Milk of magnesia in enhanced recovery after surgery for preventing postoperative ileus after hysterectomy…

Randomized trialSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer· Jul 2026

Milk of magnesia in enhanced recovery after surgery for preventing postoperative ileus after hysterectomy: randomized controlled trial.

Wathirada Karnchanabanyong, Irene Ruengkhachorn, Nida Jareemit … Sompop Kuljarusnont

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Gynecologic CancerRandomized trialTreatmentQ1IF 3.3

Milk of magnesia significantly reduced postoperative ileus after hysterectomy.

Milk of magnesia in enhanced recovery after surgery for preventing postoperative ileus after hysterectomy: randomized controlled trial.

Wathirada Karnchanabanyong … Sompop Kuljarusnont

Supportive care in cancer · Jul 2026

Purpose

To evaluate whether adding milk of magnesia (MOM) to an enhanced recovery after surgery (enhanced recovery after surgery) pathway prevents postoperative ileus (postoperative ileus) and improves postoperative bowel function.

Methods

Were randomly assigned to enhanced recovery after surgery alone (n = 80) or enhanced recovery after surgery plus MOM (n = 80).

3.8%

Results

3.8%

vs 27.5%

fewer patients experienced delayed bowel function after surgery with milk of magnesia

More results

Among 160 patients, 60 (37.5%) had gynecologic malignancies: endometrial cancer (n = 34), ovarian cancer (n = 16), cervical cancer (n = 8), and leiomyosarcoma (n = 2).

Time to well-tolerated solid diet was significantly shorter in the MOM group compared with the control group (20.6 ± 10.9 vs 28.8 ± 16.3 h; P < 0.001).

More results

Patient-reported outcomes favored the MOM group, with higher eating and daily activity satisfaction scores.

No severe adverse events occurred in the MOM group.

“

Conclusion

Adding MOM to enhanced recovery after surgery was associated with reduced postoperative ileus incidence and faster recovery of bowel function in patients undergoing abdominal hysterectomy for benign or malignant conditions.

Milk of magnesia in enhanced recovery after surgery for preventing postoperative ileus after hysterectomy: randomized controlled trial.

Milk of magnesia in enhanced recovery after surgery for preventing postoperative ileus after hysterectomy: randomized controlled trial.

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