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A study carried out by the National Taiwan University Hospital and the National Taiwan University
College of Medicine in Taipei
determined that patients with partial bowel obstruction may improve with oral intake of laxatives
acidophilus
and simethicone.

According to some specialists
patients with partial adhesive small-bowel obstruction are usually managed conservatively
receiving intravenous hydration and nothing by mouth. “Previous studies have suggested that this approach is associated with longer hospital stays and an increased risk of delayed surgery”
as reports Shyr-Chyr Chen
MD
from National Taiwan University Hospital and National Taiwan University College of Medicine in Taipei
and colleagues.

From 144 consecutive patients with adhesive partial small-bowel obstruction that was admitted between February 2000 and July 2001
128
met the inclusion criteria and were randomized to either the intervention group -IV hydration
nasogastric (NG)-tube decompression
and oral therapy with magnesium oxide
Lactobacillus acidophilus
and simethicone- or to the control group (IV hydration
NG-tube decompression
and nothing by mouth).

Most of the patients were men
whose age was 54.4 ฑ 15.9 years in the control group and 53.9 ฑ 16.3 years in the intervention group. A 91 per cent of patients in the intervention group and 76 per cent of patients in the control group had successful treatment without surgery.

“Oral therapy with magnesium oxide
L. acidophilus and simethicone was effective in hastening the resolution of conservatively treated partial adhesive small-bowel obstruction and shortening the hospital stay
the authors write.
Further trials with larger patient samples are needed to verify the value of oral therapy for partial adhesive small-bowel obstructions observed in this study”
the experts report.