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Effects of Daikenchuto, a Japanese Herb, on Intestinal Motility After Total Gastrectomy: a Prospective Randomized Trial

This study aimed to assess the efficacy of daikenchuto (DKT), a commonly prescribed, traditional Japanese herbal medicine, on postoperative intestinal dysfunction after gastric cancer surgery.Patients with gastric cancer scheduled for a total gastrectomy were randomly assigned before surgery to rece... Full description

Journal Title: Journal of Gastrointestinal Surgery 2015, Vol.19(3), pp.467-472
Main Author: Akamaru, Yusuke
Other Authors: Takahashi, Tsuyoshi , Nishida, Toshirou , Omori, Takeshi , Nishikawa, Kazuhiro , Mikata, Shoki , Yamamura, Noriyuki , Miyazaki, Satoru , Noro, Hiroshi , Takiguchi, Shuji , Mori, Masaki , Doki, Yuichiro
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: ISSN: 1091-255X ; E-ISSN: 1873-4626 ; DOI: 10.1007/s11605-014-2730-y
Link: http://dx.doi.org/10.1007/s11605-014-2730-y
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recordid: springer_jour10.1007/s11605-014-2730-y
title: Effects of Daikenchuto, a Japanese Herb, on Intestinal Motility After Total Gastrectomy: a Prospective Randomized Trial
format: Article
creator:
  • Akamaru, Yusuke
  • Takahashi, Tsuyoshi
  • Nishida, Toshirou
  • Omori, Takeshi
  • Nishikawa, Kazuhiro
  • Mikata, Shoki
  • Yamamura, Noriyuki
  • Miyazaki, Satoru
  • Noro, Hiroshi
  • Takiguchi, Shuji
  • Mori, Masaki
  • Doki, Yuichiro
subjects:
  • Daikenchuto
  • Total gastrectomy
  • Intestinal motility
  • Bristol scale
  • Gas volume score (GVS)
ispartof: Journal of Gastrointestinal Surgery, 2015, Vol.19(3), pp.467-472
description: This study aimed to assess the efficacy of daikenchuto (DKT), a commonly prescribed, traditional Japanese herbal medicine, on postoperative intestinal dysfunction after gastric cancer surgery.Patients with gastric cancer scheduled for a total gastrectomy were randomly assigned before surgery to receive either no treatment (n = 40; control group) or DKT (7.5 g/day, t.i.d.) for 3 months (n = 41) postoperatively. We examined gastrointestinal motility, stool attributes, the quantity of bowel gas, the quality of life, and the incidence of postoperative ileus.During the hospital stay, significant differences were observed between the DKT group and controls in the number of stools per day (1.1 ± 0.6 vs 0.8 ± 0.4, respectively; P = 0.037) and stool consistencies (Bristol scale ratings were 3.7 ± 0.8 vs 3.1 ± 0.8, respectively; P = 0.041). The DKT group showed significant reductions in gas volume scores, calculated from abdominal radiographs, at 7 days, 1 month, and 3 months after surgery. The groups did not show significant differences in quality of life scores (based on the Gastrointestinal Symptom Rating Scale) or in the incidence of postoperative ileus.DKT improved bowel movements, stool properties, and bowel gas. These results suggested that DKT promoted early postoperative bowel functions after total gastrectomy.
language: eng
source:
identifier: ISSN: 1091-255X ; E-ISSN: 1873-4626 ; DOI: 10.1007/s11605-014-2730-y
fulltext: fulltext
issn:
  • 1873-4626
  • 18734626
  • 1091-255X
  • 1091255X
url: Link


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titleEffects of Daikenchuto, a Japanese Herb, on Intestinal Motility After Total Gastrectomy: a Prospective Randomized Trial
creatorAkamaru, Yusuke ; Takahashi, Tsuyoshi ; Nishida, Toshirou ; Omori, Takeshi ; Nishikawa, Kazuhiro ; Mikata, Shoki ; Yamamura, Noriyuki ; Miyazaki, Satoru ; Noro, Hiroshi ; Takiguchi, Shuji ; Mori, Masaki ; Doki, Yuichiro
ispartofJournal of Gastrointestinal Surgery, 2015, Vol.19(3), pp.467-472
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subjectDaikenchuto ; Total gastrectomy ; Intestinal motility ; Bristol scale ; Gas volume score (GVS)
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descriptionThis study aimed to assess the efficacy of daikenchuto (DKT), a commonly prescribed, traditional Japanese herbal medicine, on postoperative intestinal dysfunction after gastric cancer surgery.Patients with gastric cancer scheduled for a total gastrectomy were randomly assigned before surgery to receive either no treatment (n = 40; control group) or DKT (7.5 g/day, t.i.d.) for 3 months (n = 41) postoperatively. We examined gastrointestinal motility, stool attributes, the quantity of bowel gas, the quality of life, and the incidence of postoperative ileus.During the hospital stay, significant differences were observed between the DKT group and controls in the number of stools per day (1.1 ± 0.6 vs 0.8 ± 0.4, respectively; P = 0.037) and stool consistencies (Bristol scale ratings were 3.7 ± 0.8 vs 3.1 ± 0.8, respectively; P = 0.041). The DKT group showed significant reductions in gas volume scores, calculated from abdominal radiographs, at 7 days, 1 month, and 3 months after surgery. The groups did not show significant differences in quality of life scores (based on the Gastrointestinal Symptom Rating Scale) or in the incidence of postoperative ileus.DKT improved bowel movements, stool properties, and bowel gas. These results suggested that DKT promoted early postoperative bowel functions after total gastrectomy.
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