Manual bowel milking effects in the obstructed small bowel:

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Mechanical intestinal obstruction is a frequently encountered problem in general surgery. One of the frequently used techniques for surgical decompression, so-called milking, is to caress the intestinal contents cephalad into the stomach or caudally into the colon.
Torer N et al (2008) examined the functional, morphologic, and microbiologic effects of manual bowel decompression (milking) in the obstructed small bowel.
They found although manual bowel decompression reduces muscle contractility a milking procedure in an intestinal obstruction model
1. Does not cause peristaltic deterioration.
2. Does not cause histopathologic or inflammatory changes, or
3. Does not cause alterations in the degree of bacterial translocation.

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