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Evaluation of Perioperative Intestinal Motility Using a Newly Developed Real-Time Monitoring System During Surgery

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Abstract

Background

This study aimed to investigate perioperative intestinal motility using a novel bowel sound monitoring system in patients undergoing breast and neck surgery.

Materials and methods

This study enrolled 52 patients who underwent surgery for breast cancer, thyroid tumor, and parathyroid tumor at Kochi Medical School from May 2019 to June 2020. Perioperative bowel sound counts (BSCs) were recorded using a newly developed real-time analysis system in the operating theater. Clinical information and BSC per minute (cpm) data during the preanesthetic, preoperative, operative, postoperative periods, and period in recovery room were obtained to compare between each period. The Mann–Whitney U and Pearson Chi-square tests were used in data analysis.

Results

The BSCs during the intraoperative period and postoperative period were significantly decreased compared to those during the preanesthetic period (0.07 cpm versus [vs.]. 1.4 cpm, P = 0.002 and 0.1 cpm vs. 1.4 cpm, P = 0.025, respectively). The preoperative BSC with a preanesthetic BSC < 1.4 was significantly lower than that with a preanesthetic BSC ≥ 1.4 (0.40 cpm vs. 1.78 cpm, P = 0.006). The preanesthetic, preoperative, and postoperative BSCs with an intraoperative BSC < 0.07 were significantly lower than those with an intraoperative BSC ≥ 0.07 (0.48 cpm vs. 2.83 cpm, P = 0.007; 0.40 cpm vs. 1.81 cpm, P = 0.008; and 0.07 cpm vs. 0.42 cpm, P = 0.006, respectively).

Conclusion

The real-time bowel sound analysis system demonstrated an inhibitory effect associated with anesthetic and surgical stress on intestinal motility as the BSC sequentially.

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References

  1. Mattei P, Rombeau JL (2006) Review of the pathophysiology and management of postoperative ileus. World J Surg 30:1382–1391

    Article  Google Scholar 

  2. Augestad KM, Delaney CP (2010) Postoperative ileus: impact of pharmacological treatment, laparoscopic surgery and enhanced recovery pathways. World J Gastroenterol 16:2067–2074

    Article  Google Scholar 

  3. Nygren J, Thacker J, Carli F, et al(2013) Enhanced recovery after surgery (ERAS) society, for perioperative care; European society for clinical nutrition and metabolism (ESPEN); International association for surgical metabolism and nutrition (IASMEN) guidelines for perioperative care in elective rectal/pelvic surgery: enhanced recovery after surgery (ERAS(®)) society recommendations. World J Surg37 285-305

  4. Baid H (2009) A critical review of auscultating bowel sounds. Br J Nurs 18:1125–1129

    Article  Google Scholar 

  5. Ching SS, Tan YK (2012) Spectral analysis of bowel sounds in intestinal obstruction using an electronic stethoscope. World J Gastroenterol 18:4585–4592

    Article  Google Scholar 

  6. Sakata O, Suzuki Y, Matsuda K et al (2013) Temporal changes in occurrence frequency of bowel sounds both in fasting state and after eating. J Artif Org 16:83–90

    Article  Google Scholar 

  7. Goto J, Matsuda K, Harii N et al (2015) Usefulness of a real-time bowel sound analysis system in patients with severe sepsis (pilot study). J Artif Org 18:86–91

    Article  Google Scholar 

  8. Ge B, Zhao H, Lin R et al (2015) Influence of gum-chewing on postoperative bowel activity after laparoscopic surgery for gastric cancer: a randomized controlled trial. Medicine (Baltimore) 96:e6501

    Article  Google Scholar 

  9. Boscan P, Cochran S, Monnet E et al (2014) Effect of prolonged general anesthesia with sevoflurane and laparoscopic surgery on gastric and small bowel propulsive motility and pH in dogs. Vet Anaesth Analg 41:73–81

    Article  CAS  Google Scholar 

  10. Gu Y, Lim HJ, Moser MA (2010) How useful are bowel sounds in assessing the abdomen? Dig Surg 27:422–426

    Article  Google Scholar 

  11. Chen KB, Huang Y, Jin XL et al (2019) Electroacupuncture or transcutaneous electroacupuncture for postoperative ileus after abdominal surgery: a systematic review and meta-analysis. Int J Surg 70:93–101

    Article  Google Scholar 

  12. Jackson CR, Lee RE, Wylie AB et al (2009) Diagnostic accuracy of the Barr and Blethyn radiological scoring systems for childhood constipation assessed using colonic transit time as the gold standard. Pediatr Radiol 39:664–667

