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Archives of Disease in Childhood - Fetal and Neonatal Edition 1997;77:F119-F122; doi:10.1136/fn.77.2.F119
Copyright © 1997 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.
Arch Dis Child Fetal Neonatal Ed 1997;77:F119-F122 ( September )

Cisapride reduces neonatal postoperative ileus: randomised placebo controlled trial

A Lander,b R Redkar,a G Nicholls,a A Lawson,a S R Choudhury,a J J Corkery,a P Gornall,a R G Buick,a I W Boothb

a Department of Paediatric Surgery, Children's Hospital Birmingham, b Institute of Child Health, University of Birmingham

Correspondence to: Mr Anthony Lander, Department of Paediatric Surgery, Birmingham Children's Hospital, Ladywood Middleway, Ladywood, Birmingham B16 8ET. Email:101366.153{at}compuserve.com

Accepted 18 March 1997

AIM---To assess the efficacy of cisapride in reducing ileus persisting to the tenth postoperative day after neonatal abdominal surgery.
METHODS---A prospective, randomised, double blind trial comparing rectal cisapride (l.4-2.3 mg/kg/day) with placebo over seven days was undertaken in 33 neonates.
RESULTS---Seven of 12 (58%) patients receiving placebo and eight of 11 (73%) receiving cisapride achieved a first sustained feed during treatment. Of those receiving cisapride, the first sustained feed occurred at 2.3 days (SEM 0.6) compared with 4.7 days (SEM 0.8) with placebo. By the seventh day the mean daily net enteral balance was 69 (SEM 18) ml/kg in the cisapride subgroup and 17 (SEM 8) ml/kg for those receiving placebo. Stool was passed on 6.3 (SEM 0.4) treatment days in the cisapride subgroup compared with 4.1 (SEM 1.0) treatment days in the placebo subgroup.
CONCLUSION---Cisapride is effective in neonates with a prolonged ileus after abdominal surgery.

Keywords: cisapride; gastroschisis; postoperative ileus; prokinesis


© 1997 by Archives of Disease in Childhood

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This article has been cited by other articles:

  • DAVIES, M. W (2000). The use of cisapride in neonates. Arch. Dis. Child. Fetal Neonatal Ed. 83: 74F-74 [Full Text]  

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