Korean Journal of Anesthesiology

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Randomized Controlled Trial
Korean J Anesthesiol. 2006;51(6):659-662.
DOI: https://doi.org/10.4097/kjae.2006.51.6.659
Effect of Anesthetic Methods on Gastrointestinal Bowel Movement after Colon Surgery.
Kun Moo Lee, Jong Woo Bae, Young Hwan Kim, Hoon Se Lim, Jeong Han Lee, Soon Ho Cheong, Young Kyun Choe, Young Jae Kim, Chee Mahn Shin
Department of Anesthesiology and Pain Medicine, Inje University Pusan Paik Hospital, College of Medicine, Inje University, Busan, Korea. aneslkm@inje.ac.kr
Abstract
BACKGROUND
Gastrointestinal bowel movements are reduced by opioid-based anesthesia. Remifentanil is commonly used as total intravenous anesthesia. This study compared to the effect of various anesthetic methods on gastrointestinal bowel movement after colon surgery.
METHODS
Ninety patients were allocated randomly into three groups. Thirty patients received intraoperative inhalation anesthesia (desflurane + N2O, Group I), 30 patients received intraoperative total intravenous anesthesia (propofol + remifentanil, Group II), and 30 patients received intraoperative epidural anesthesia (epidural lidocaine + propofol, Group III). All patients received postoperative epidural analgesia with a mixture of ropivacaine and morphine. The time to the first passage of flatus, hospital stay and visual analog pain scale were recorded.
RESULTS
There was no significant difference in first passage of flatus among groups (Group I: 92.7 +/- 19.6, Group II: 86.9 +/- 19.4, Group III: 81.9 +/- 12.8 hours, P = 0.063). There were no significant difference in the hospital stay and visual analog scale among the three groups.
CONCLUSIONS
Total intravenous anesthesia with remifentanil did not reduce the gastrointestinal bowel movements compared with those of inhalation or epidural anesthesia.

Keywords :bowel movement;colon surgery;desflurane;epidural anesthesia;propofol;remifentanil

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