Hubungan Durasi Operasi dengan Disfungsi Motilitas Gastrointestinal Pasca Operasi di Rumah Sakit IHC Jember Klinik

Lady Prameswari, Ginanjar Sasmito Adi, Muhammad Ali Hamid

Abstract


Introduction: Postoperative gastrointestinal motility dysfunction is one of the most common complications experienced by patients following surgery, particularly abdominal procedures. The duration of surgery contributes to the development of postoperative gastrointestinal motility dysfunction through a series of biological and physiological mechanisms. Objective: This study aimed to identify the duration of surgery among patients undergoing abdominal surgery, assess postoperative gastrointestinal motility dysfunction, and analyze the relationship between surgical duration and postoperative gastrointestinal motility dysfunction. Methods: This study employed a quantitative analytical design with a cross-sectional approach. The study population consisted of 52 patients who underwent abdominal surgery. A total of 45 respondents were selected using a stratified random sampling technique. Data were analyzed using the Spearman's rank correlation (Spearman's Rho) test with a significance level of α = 0.05. Results: The findings demonstrated a statistically significant relationship between surgical duration and postoperative gastrointestinal motility dysfunction, with a p-value of 0.001 (p < 0.05) and a correlation coefficient of 0.944. This result indicates a very strong positive correlation, suggesting that longer surgical duration is associated with a higher degree of postoperative gastrointestinal motility dysfunction

Full Text:

PDF

References


Greenberg AL, Kelly YM, McKay RE,

Varma MG, Sarin A. Risk factors and

outcomes associated with postoperative ileus following ileostomy formation: a retrospective study. Perioper Med. 2021;10(1):55.

Lee MJ, Vaughan-Shaw P, Vimalachandran D, Group AGIR. A systematic review and meta-analysis of baseline risk factors for the development of postoperative ileus in patients undergoing gastrointestinal surgery. Ann R Coll Surg Engl. 2020;102(3):194–203.

Bai X, Ihara E, Tanaka Y, Minoda Y. The interplay of gut microbiota and intestinal motility in gastrointestinal function The Role of Gut Microbiota in the Development and Regulation of the Enteric Nervous System. J Smooth Muscle Res. 2025;51–8.

Simon E, Florina L, Mitrea L. Beneficial Effects against Irritable Bowel Syndrome. Nutrients. 2021;1–27.

Sitinjak MP, Dewi D, Sidemen I.

Gambaran Tingkat Kecemasan Pasien Pre Operasi Pembedahan Ortopedi di Rumah Sakit Umum Pusat Sanglah. J Med Udayana. 2022;11(2):25–9.

Scigliano NM, Carender CN, Glass NA,

Deberg J, Bedard NA. Operative time and risk of surgical site infection and periprosthetic joint infection: a systematic review and meta-analysis. Iowa Orthop J. 2022;42(1):155.

Tong C, Shen Y, Zhu H, Zheng J, Xu Y, Wu J. Continuous relationship of operative duration with risk of adverse perioperative outcomes and early discharge undergoing thoracoscopic lung cancer surgery. Cancers (Basel). 2023;15(2):371.

Zhong Y, Cao Z, Baumer D, Ajmani V, Dukes G, Chen YJ, et al. The American Journal of Surgery Incidence and risk factors for postoperative gastrointestinal dysfunction occurrence after gastrointestinal procedures in US patients. Am J Surg [Internet]. 2023;226(5):675–81. Available from: https://doi.org/10.1016/j.amjsurg.2023. 07.020

Prawira MD, Sueta MAD, Golden N. Faktor risiko kejadian ileus paralitik patologis pasca laparotomi dengan

reseksi dan anastomosis pada traktus gastrointestinal. Intisari Sains Medis. 2022;13(3):635–9.

Ma T, Xue X, Tian H, Zhou X, Wang J, Zhao Z, et al. Effect of the gut microbiota and their metabolites on postoperative intestinal motility and its underlying mechanisms. J Transl Med.

;21(1):349.

Herlo LF, Golu I, Herlo A, Raluca C, Virzob B, Alin I. Impact of Preoperative and Intraoperative Factors on Postoperative Outcomes in Patients with Colorectal Cancer : A 10-Year Retrospective Study. Diseases [Internet]. 2025;1–12. Available from: https://doi.org/10.3390/ diseases13010016

Gustafsson UO, Rockall TA, Wexner S, How KY, Emile S, Marchuk A, et al.

Guidelines for perioperative care in

elective colorectal surgery: Enhanced Recovery After Surgery (ERAS) Society recommendations 2025. Surgery. 2025;109397.

Ljungqvist O, de Boer HD, Balfour A, Fawcett WJ, Lobo DN, Nelson G, et al. Opportunities and challenges for the next phase of enhanced recovery after surgery: a review. JAMA Surg. 2021;156(8):775–84.

Cannata F, Laudisio A, Ambrosio L, Vadal G, Russo F, Zampogna B, et al. The Association of Body Mass Index with Surgical Time Is Mediated by Comorbidity in Patients Undergoing

Total Hip Arthroplasty. Jourrnal Clin Med [Internet]. 2021; Available from:

https://doi.org/10.3390/jcm10235600

Song J, Zhou C, Zhang T. Prognostic factors associated with gastrointestinal dysfunction after gastrointestinal tumor surgery: a meta-analysis. World J Gastrointest Surg. 2024;16(5):1420.

Jindal N, Jena A, Kumar K, Padhi BK, Sharma R, Jearth V, et al. Hindi translation and validation of the English version of the gastrointestinal symptom rating scale questionnaire: an observational study. World J Gastrointest Pharmacol Ther. 2024;15(5):97261.

Potter PA, Perry AG, Stockert PA, Hall A. Potter & perry’s essentials of nursing practice, sae, e book. Elsevier Health

Sciences; 2021.

Peden CJ, Aggarwal G, Aitken RJ, Anderson ID, Bang Foss N, Cooper Z, et al. Guidelines for perioperative care for emergency laparotomy Enhanced Recovery After Surgery (ERAS) Society recommendations: part 1—preoperative: diagnosis, rapid assessment and optimization. World J Surg. 2021;45(5):1272–90.




DOI: https://doi.org/10.52643/jbik.v16i3.9238

Refbacks

  • There are currently no refbacks.


Copyright (c) 2026 Jurnal Bidang Ilmu Kesehatan

Flag Counter