Effects of Rhubarb on Intestinal Dysmotility in Critically Ill Patients

Intestinal dysmotility is a major problem in critically ill patients. This report describes the successful treatment of intestinal dysmotility with rhubarb as a laxative in six critically ill patients on mechanical ventilation. Bowel movement and defecation occurred in all patients an average of 1.8...

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Published inInternal Medicine Vol. 57; no. 4; pp. 507 - 510
Main Authors Shimizu, Kentaro, Kageyama, Mitsuru, Ogura, Hiroshi, Yamada, Tomoki, Shimazu, Takeshi
Format Journal Article
LanguageEnglish
Published Japan The Japanese Society of Internal Medicine 01.01.2018
Japan Science and Technology Agency
Subjects
Case Report
constipation
critically ill
Defecation
ICU
Internal medicine
Intestinal motility
Intestine
Mechanical ventilation
motility
Patients
Physicians
Right to die
constipation
defecation
motility
ICU
critically ill
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Summary:Intestinal dysmotility is a major problem in critically ill patients. This report describes the successful treatment of intestinal dysmotility with rhubarb as a laxative in six critically ill patients on mechanical ventilation. Bowel movement and defecation occurred in all patients an average of 1.8 days after the administration of powdered rhubarb. In 4 patients who also had gastric reflux, the reflux volume via nasal tube was decreased an average of 3.5 days after the initiation of rhubarb treatment, and enteral nutrition was able to be started. Rhubarb may be useful for the treatment of incompetent gastric and intestinal motility in critically ill patients.
Bibliography:ObjectType-Case Study-2
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Correspondence to Dr.　Kentaro Shimizu, shimiken@hp-emerg.med.osaka-u.ac.jp
ISSN:0918-2918
1349-7235
1349-7235
DOI:10.2169/internalmedicine.8878-17