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Comparison of the Effects of Continuous Epidural Analgesia and Continuous Intravenous Analgesia on Postoperative Bowel Movement in Patients Undergoing Laparoscopic Gastrectomy

Phase 4
Completed
Conditions
Gastric Cancer
Interventions
Other: continuous epidural analgesia
Other: continuous intravenous analgesia
Registration Number
NCT02458573
Lead Sponsor
Yonsei University
Brief Summary

The investigators hypothesized that sympatholytic effect of epidural analgesia would attenuate the hemodynamic instability and decrease in the splanchnic blood flow caused by pneumoperitoneum during laparoscopic surgery. This study is to compare the effect of epidural analgesia and intravenous analgesia on postoperative bowel movement in patients undergoing laparoscopic gastrectomy.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
86
Inclusion Criteria
  • patient between 20 and 70 of age with ASA physical status Ⅰ-Ⅲ
  • gastric cancer patient undergoing laparoscopic gastrectomy
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Exclusion Criteria
  • ASA physical status Ⅳ
  • bradycardia (< 60 bpm), arrhythmia
  • uncompensated heart failure
  • hepatic failure (Child-Pugh score B)
  • renal failure (eGFR MDRD < 60 ml/min/1.73m2)
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
continuous epidural analgesia groupcontinuous epidural analgesia-
continuous intravenous analgesia groupcontinuous intravenous analgesia-
Primary Outcome Measures
NameTimeMethod
the time to first gas passing after surgerywithin 5days after surgery

Outcome will be assessed by a investigator blinded to the study group.

the time to resume water intake after surgerywithin 5days after surgery

Outcome will be assessed by a investigator blinded to the study group.

soft diet intake after surgerywithin 5days after surgery

Outcome will be assessed by a investigator blinded to the study group.

Secondary Outcome Measures
NameTimeMethod
postoperative painimmediately after surgery to 48 hours

numerical rating scale 0 (no pain) to 10 (worst pain)

Trial Locations

Locations (1)

Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine

🇰🇷

Seoul, Korea, Republic of

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