[Postoperative small intestinal motility after abdominal surgery].
After abdominal surgery there is a postoperative small bowel ileus. We evaluate whether the duration of the small bowel ileus is depending on the kind of surgery or not. Over a needle catheter jejunostomy a 3-tip transducer was placed into the distal jejunum. At the end of the operations a pressure detector was connected to measure the intraluminal pressure continuously over five days. Group A consisted of three patients undergoing explorative laparotomy because of inoperable gastric cardia cancer, and group B of eight patients who underwent gastrectomy. In none of the patients a normal empty stomach motility pattern, determined by the activity of a migrating myoelectric complex (MMC) was detectable. In group A the normal MMC-activity returned after 24 +/- 4.5 h and in group B after 82 +/- 25 h. Therefore the duration of the loss of the interdigestive myoelectric complex appeared to be dependent upon the type of surgery.
Kemen
M
M
Chirurgische Klinik der Ruhruniversität, St. Josef-Hospital, Bochum.
Bein
N
N
Homann
H H
HH
Bauer
K H
KH
Zumtobel
V
V
D002299:Cardia / Q000601:surgery; D002408:Catheters, Indwelling; D005260:Female; D005743:Gastrectomy; D005769:Gastrointestinal Motility / Q000502:physiology*; D006801:Humans; D007421:Intestine, Small / Q000503:physiopathology*; D007582:Jejunostomy / Q000295:instrumentation; D008297:Male; D008365:Manometry / Q000295:instrumentation; D008875:Middle Aged; D008991:Monitoring, Physiologic / Q000295:instrumentation; D011183:Postoperative Complications / Q000503:physiopathology*; D012815:Signal Processing, Computer-Assisted / Q000295:instrumentation; D013274:Stomach Neoplasms / Q000503:physiopathology / Q000601:surgery*; D014160:Transducers, Pressure
Postoperative Dünndarmmotilität nach abdominalchirurgischen Eingriffen.