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The Effects of Metoclopramide on Postoperative Ileus A Randomized Double-blind Study

1979; Lippincott Williams & Wilkins; Volume: 190; Issue: 1 Linguagem: Inglês

10.1097/00000658-197907000-00006

1528-1140

Eugene D. Davidson, Theodore Hersh, Richard A. Brinner, Stephen M. Barnett, Lawrence P. Boyle,

Anesthesia and Pain Management

Metoclopramide or placebo was administered postoperativcly in a randomized, double-blind fashion to 115 patients undergoing laparotomy. The effect of metoclopramide on postoperative adynamic ileus (PAI) was evaluated. The patients were stratified into two groups: Group A—those with laparotomy without a gastrointestinal anastomosis or ostomy procedure, and group B—those with laparotomy undergoing an anastomosis or ostomy procedure. Metoclopramide reduced nausea and emesis postoperatively. However, the only significant effect on postoperative adynamic ileus was an earlier return to tolerance of solid foods in the patients in Group A.