BACKGROUND-The phenomenon of cessation of coordinated bowel motility, commonly called as paralytic ileus is well known after certain
surgeries. While procedures that involve direct manipulation of gut are almost always associated with post operative paralytic ileus, even
orthopaedic surgeries may also cause post operative paralytic ileus. It contributes signicantly in prolonging hospital stay and is associated with
abdominal distension, respiratory compromise, nausea and vomiting. Number of pharmacological and non pharmacological agents have been tried
to reduce the post operative paralytic ileus. We studied the effect of sucking lollipop on the return of bowel function in children undergoing distal
bowel surgery.
AIM-To study effect of lollipop sucking on return of bowel function in children undergoing distal bowel surgery in terms of time to return of bowel,
passage of stool per anal.
MATERIALAND METHODS-Patients undergoing distal bowel stoma closure were assigned to two groups. The experimental group patients
were given lollipops 6 hrs postoperatively, time to return of bowel sound and rst passage of stool was noted and analysed.
RESULTS-Mean time to return of bowel sounds in the experimental group was 50.25 + 6.016 hrs, while in control group was 65.87 + 8.83 hrs,
difference was statistically signicant (P<0.0001).Mean time to passage of stools in experimental group was 72.312 +12.644 hrs , while in control
group was 88.25 + 8.38 hrs. difference was statistically signicant(P=0.0002) .
CONCLUSION- Sucking lollipop is a safe and effective in reducing duration of post operative paralytic ileus in paediatric patients undergoing
elective bowel surgery.
Paralytic Ileus and Prophylactic Gastrointestinal Motility Medication after Spinal Operation