Clinical outcomes of manual bowel decompression (milking) in the mechanical small bowel obstruction: a prospective randomized clinical trial

Abstract Background The aim of this prospective randomized study was to investigate the effects of manual bowel decompression in patients who were operated on for mechanical small bowel obstruction. Methods Between March 2008 and February 2010, 40 consecutive patients with mechanical small bowel obs...

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Bibliographic Details
Published in:The American journal of surgery 2012, Vol.203 (1), p.95-100
Main Authors: Ezer, Ali, M.D, Torer, Nurkan, M.D, Colakoglu, Tamer, M.D, Colakoglu, Sule, M.D, Parlakgumus, Alper, M.D, Yildirim, Sedat, M.D, Moray, Gokhan, M.D
Format: Article
Language:English
Subjects:
Abdomen
Bacteria
Bacterial Translocation
Biological and medical sciences
Clinical outcomes
Clinical trials
Colon
Complications
Decompression
Decompression, Surgical
Diet
Female
Gastroenterology. Liver. Pancreas. Abdomen
General aspects
Humans
Infections
Intestinal obstruction
Intestinal Obstruction - surgery
Intestine, Small
Length of Stay - statistics & numerical data
Lymphatic system
Male
Medical sciences
Middle Aged
Milking
Motility
Other diseases. Semiology
Patients
Postoperative Complications - epidemiology
Prospective Studies
Rodents
Small intestine
Statistics, Nonparametric
Stomach
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Surgery
Translocation
Treatment Outcome
Turkey - epidemiology
Wound infection
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Summary:Abstract Background The aim of this prospective randomized study was to investigate the effects of manual bowel decompression in patients who were operated on for mechanical small bowel obstruction. Methods Between March 2008 and February 2010, 40 consecutive patients with mechanical small bowel obstruction were randomized into 2 clinically comparable groups. The intestinal content of the dilated small bowel was caressed to the stomach (by milking) and aspirated via a nasogastric tube in the milking group (group M, n = 20) and left uncaressed in the control Group (group C, n = 20). Patients' characteristics and general operative outcomes were compared and analyzed. Results The resumption of a regular diet and postoperative hospital stay ( P = .68) were not significantly different in groups M and group C. Similarly, there were no differences between the 2 groups regarding respiratory complications ( P = .34), bacterial translocation ( P = 1), or wound infection ( P = 1). Conclusions The findings suggest that routine milking is unnecessary in mechanical small bowel obstruction.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2010.12.014