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Related Experiment Videos

Postoperative gastric emptying

D M Ingram, H J Sheiner

    The British Journal of Surgery
    |August 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Postoperative fluid intolerance after abdominal surgery is common. Opiate pain medication significantly delays gastric emptying, contributing to this intolerance following cholecystectomy.

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    Area of Science:

    • Gastroenterology
    • Pharmacology
    • Surgical Outcomes

    Background:

    • Postoperative intolerance of oral fluids is frequent after abdominal surgery.
    • Premature fluid administration can lead to abdominal distension, nausea, and vomiting.

    Purpose of the Study:

    • To investigate the gastric emptying of 100 ml of water in patients undergoing elective cholecystectomy.
    • To analyze factors influencing postoperative gastric emptying rates.

    Main Methods:

    • Radio-isotopic measurement of gastric emptying.
    • Comparison of preoperative and postoperative (first day) gastric emptying.
    • Analysis of correlations between gastric emptying and patient/treatment factors.

    Main Results:

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    • Postoperative gastric emptying exhibited significant variability, from normal to absent.
    • No correlation was found with age, plasma potassium, or operation/anesthetic duration.
    • Gastric emptying was significantly correlated with perioperative drug administration, particularly opiates.

    Conclusions:

    • Opiate therapy is a major factor retarding gastric emptying post-cholecystectomy.
    • Gastric emptying normalized when more than 5 hours elapsed since the last opiate injection.
    • Opiate use may be a primary cause of fluid intolerance after this surgery.