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Surgery Today
Published in: Surgery Today 7/2017

01-07-2017 | Original Article

The effect of Daikenchuto on postoperative intestinal motility in patients with right-side colon cancer

Authors: Takeshi Yamada, Satoshi Matsumoto, Michihiro Koizumi Akihisa Matsuda, Seiichi Shinji, Yasuyuki Yokoyama, Goro Takahashi, Takuma Iwai, Kouki Takeda, Keiichiro Ohta, Eiji Uchida

Published in: Surgery Today | Issue 7/2017

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Abstract

Purpose

Daikenchuto (DKT) has a stimulant effect on intestinal motility and reportedly has a positive effect on postoperative intestinal motility in patients with sigmoid colon cancer. In this study, we investigated the effects of DKT in patients with right-side colon cancer.

Methods

This retrospective study included 88 patients with right-side colon cancer. We orally administered 7.5 g of DKT in the DKT group and did not administer any DKT to patients in the no-DKT group. All patients ingested radiopaque markers 2 h before surgery, which were used to assess intestinal motility. The postoperative intestinal motility was radiologically assessed by counting the numbers of residual markers in the large and small intestines.

Results

The DKT and no-DKT groups showed no marked differences in the total number of residual markers or number of residual markers in the small intestine. However, in the elderly subgroup, the total number of residual markers in the DKT group was significantly less than in the no-DKT group.

Conclusion

Although DKT had some small effect on the postoperative intestinal motility for most patients, it may have positive effects in elderly patients.
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Metadata
Title
The effect of Daikenchuto on postoperative intestinal motility in patients with right-side colon cancer
Authors
Takeshi Yamada
Satoshi Matsumoto
Michihiro Koizumi Akihisa Matsuda
Seiichi Shinji
Yasuyuki Yokoyama
Goro Takahashi
Takuma Iwai
Kouki Takeda
Keiichiro Ohta
Eiji Uchida
Publication date
01-07-2017
Publisher
Springer Japan
Published in
Surgery Today / Issue 7/2017
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-016-1449-7

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