Gastrointestinal Motility Following Thoracic Surgery: The Effect of Thoracic Epidural Analgesia

A Randomised Controlled Trial

Argyro Zoumprouli; Aikaterini Chatzimichali; Stamatios Papadimitriou; Alexandra Papaioannou; Evaghelos Xynos; Helen Askitopoulou


BMC Anesthesiol. 2017;17(139) 

In This Article


The present study showed that objective tests are capable of detecting the delayed motility of the whole GI system on the first and third postoperative days after thoracic surgery. It also demonstrated that continuous epidural analgesia with ropivacaine or combination of ropivacaine and morphine improved GI motility in comparison to intravenous morphine. This is particularly important following thoracic surgery, as these patients are prone to pulmonary complications, which can be exacerbated by postoperative ileus.