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

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...

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Veröffentlicht in:World journal of surgery 2021-02, Vol.45 (2), p.451-458
Hauptverfasser: Ogawa, Maho, Namikawa, Tsutomu, Oki, Toyokazu, Munekage, Masaya, Maeda, Hiromichi, Kitagawa, Hiroyuki, Dabanaka, Ken, Sugimoto, Takeki, Kobayashi, Michiya, Sakata, Osamu, Matsuda, Kenichi, Hanazaki, Kazuhiro
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container_issue 2
container_start_page 451
container_title World journal of surgery
container_volume 45
creator Ogawa, Maho
Namikawa, Tsutomu
Oki, Toyokazu
Munekage, Masaya
Maeda, Hiromichi
Kitagawa, Hiroyuki
Dabanaka, Ken
Sugimoto, Takeki
Kobayashi, Michiya
Sakata, Osamu
Matsuda, Kenichi
Hanazaki, Kazuhiro
description 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 
doi_str_mv 10.1007/s00268-020-05824-4
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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 &lt; 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 &lt; 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.</description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-020-05824-4</identifier><identifier>PMID: 33063197</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Abdominal Surgery ; Breast cancer ; Cardiac Surgery ; Data analysis ; General Surgery ; Intestinal motility ; Intestine ; Medicine ; Medicine &amp; Public Health ; Monitoring ; Monitoring systems ; Motility ; Neuroendocrine tumors ; Original Scientific Report ; Parathyroid ; Patients ; Real time ; Sound ; Surgery ; Telemedicine ; Thoracic Surgery ; Thyroid ; Thyroid cancer ; Tumors ; Vascular Surgery</subject><ispartof>World journal of surgery, 2021-02, Vol.45 (2), p.451-458</ispartof><rights>Société Internationale de Chirurgie 2020</rights><rights>2021 The Author(s) under exclusive licence to Société Internationale de Chirurgie</rights><rights>Société Internationale de Chirurgie 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4923-cc77361a6d7e1c3b8ae995e0bd051ee8f85e8821c246aec26b4e4b9c514789ae3</citedby><cites>FETCH-LOGICAL-c4923-cc77361a6d7e1c3b8ae995e0bd051ee8f85e8821c246aec26b4e4b9c514789ae3</cites><orcidid>0000-0001-8971-404X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00268-020-05824-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00268-020-05824-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,41464,42533,45550,45551,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33063197$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ogawa, Maho</creatorcontrib><creatorcontrib>Namikawa, Tsutomu</creatorcontrib><creatorcontrib>Oki, Toyokazu</creatorcontrib><creatorcontrib>Munekage, Masaya</creatorcontrib><creatorcontrib>Maeda, Hiromichi</creatorcontrib><creatorcontrib>Kitagawa, Hiroyuki</creatorcontrib><creatorcontrib>Dabanaka, Ken</creatorcontrib><creatorcontrib>Sugimoto, Takeki</creatorcontrib><creatorcontrib>Kobayashi, Michiya</creatorcontrib><creatorcontrib>Sakata, Osamu</creatorcontrib><creatorcontrib>Matsuda, Kenichi</creatorcontrib><creatorcontrib>Hanazaki, Kazuhiro</creatorcontrib><title>Evaluation of Perioperative Intestinal Motility Using a Newly Developed Real-Time Monitoring System During Surgery</title><title>World journal of surgery</title><addtitle>World J Surg</addtitle><addtitle>World J Surg</addtitle><description>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 &lt; 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 &lt; 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.</description><subject>Abdominal Surgery</subject><subject>Breast cancer</subject><subject>Cardiac Surgery</subject><subject>Data analysis</subject><subject>General Surgery</subject><subject>Intestinal motility</subject><subject>Intestine</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Monitoring</subject><subject>Monitoring systems</subject><subject>Motility</subject><subject>Neuroendocrine tumors</subject><subject>Original Scientific Report</subject><subject>Parathyroid</subject><subject>Patients</subject><subject>Real time</subject><subject>Sound</subject><subject>Surgery</subject><subject>Telemedicine</subject><subject>Thoracic Surgery</subject><subject>Thyroid</subject><subject>Thyroid cancer</subject><subject>Tumors</subject><subject>Vascular Surgery</subject><issn>0364-2313</issn><issn>1432-2323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNqNkUtv1TAQhS0EopfCH2CBLLFhExg_4jjsoA9oVR6irVhaju_cypWTXOzkVvn3dUihUheIlcej7xzNzCHkJYO3DKB6lwC40gVwKKDUXBbyEVkxKXjBBRePyQqEkrlmYo88S-kagFUK1FOyJwQowepqReLRzobRDr7vaL-h3zH6fosxN3ZIT7oB0-A7G-iXfvDBDxO9TL67opZ-xZsw0UPcYciCNf2BNhQXvsWMdn7o44ydT2nAlh6Oy2-MVxin5-TJxoaEL-7efXJ5fHRx8Lk4-_bp5ODDWeFkzUXhXFUJxaxaV8icaLTFui4RmjWUDFFvdIlac-a4VBYdV41E2dSuZLLStUWxT94svtvY_xrzIqb1yWEItsN-TIbLkmmpKwEZff0Ave7HmPeeqUporUohM8UXysU-pYgbs42-tXEyDMyciFkSMTkR8zsRM4te3VmPTYvrv5I_EWTg_QLc-IDTf1ian6fnH48BtBRZLBZx2s4nxng_-D9mugUiMKgy</recordid><startdate>202102</startdate><enddate>202102</enddate><creator>Ogawa, Maho</creator><creator>Namikawa, Tsutomu</creator><creator>Oki, Toyokazu</creator><creator>Munekage, Masaya</creator><creator>Maeda, Hiromichi</creator><creator>Kitagawa, Hiroyuki</creator><creator>Dabanaka, Ken</creator><creator>Sugimoto, Takeki</creator><creator>Kobayashi, Michiya</creator><creator>Sakata, Osamu</creator><creator>Matsuda, Kenichi</creator><creator>Hanazaki, Kazuhiro</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8971-404X</orcidid></search><sort><creationdate>202102</creationdate><title>Evaluation of Perioperative Intestinal Motility Using a Newly Developed Real-Time Monitoring System During Surgery</title><author>Ogawa, Maho ; 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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 &lt; 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 &lt; 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.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>33063197</pmid><doi>10.1007/s00268-020-05824-4</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-8971-404X</orcidid></addata></record>
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source Wiley Online Library - AutoHoldings Journals; SpringerLink Journals - AutoHoldings
subjects Abdominal Surgery
Breast cancer
Cardiac Surgery
Data analysis
General Surgery
Intestinal motility
Intestine
Medicine
Medicine & Public Health
Monitoring
Monitoring systems
Motility
Neuroendocrine tumors
Original Scientific Report
Parathyroid
Patients
Real time
Sound
Surgery
Telemedicine
Thoracic Surgery
Thyroid
Thyroid cancer
Tumors
Vascular Surgery
title Evaluation of Perioperative Intestinal Motility Using a Newly Developed Real-Time Monitoring System During Surgery
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