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Digestive Diseases and Sciences

, Volume 36, Issue 5, pp 621–626 | Cite as

Return of interdigestive motor complex after abdominal surgery

End of postoperative ileus?
  • Ekkehard Schippers
  • Arnulf H. Hölscher
  • Elfriede Bollschweiler
  • J. Rüdiger Siewert
Original Articles

Abstract

Gastrointestinal mechanical activity was studied in 13 patients after different surgical procedures in a fasted and fed state and after pharmacological stimulation. Mechanical activity was recorded by means of a multipressure sensor probe placed intraoperatively into the jejunum. Abdominal surgery abolished normal motility only for a short period of time. The time for the reappearance of regular recurring activity fronts varied with the type of the surgical procedure from 3 hr after cholecystectomy to the sixth postoperative day after colon resection. The fed pattern occurred after the first postoperative interdigestive motor complex in all experiments. Stimulation was observed with ceruletid, which induced contractile activity in the small intestine during postoperative ileus. No coordinated caudad propagating activity was observed. The postoperative interdigestive motor complex did not correlated in time with the first passage of flatus and stool in our patients. Thus, the restoration of motility in the small intestine did not coincide with the clinical relief from the so-called “physiological” postoperative ileus.

Key words

postoperative ileus gastrointestinal motility interdigestive motor complex fed pattern ceruletid 

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Copyright information

© Plenum Publishing Corporation 1991

Authors and Affiliations

  • Ekkehard Schippers
    • 1
  • Arnulf H. Hölscher
    • 1
  • Elfriede Bollschweiler
    • 1
  • J. Rüdiger Siewert
    • 1
  1. 1.Department of SurgeryKlinikum rechts der Isar Technical UniversityMunichF.R.G.

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