Comparison of epidural anesthesia and intravenous self-control analgesia on postoperative recovery quality in duodenectomy

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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, 2026; 18(1): 112988
Published online Jan 27, 2026. doi: 10.4240/wjgs.v18.i1.112988

Table 3 Comparison of gastrointestinal recovery outcomes between groups, n (%)

Indicator	Outcome EA group (n = 84)	IVPCA group (n = 84)	P value
Time to recovery (hours)
First flatus	65.3 ± 12.6	78.9 ± 15.4	< 0.001
First bowel movement	87.2 ± 16.3	103.5 ± 19.8	< 0.001
Toleration of a liquid diet	56.4 ± 11.8	69.7 ± 14.2	< 0.001
Advancement to a regular diet	112.6 ± 20.4	136.8 ± 24.5	< 0.001
Gastrointestinal complications
Postoperative ileus	10 (11.9)	20 (23.8)	0.042
Delayed gastric emptying	14 (16.7)	24 (28.6)	0.031
Nausea and vomiting	16 (19.0)	27 (32.1)	0.048
Nutritional parameters
Duration of total parenteral nutrition (days)	4.1 ± 1.6	5.8 ± 2.3	< 0.001
Weight loss at POD 7 (kg)	2.6 ± 1.1	3.4 ± 1.3	0.008

EA: Epidural anesthesia; IVPCA: Intravenous patient-controlled analgesia; POD: Postoperative day.

Citation: Li PP, Qu Q, Shao CH. Comparison of epidural anesthesia and intravenous self-control analgesia on postoperative recovery quality in duodenectomy. World J Gastrointest Surg 2026; 18(1): 112988
URL: https://www.wjgnet.com/1948-9366/full/v18/i1/112988.htm
DOI: https://dx.doi.org/10.4240/wjgs.v18.i1.112988

Li PP, Qu Q, Shao CH. Comparison of epidural anesthesia and intravenous self-control analgesia on postoperative recovery quality in duodenectomy. World J Gastrointest Surg 2026; 18(1): 112988 [PMID: 41695864 DOI: 10.4240/wjgs.v18.i1.112988]

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