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Quality of Life and Postoperative Anesthesia in Gastrointestinal Surgery

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Handbook of Disease Burdens and Quality of Life Measures

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Abstract:

Gastrointestinal surgery impacts considerably on quality of life particularly in the post operative period. The magnitude of this effect is governed by the systemic response to surgery and minimally invasive techniques have allowed for considerable advances in this area. Traditionally, the role of the anaesthetist was limited to pain control. Adequate analgesia is essential for rapid rehabilitation after surgery and is a major factor contributing to patient satisfaction. However, anesthesia may have a further influence by favorably modulating the systemic response, expediting recovery and improving quality of life.

Various anesthetic regimens have been utilized in gastrointestinal surgery. Intraspinal techniques have shown promising results in comparison with more conventional intravenous analgesics but evidence of improved outcome is scarce.

Multimodal post operative care has an undoubted positive impact on patient outcome however the influence of the anesthetic component is difficult to ascertain. Some recent trials have indicated that epidural anesthetic techniques improve QOL in the post operative period when compared to more traditional anesthetic techniques. While these results are encouraging, further clinical trials are needed assessing impact of anesthesia on quality of life before recommendations can be made.

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Abbreviations

CEI:

continuous epidural infusion

CGQL:

Cleveland global quality of life questionnaire

GI:

gastrointestinal

IV:

intravenous

MASTER:

Multicentred Australian Study of Epidural Anesthesia

NSAID:

non-steroidal anti-inflammatory drugs

PCA:

patient controlled analgesia

PCEA:

patient controlled epidural analgesia

QOL:

quality of life

RCT:

randomized controlled trial

SF 8:

Short form 8 questionnaire

SF 36:

Short form 36 questionnaire

VAS:

visual analogue scale

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Authors and Affiliations

  1. Institute for Clinical Outcomes Research and Education (iCORE), St. Vincent’s University Hospital, Dublin 4, Ireland

    R. Kennelly, A. M. Hogan, J. F. Boylan & D. C. Winter

Authors
  1. R. Kennelly
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  2. A. M. Hogan
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  3. J. F. Boylan
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  4. D. C. Winter
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Editor information

Editors and Affiliations

  1. Dept. Nutrition and Dietetics Nutritional Sciences Research Division School of Biomedical & Health Sciences, King's College London, Franklin‐Wilkins Building 150 Stamford Street, SE1 9NH, London, UK

    Victor R. Preedy (Prof.) (Prof.)

  2. Mel and Enid Zuckerman College of Public Health, University of Arizona, Health Science Center 1295 N. Martin, P.O. Box 245155, 85724-5155, Tucson, AZ

    Ronald R. Watson (Prof.) (Prof.)

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Kennelly, R., Hogan, A.M., Boylan, J.F., Winter, D.C. (2010). Quality of Life and Postoperative Anesthesia in Gastrointestinal Surgery. In: Preedy, V.R., Watson, R.R. (eds) Handbook of Disease Burdens and Quality of Life Measures. Springer, New York, NY. https://doi.org/10.1007/978-0-387-78665-0_134

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  • DOI: https://doi.org/10.1007/978-0-387-78665-0_134

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-78664-3

  • Online ISBN: 978-0-387-78665-0

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