# Interactions Between Perioperative Anesthesia Management and Gut Microbiota: Current Research Advances

**Authors:** Naiqi Jiang, Lei Wang, Xiaodi Chen, Cuicui Yu

PMC · DOI: 10.1007/s10571-026-01701-1 · Cellular and Molecular Neurobiology · 2026-02-18

## TL;DR

This paper reviews how anesthesia during surgery interacts with gut microbiota and how these interactions may affect health outcomes.

## Contribution

It provides a synthesis of current research on the bidirectional effects of anesthesia on gut microbiota and suggests strategies for managing microbiota imbalances.

## Key findings

- Anesthesia can alter gut microbiota composition, leading to dysbiosis.
- Gut microbiota changes may influence postoperative recovery and long-term health.
- Targeted microbiota interventions could optimize surgical outcomes.

## Abstract

The gut microbiota (GM), a complex and diverse microbial community residing in the digestive tract, plays a pivotal role in human health and disease. Recent studies have revealed a strong association between the GM and overall health, with dysbiosis potentially contributing to conditions such as inflammation, infection, and obesity. As medical technology advances, anesthesia has become indispensable in surgical and clinical procedures. Emerging evidence highlights the bidirectional interactions between the GM and anesthesia, which may exert profound effects on human health. This review synthesizes the current knowledge on the mutual influences of perioperative anesthesia and the GM, discusses the potential mechanisms underlying anesthesia-induced dysbiosis, and proposes strategies for preventing and managing microbiota imbalances. Future research should prioritize elucidating the precise mechanisms of anesthetic modulation of the GM and exploring microbiota-targeted interventions with the aim of potentially optimizing postoperative recovery and long-term health.

## Linked entities

- **Diseases:** infection (MONDO:0005550), obesity (MONDO:0011122)

## Full-text entities

- **Diseases:** obesity (MESH:D009765), inflammation (MESH:D007249), dysbiosis (MESH:D064806), infection (MESH:D007239)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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Source: https://tomesphere.com/paper/PMC12996492