Does postoperative misoprostol use induce intestinal motility? A prospective randomised double-blind trial
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Date
2007
Journal Title
Journal ISSN
Volume Title
Publisher
Wiley
Access Rights
info:eu-repo/semantics/closedAccess
Abstract
Background: Misoprostol has been shown to increase colonic activity and decrease colonic transit time in chronic constipation patients. Aims: The aim of this prospective, randomised, double-blind study was to examine the effectiveness of rectally administered misoprostol on inducing intestinal motility after gynaecological surgery. Methods: Eighty women who underwent hysterectomy were divided randomly into three groups. Group A received misoprostol 200 mu g rectally while group B received 400 mu g rectal misoprostol after surgery before leaving the operating room. Patients in group C received no drugs. Bowel sounds in four quadrants were checked every hour and possible side-effects of misoprostol like nausea, vomiting, and distension were evaluated. The time interval between surgery and flatus pass and the need of analgesics were noted. Statistical analyses were done with Mann-Whitney U-test and chi(2) tests where available. Results: The time between surgery and presence of bowel sounds in four quadrants were similar in all groups (2.7 +/- 1.6, 2.9 +/- 1.2, 2.8 +/- 1.3 h, for groups A, B, and C, respectively). No difference was observed in flatus pass time. The incidence of nausea was significantly increased in group B compared to controls (P < 0.01). Additional analgesic need was significantly higher in groups A and B when compared to controls (P < 0.05 and P < 0.01, for groups A and B, respectively). Conclusion: Rectally administered misoprostol does not improve intestinal motility in the early postoperative period and thus, it is not effective in providing early oral food intake. On the contrary, it causes distention that requires additional analgesics and vomiting that naturally limits oral diet intake.
Description
WOS: 000249480400013
PubMed: 17877601
PubMed: 17877601
Keywords
intestinal motility, misoprostol, nausea, postoperative, prostaglandin E1
Journal or Series
Australian & New Zealand Journal Of Obstetrics & Gynaecology
WoS Q Value
Q4
Scopus Q Value
Q2
Volume
47
Issue
5