    Article  Google Scholar 

  13. Miedema BW, Schillie S, Simmons JW et al (2002) Small bowel motility and transit after aortic surgery. J Vasc Surg 36:19–24

    Article  Google Scholar 

  14. Liatsos C, Hadjileontiadis LJ, Mavrogiannis C et al (2003) Bowel sounds analysis: a novel noninvasive method for diagnosis of small-volume ascites. Dig Dis Sci 48:1630–1636

    Article  Google Scholar 

  15. Felder S, Margel D, Murrell Z et al (2014) Usefulness of bowel sound auscultation: a prospective evaluation. J Surg Educ 71:768–773

    Article  Google Scholar 

  16. Yuki M, Adachi K, Fujishiro H et al (2002) Is a computerized bowel sound auscultation system useful for the detection of increased bowel motility? Am J Gastroenterol 97:1846–1848

    Article  Google Scholar 

  17. Mansy HA, Sandler RH (2000) Detection and analysis of gastrointestinal sounds in normal and small bowel obstructed rats. Med Biol Eng Comput 38:42–48

    Article  CAS  Google Scholar 

  18. Yamaguchi K, Yamaguchi T, Odaka T et al (2006) Evaluation of gastrointestinal motility by computerized analysis of abdominal auscultation findings. J Gastroenterol Hepatol 21:510–514

    Article  Google Scholar 

  19. Gómez-Izquierdo JC, Feldman LS, Carli F et al (2015) Meta-analysis of the effect of goal-directed therapy on bowel function after abdominal surgery. Br J Surg 102:577–589

    Article  Google Scholar 

  20. van Bree SH, Bemelman WA, Hollmann MW et al (2014) Identification of clinical outcome measures for recovery of gastrointestinal motility in postoperative ileus. Ann Surg 259:708–714

    Article  Google Scholar 

  21. van Bree SH, Vlug MS, Bemelman WA et al (2011) Faster recovery of gastrointestinal transit after laparoscopy and fast-track care in patients undergoing colonic surgery. Gastroenterology 141:872–880

    Article  Google Scholar 

  22. de Leede EM, van Leersum NJ, Kroon HM et al (2018) Multicentre randomized clinical trial of the effect of chewing gum after abdominal surgery. Br J Surg 105:820–828

    Article  Google Scholar 

  23. Salciccia A, Gougnard A, Grulke S et al (2019) Gastrointestinal effects of general anaesthesia in horses undergoing nonabdominal surgery: focus on the clinical parameters and ultrasonographic images. Res Vet Sci 124:123–128

    Article  CAS  Google Scholar 

  24. Akkurt BC, Temiz M, Inanoglu K et al (2009) Comparison of recovery characteristics, postoperative nausea and vomiting, and gastrointestinal motility with total intravenous anesthesia with propofol versus inhalation anesthesia with desflurane for laparoscopic cholecystectomy: a randomized controlled study. Curr Ther Res Clin Exp 70:94–103

    Article  CAS  Google Scholar 

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Funding

None of the authors received funding or have any competing interests to disclose.

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Authors and Affiliations

  1. Department of Surgery, Kochi Medical School, Kohasu, Oko-cho, Nankoku, Kochi, 783-8505, Japan

    Maho Ogawa, Tsutomu Namikawa, Toyokazu Oki, Masaya Munekage, Hiromichi Maeda, Hiroyuki Kitagawa, Ken Dabanaka, Takeki Sugimoto & Kazuhiro Hanazaki

  2. Department of Human Health and Medical Sciences, Kochi Medical School, Kochi, Japan

    Michiya Kobayashi

  3. Department of Electrical Engineering, Tokyo University of Science Faculty of Engineering, Tokyo, Japan

    Osamu Sakata

  4. Department of Emergency and Critical Care Medicine, Faculty of Medicine, University of Yamanashi, Yamanashi, Japan

    Kenichi Matsuda

Authors
  1. Maho Ogawa
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  2. Tsutomu Namikawa
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  3. Toyokazu Oki
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  4. Masaya Munekage
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  5. Hiromichi Maeda
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  6. Hiroyuki Kitagawa
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  7. Ken Dabanaka
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  8. Takeki Sugimoto
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  9. Michiya Kobayashi
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  10. Osamu Sakata
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  11. Kenichi Matsuda
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  12. Kazuhiro Hanazaki
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Correspondence to Tsutomu Namikawa.

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Ogawa, M., Namikawa, T., Oki, T. et al. Evaluation of Perioperative Intestinal Motility Using a Newly Developed Real-Time Monitoring System During Surgery. World J Surg 45, 451–458 (2021). https://doi.org/10.1007/s00268-020-05824-4

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  • DOI: https://doi.org/10.1007/s00268-020-05824-4

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