Perioperative Management of Parkinsonism in Gastro-intestinal Surgery

Toshio Noriyuki, Masazumi Okajima, Shinkichiro Yoshioka, Tsuneo Tanaka, Hiroshi Yahata, Toshimasa Asahara, Yasuhiko fukuda, Masayuki Nishiki*, Kiyohiko Dohi, Yoshitaka Kato**

The Second Department of Surgery, The Institute of Health Sciences*, Hiroshima University School of Medicine
The Department of Surgery, Hiroshima General Hospital of West Japan Railway Company**

Parkinson's disease is a chronic progressive disease with the triad of tremor, rigidity and akinesia. It is difficult to manage after the gastrointestinal operation for parkinsonis. We performed gastrointestinal surgery in three patients with parkinsonism. Two patients had the complication of paralytic ileus and one needed a tracheostomy for respiratory management. The postoperative course and the management of these cases of parkinsonisms are described. it is important to give high enough doses of anti-parkinsonisms agents to control the symptoms of parkinsonism, and to prevent the complications of respiratory disease and paralytic ileus.

Key words
Parkinson disease, gastro-intestinal surgery perioperative management

Reprint requests
Toshio Noriyuki The Second Department of Surgery, Hiroshima University School of Medicine
1-2-3 Kasumi, Minamiku, Hiroshima, 734 JAPAN

Accepted
June 12, 1996

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