Clinical observation of gastrointestinal function recovery in patients after hepatobiliary surgery

doi:10.4240/wjgs.v16.i1.76

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Retrospective Study

World J Gastrointest Surg. Jan 27, 2024; 16(1): 76-84
Published online Jan 27, 2024. doi: 10.4240/wjgs.v16.i1.76

Clinical observation of gastrointestinal function recovery in patients after hepatobiliary surgery

Hua-Jun Zeng, Jing-Jing Liu, Ying-Chun Yang

Hua-Jun Zeng, Department of General Practice, Nanyang First People's Hospital, Nanyang 473000, Henan Province, China

Jing-Jing Liu, Department of Anesthesiology, Chinese People’s Armed Police Force Hospital of Beijing, Beijing 100027, China

Ying-Chun Yang, Department of Anesthesiology, Beijing Fengtai Hospital, Beijing 100071, China

Co-first authors: Hua-Jun Zeng and Jing-Jing Liu.

Author contributions: Zeng HJ and Liu JJ designed the research; Yang YC, Zeng HJ and Liu JJ performed the research; Yang YC, Zeng HJ and Liu JJ contributed new reagents/analytic tools; Yang YC, Zeng HJ and Liu JJ analyzed the data; Zeng HJ and Liu JJ wrote the paper.

Institutional review board statement: This study protocol was approved by the Beijing Fengtai Hospital.

Informed consent statement: All the families have voluntarily participated in the study and have signed informed consent forms.

Conflict-of-interest statement: The authors declared no conflict of interest existing in this paper.

Data sharing statement: Data generated from this investigation are available upon reasonable quest from the corresponding author.

Corresponding author: Ying-Chun Yang, MM, Attending Doctor, Department of Anesthesiology, Beijing Fengtai Hospital, No. 1 Xi'an Street, Fengtai District, Beijing 100071, China. yycsci@126.com

Received: October 30, 2023
Peer-review started: October 30, 2023
First decision: November 8, 2023
Revised: November 21, 2023
Accepted: December 28, 2023
Article in press: December 28, 2023
Published online: January 27, 2024
Processing time: 86 Days and 22.1 Hours

Abstract

BACKGROUND

The liver is an important metabolic and digestive organ in the human body, capable of producing bile, clotting factors, and vitamins.

AIM

To investigate the recovery of gastrointestinal function in patients after hepatobiliary surgery and identify effective rehabilitation measures.

METHODS

A total of 200 patients who underwent hepatobiliary surgery in our hospital in 2022 were selected as the study subjects. They were divided into a control group and a study group based on the extent of the surgery, with 100 patients in each group. The control group received routine treatment, while the study group received targeted interventions, including early enteral nutrition support, drinking water before gas discharge, and large bowel enema, to promote postoperative gastrointestinal function recovery. The recovery of gastrointestinal function was compared between the two groups.

RESULTS

Compared with the control group, patients in the study group had better recovery of bowel sounds and less accumulation of fluids in the liver bed and gallbladder fossa (P < 0.05). They also had shorter time to gas discharge and first meal (P < 0.05), higher overall effective rate of gastrointestinal function recovery (P < 0.05), and lower incidence of postoperative complications (P < 0.05).

CONCLUSION

Targeted nursing interventions (early nutritional support, drinking water before gas discharge, and enema) can effectively promote gastrointestinal function recovery in patients undergoing hepatobiliary surgery and reduce the incidence of complications, which is worthy of promotion.

Keywords: Liver and gallbladder patients; Gastrointestinal function; Postoperative recovery

Core Tip: The liver is an important metabolic and digestive organ in the human body, capable of producing bile, clotting factors, and vitamins. The bile duct mainly functions in the secretion and excretion of bile. This study was conducted in a retrospective manner. After undergoing the same surgical procedure, the patients in the control group received routine treatment and management, including relevant examinations of the liver and gallbladder, evaluation of the stage of disease development, and dietary guidance to maintain the balance of various bodily functions.