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After a long period of neglect, the gastrointestinal tract is
increasingly being recog nized as an important target of
anesthetics and anesthesia-related processes, as well as of
conditions and treatments related to peri- and postoperative period
and inten sive care. Drugs used in anesthesia and intensive care
and physiological or pathologi cal changes in the perioperative
period affect the digestive system in its function from the pharynx
to the colon. Prolonged postoperative ileus or stasis of propulsive
peri stalsis in the critically ill or multiply injured patient may
impair enteral nutrition and give rise to complications such as
sepsis or multiple organ failure. In view of this new understanding
of the clinical relevance of gut function, we felt that a book on
problems of the gastrointestinal tract in anesthesia, the
perioperative period, and intensive care was badly needed. The
present volume is the product of an international symposium which
brought together physiologists, pharmacologists, experimental and
clinical anesthetists, gastroenterologists, surgeons, and intensive
care physicians to discuss all major contemporary aspects of bowel
function in health and under the influence of anesthesia, surgery,
and intensive care."
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