Mosapride citrate improves postoperative ileus of patients with colectomy.

Abstract

BACKGROUND AND AIMS:

Postoperative ileus is a transient bowel dysmotility that occurs following many types of operations and is a common complication of gastrointestinal surgery. Mosapride citrate is an agonist of the 5-hydroxytryptamine 4 receptor and accelerates upper gut motility. No study has evaluated its effect on gastrointestinal motility after surgery. The aim of this study was to investigate whether mosapride citrate reduces the duration of postoperative ileus.

METHODS:

Thirty patients with colon cancer who underwent colectomy were divided into two groups: the mosapride group and the control group. The mosapride group received mosapride 15 mg by mouth with a minimal amount of water three times a day, starting on postoperative day 1. The control group received only a minimal amount of water on the same schedule. Patients were allowed to resume oral feeding on postoperative day 4. Postoperative time to first flatus and defecation were evaluated, and the amount of food intake was observed. Gastrointestinal motility was recorded on postoperative day 8.

RESULTS:

The appearance ratio of interdigestive migrating contractions and the motility index at the antrum and duodenum were significantly higher in the mosapride group than in the control group. The time to first flatus and defecation were significantly shorter in the mosapride group than in the control group. The amount of food intake on postoperative days 6 and 7 was significantly larger in the mosapride group than in the control group.

CONCLUSION:

Mosapride citrate reduces the duration of postoperative ileus and may improve outcomes after gastrointestinal surgery.

• Authors: Yoshitaka Toyomasu, Erito Mochiki, Hiroki Morita, Atsushi Ogawa, Mitsuhiro Yanai, Tetsuro Ohno, Takaaki Fujii, Soichi Tsutsumi, Takayuki Asao, Hiroyuki Kuwano
• Journal: Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract (J Gastrointest Surg) Vol. 15 Issue 8 Pg. 1361-7 (Aug 2011) ISSN: 1873-4626 [Electronic] United States
• PMID: 21607794 (Publication Type: Journal Article, Randomized Controlled Trial)

Chemical References

• Benzamides
• Gastrointestinal Agents
• Morpholines
• mosapride

Topics

• Aged
• Benzamides (pharmacology, therapeutic use)
• Colectomy (adverse effects)
• Colonic Neoplasms (surgery)
• Defecation
• Female
• Flatulence
• Gastrointestinal Agents (pharmacology, therapeutic use)
• Gastrointestinal Motility (drug effects)
• Humans
• Ileus (drug therapy, etiology)
• Male
• Middle Aged
• Morpholines (pharmacology, therapeutic use)
• Single-Blind Method
• Time Factors