医学
围手术期
声音(地理)
外科
胃切除术
肠道准备
腹腔镜手术
腹腔镜检查
癌症
结直肠癌
内科学
地貌学
地质学
结肠镜检查
作者
Tsutomu Namikawa,Sachi Yamaguchi,Kazune Fujisawa,Maho Ogawa,Jun Iwabu,Masaya Munekage,Sunao Uemura,Hiromichi Maeda,Hiroyuki Kitagawa,Michiya Kobayashi,Kenichi Matsuda,Kazuhiro Hanazaki
出处
期刊:JGH open
[Wiley]
日期:2021-02-26
卷期号:5 (4): 454-458
被引量:5
摘要
Abstract Background and Aim Objective measurements are not available for determining bowel sounds. The present study sought to evaluate the efficacy of a novel bowel sound monitoring system for perioperative use in patients undergoing gastric surgery. Methods The study enrolled 14 patients who underwent surgery for gastric cancer at Kochi Medical School from 2017 to 2018. Preoperative and postoperative bowel sounds were recorded using a newly developed real‐time analysis system in the operating theater and recovery room. Clinical information and bowel sound count data were obtained to compare preoperative and postoperative measures. Results The median preoperative and postoperative bowel sound counts across all patients were 1.4 and 2.5 counts per minute (cpm), respectively. In patients who underwent laparoscopic gastrectomy, the postoperative bowel sound count was significantly higher than that recorded preoperatively (2.3 vs. 1.6 cpm, P = 0.005). The findings also revealed a significant negative correlation between postoperative bowel sound count and operation time ( r = −0.714, P = 0.003). Conclusions The real‐time bowel sound analysis system tested herein presents a promising diagnostic tool to quantitatively evaluate bowel movements associated with surgery. Our results suggested a need for shorter operation times for gastric procedures with respect to peristalsis recovery and supported the use of minimally invasive surgery.
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