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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

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02458573
Enrollment
86
Registered
2015-06-01
Start date
2015-06-04
Completion date
2016-03-28
Last updated
2017-01-25

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Gastric Cancer

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.

Interventions

the continuous epidural analgesia group: epidural analgesia started from induction of anesthesia and continued for 48 h.

the continuous intravenous analgesia group: intravenous analgesia started from induction of anesthesia and continued for 48 h.

Sponsors

Yonsei University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
20 Years to 70 Years
Healthy volunteers
No

Inclusion criteria

* patient between 20 and 70 of age with ASA physical status Ⅰ-Ⅲ * gastric cancer patient undergoing laparoscopic gastrectomy

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)

Design outcomes

Primary

MeasureTime frameDescription
the time to first gas passing after surgerywithin 5days after surgeryOutcome will be assessed by a investigator blinded to the study group.
the time to resume water intake after surgerywithin 5days after surgeryOutcome will be assessed by a investigator blinded to the study group.
soft diet intake after surgerywithin 5days after surgeryOutcome will be assessed by a investigator blinded to the study group.

Secondary

MeasureTime frameDescription
postoperative painimmediately after surgery to 48 hoursnumerical rating scale 0 (no pain) to 10 (worst pain)

Countries

South Korea

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026