This work was supported by research projects DZVRO MO1012 and MH CZ – DRO (UHHK, 00179906).

References

51 live references