Effect of the Japanese herbal kampo medicine Dai-kenchu-to on postoperative adhesive small bowel obstruction requiring long-tube decompression: A propensity score analysis

Hideo Yasunaga, Hiroaki Miyata, Hiromasa Horiguchi, Kazuaki Kuwabara, Hideki Hashimoto, Shinya Matsuda

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Adhesive small bowel obstruction (ASBO) is an adverse consequence of abdominal surgery. Although the Kampo medicine Dai-kenchu-to is widely used in Japan for treatment of postoperative ASBO, rigorous clinical studies for its use have not been performed. In the present retrospective observational study using the Japanese diagnosis procedure combination inpatient database, we selected 288 propensity-score-matched patients with early postoperative ASBO following colorectal cancer surgery, who received long-tube decompression (LTD) with or without Dai-kenchu-to administration. The success rates of LTD were not significantly different between Dai-kenchu-to users and nonusers (84.7 versus 78.5; P=.224), while Dai-kenchu-to users showed a shorter duration of LTD (8 versus 10 days; P=.012), shorter duration between long-tube insertion and discharge (23 versus 25 days; P=.018), and lower hospital charges ($ 23,086 versus dollar;26,950; P=.018) compared with Dai-kenchu-to nonusers. In conclusion, the present study suggests that Dai-kenchu-to is effective for reducing the duration of LTD and saving costs.

Original languageEnglish
Article number264289
JournalEvidence-based Complementary and Alternative Medicine
Volume2011
DOIs
Publication statusPublished - 2011 Jun 22
Externally publishedYes

ASJC Scopus subject areas

  • Complementary and alternative medicine

Fingerprint Dive into the research topics of 'Effect of the Japanese herbal kampo medicine Dai-kenchu-to on postoperative adhesive small bowel obstruction requiring long-tube decompression: A propensity score analysis'. Together they form a unique fingerprint.

  • Cite this