EFFECTS OF DIFFERENT ANAESTHESIA FOR CHOLECYSTECTOMY ON GASTROINTESTINAL MOTILITY_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

Sun Yihong , Qin Xinyu , Wang Chengpei.

Department of Surgery, Zhongshan Hospital, Shanghai Medical University, Shanghai 200032;

Corresponding author：

Keywords：

Gastrointestinal motility; Cholecystectomy; Anaesthesia; Ileus

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This study was designed to determine the effects of different anaesthesia on the postoperative gastrointestinal motility after cholecystectomy. Postoperative gastrointestinal motility were recorded continuously by means of gastrointestinal manometry in 20 patients subject to cholecystectomy (general anaesthesia 10, epidural anaesthesia 10). Normal migrating motor complex (MMC) was abolished during the early postoperative period in all patients. The time of reappearance of intestinal MMC varied from 0.5 to 2 hours . Gastric MMC recurred 5.5 to 14 hours postoperatively and the normal MMC completely recovered 22 to 43 hours after the operations. Ingestion of food changed the MMC into a fed pattern during the early postoperative period. There was no difference between the general anaesthesia group and epidural anaesthesia group in terms of gastrointestinal motility. The results indicate that postoperative gastrointestinal motility recovers faster than that was thought conventionally. Cholecystectomy under general anaesthesia or under epidural anaesthesia makes no difference in postoperative gastrointestinal motility.

Citation： Sun Yihong,Qin Xinyu,Wang Chengpei.. EFFECTS OF DIFFERENT ANAESTHESIA FOR CHOLECYSTECTOMY ON GASTROINTESTINAL MOTILITY. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 1998, 5(3): 156-158. doi: Copy

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1. Vantrappen G, Janssens J, Hellemans J,et al.The interdigestive motor complex of normal subjects and patients with bacterial overgrowth of the small intestine. J Clin Invest, 1977; 59(6)∶1158.
2. Kellow JE, Borody TJ, Phillips SF,et al.Human interdigestive motility: variations in patterns from esophagus to colon. Gastroenterology, 1986; 91(2)∶386.
3. Wright JW, Healy TEJ, Baltour TW, et al.Effects of inhalational anesthetic agents on the electrical and mechanical activity of the rat duodenum. Br J Anesth, 1982; 54(11)∶1223.
4. Schurizek BA. The effects of general anaesthesia on antroduodenal motility, gastric pH gastric emptying in man. Dan Med Bull, 1991; 38(4)∶347.
5. Bueno L, Ferre JP, Ruckebusch Y. Effects of anaesthesia and surgical procedure on intestinal myoelectric activity in rats. Am J Dig Dis, 1978; 23(8)∶690.
6. Carlstedt A. Epidural anaesthesia and postoperative colorectal motility a possiable hazard to a colorectal anastomosis. Int J Colorectal Dis, 1989; 4(3)∶144.
7. Petring OU. Epidural anaesthesia does not delay early operative gastric emptying in man. Acta Anaesthesiol Scand, 1984; 28(4)∶393.
8. Rothnie NG, Harper RA, Catchpole BN. Early postoperative gastrointestinal activity. Lancet, 1963; 22(1)∶64.
9. Waldhausen JHT, Shaffrey ME, Skenderis BS, et al.Gastrointestinal myoelectric and clinical patterns of recovery after laparotomy. Ann Surg, 1990; 211(6)∶777.
10. Condon RE,Cowles VE, Schulte WJ, et al.Resolution of postoperative ileus in humans. Ann Surg, 1986; 203(5)∶574.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

EFFECTS OF DIFFERENT ANAESTHESIA FOR CHOLECYSTECTOMY ON GASTROINTESTINAL MOTILITY

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