Effect of manual bowel decompression (milking) in the obstructed small bowel

American Journal of Surgery
Nurkan TörerMehmet Haberal

Abstract

Mechanical intestinal obstruction is a frequently encountered problem in general surgery. One of the frequently used techniques for surgical decompression, so-called milking, is to caress the intestinal contents cephalad into the stomach or caudally into the colon. The aim of our study was to examine the functional, morphologic, and microbiologic effects of manual bowel decompression (milking) in the obstructed small bowel. Six rats in the milking (M) group (obstructed and decompressed manually), 6 in the control (C) group (obstructed only), and 5 rats in the sham (S) group (laparotomy and evisceration) underwent surgery. Muscle contractility, gastrointestinal dye transmission, histopathologic changes of ileum, and bacterial translocation were analyzed. The contractile response of intestinal segments to acetylcholine was significantly less in group M compared with those of groups C and S (P < .05). The maximal contractile response to acetylcholine also was significantly lower in group M (P < .05). There was no statistically significant difference between the groups regarding the sensitivity of cholinergic receptors. Frequency of peristaltic movements, progression of Evans blue dye, histopathologic variables, and the quantitativ...Continue Reading

References

Feb 1, 1988·American Journal of Surgery·R RoscherH G Beger
May 20, 1998·The Journal of Surgical Research·A HugeT T Zittel
Jun 19, 2004·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Gunay GurleyikAbdullah Saglam
May 21, 2005·Diseases of the Colon and Rectum·Stephen B WilliamsBruce A Orkin
Jun 4, 2005·ANZ Journal of Surgery·Erhan AysanFatih Basak
Dec 24, 2005·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·K-J WonH Ozaki

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