[Lengthy epidural blockade and intestinal motor function in the early postoperative period].
The telemetry method of registration of the intraintestinal pressure was used for the investigation of the motor function of the intestine under condition of continuous epidural blockade (CEB) with Trimekain at early terms after operations on the stomach for ulcer disease. It was found that the motor cycle structure of the small and sigmoid bowels within the first three days after resection of the stomach and truncal vagotomy was not substantially changed under the influence of CEB. A pronounced stimulating effect of the epidural blockade manifested itself as an improvement of the main quantitative parameters of intestinal motility. The character of these changes in the small and sigmoid bowels was the same and did not depend on intactness of vagus nerves. The combined mechanism of the influence of CEB on intestinal motility includes analgesia, improved respiratory function, greater volume of mesenterial circulation and the influence on the intramural nervous system and muscle apparatus of the intestine.
Kurygin
A A
AA
Maĭstrenko
N A
NA
Revin
G O
GO
D000767:Anesthesia, Epidural; D005769:Gastrointestinal Motility; D006801:Humans; D011184:Postoperative Period; D013686:Telemetry