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Laxatives after hemorrhoidectomy.
Dis Colon Rectum. 1987 Oct; 30(10):780-1.DC

Abstract

Thirty patients undergoing a standard Milligan-Morgan hemorrhoidectomy were used for a randomized study of the addition of postoperative laxatives or wheat fiber to the diet. Seventeen patients received wheat fiber; 13 were given a laxative regime of sterculia, magnesium sulfate, and mineral oil. There were no differences between the two groups in preoperative or postoperative bowel habits. Patients receiving wheat fiber had a shorter postoperative hospital stay four days (three to five) vs. five days (three to six), median (range), P less than .01, and suffered less pain after defecation on the day of discharge from the hospital (P less than .05). Fecal leakage or soiling was seen less frequently with wheat fiber than in patients receiving the laxative regime (5/17 vs. 10/13, P less than .05). The authors conclude that wheat fiber added to the diet will produce a satisfactory bowel habit after hemorrhoidectomy, with a lower incidence of fecal leakage and reduced pain after defecation than the usual laxative regime.

Authors+Show Affiliations

Department of Surgery, Southmead Hospital, Bristol, United Kingdom.No affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Comparative Study
Controlled Clinical Trial
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

2820672

Citation

Johnson, C D., et al. "Laxatives After Hemorrhoidectomy." Diseases of the Colon and Rectum, vol. 30, no. 10, 1987, pp. 780-1.
Johnson CD, Budd J, Ward AJ. Laxatives after hemorrhoidectomy. Dis Colon Rectum. 1987;30(10):780-1.
Johnson, C. D., Budd, J., & Ward, A. J. (1987). Laxatives after hemorrhoidectomy. Diseases of the Colon and Rectum, 30(10), 780-1.
Johnson CD, Budd J, Ward AJ. Laxatives After Hemorrhoidectomy. Dis Colon Rectum. 1987;30(10):780-1. PubMed PMID: 2820672.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laxatives after hemorrhoidectomy. AU - Johnson,C D, AU - Budd,J, AU - Ward,A J, PY - 1987/10/1/pubmed PY - 1987/10/1/medline PY - 1987/10/1/entrez SP - 780 EP - 1 JF - Diseases of the colon and rectum JO - Dis Colon Rectum VL - 30 IS - 10 N2 - Thirty patients undergoing a standard Milligan-Morgan hemorrhoidectomy were used for a randomized study of the addition of postoperative laxatives or wheat fiber to the diet. Seventeen patients received wheat fiber; 13 were given a laxative regime of sterculia, magnesium sulfate, and mineral oil. There were no differences between the two groups in preoperative or postoperative bowel habits. Patients receiving wheat fiber had a shorter postoperative hospital stay four days (three to five) vs. five days (three to six), median (range), P less than .01, and suffered less pain after defecation on the day of discharge from the hospital (P less than .05). Fecal leakage or soiling was seen less frequently with wheat fiber than in patients receiving the laxative regime (5/17 vs. 10/13, P less than .05). The authors conclude that wheat fiber added to the diet will produce a satisfactory bowel habit after hemorrhoidectomy, with a lower incidence of fecal leakage and reduced pain after defecation than the usual laxative regime. SN - 0012-3706 UR - https://www.unboundmedicine.com/medline/citation/2820672/Laxatives_after_hemorrhoidectomy_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=2820672.ui DB - PRIME DP - Unbound Medicine ER -