A randomized trial of chewing gum to prevent postoperative ileus after laparotomy for benign gynecologic surgery

Jernigan, Amelia; Chen, Grace; Sewell, Catherine

doi:10.1016/j.ijgo.2014.06.008

Cited by 27 publications

(21 citation statements)

References 17 publications

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“…According to previous studies, gum chewing was found to be effective to decrease time to first bowel sound, flatulence and the defecation after gastrointestinal surgeries (17)(18)(19). Safety and effectiveness of gum chewing in decreasing postoperative ileus and nausea have been shown in a previous study (15). However, our results did not show significant difference between groups in terms of time to first flatus and bowel movements.…”

Section: Discussioncontrasting

confidence: 44%

“…Our data showed no difference between with or without gum chewing groups in terms of age, body mass index, duration of operation, pre and postoperative blood counts. Previous studies also compared groups for age, body mass index and the duration of operation (3,14,15). Additionally, previous studies showed the importance of surgical manipulation on postoperative intestinal functions (10,12,16).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Effect of Gum Chewing on Intestinal Functions after Gynecological Operations: A Randomized Controlled Study

Şenol

Polat

Özkaya

et al. 2016

Gynecol Obstet Reprod Med

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OBJECTIVE:We aimed to assess the efficacy of gum chewing on intestinal functions after gynecological operations. STUDY DESIGN:A total of 86 women who underwent gynecological operation with different indications were randomly assigned to 2 groups: Group 1 was assigned to gum chewing after operation (n=52), while Group 2 was directed to routine postoperative care (n=52). Time of first bowel sound and defecation after surgery were recorded to assess the effect of gum chewing. Operation time, blood loss, type of incision, pre and postoperative serum hemoglobin levels were all evaluated. RESULTS:There was no difference between groups in terms of age, duration of operation, intraoperative blood loss, pre and postoperative serum hemoglobin levels, duration to first bowel sound, flatulence and defecation (p>0.05). Age (r=0.234, p=0.032), type of incision (r=0.228, p=0.037) were significantly correlated with the time to first bowel sound. Type of incision (r=0.295, p=0.006), duration of operation (r=0.277, p=0.01) and intraoperative blood loss (r=0.298, p=0.006) were significantly correlated with the time to first flatulence. In multivariate regression analyses, none of the variables were found to be significant parameter for time to first bowel sound (p>0.05). CONCLUSION:Gum chewing does not affect some of the gastrointestinal functions after gynecological operations and there is no single parameter for time to first bowel sound, first flatulence and first defecation, individual surgical and medical condition differences should be kept in mind while evaluating intestinal functions.

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Section: Discussioncontrasting

confidence: 44%

Section: Discussionmentioning

confidence: 99%

Effect of Gum Chewing on Intestinal Functions after Gynecological Operations: A Randomized Controlled Study

Şenol

Polat

Özkaya

et al. 2016

Gynecol Obstet Reprod Med

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“…The results suggested that postoperative ileus was less likely to happen in the chewing gum group . However, recently, other randomized controlled trials (RCT) showed contrary results . The aim of our study was to use a meta‐analysis to assess the effect and safety of chewing gum on the recovery of gastrointestinal function after gynecological surgery.…”

Section: Introductionmentioning

confidence: 99%

Effect of chewing gum on gastrointestinal function after gynecological surgery: A systematic literature review and meta‐analysis

Chen

Peng

Liu

et al. 2018

J of Obstet and Gynaecol

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“…In this randomized controlled trial, we assessed the effect of gum chewing on POI following liver transplantation. Previous reports were focused on the effect of sham feeding in colorectal surgeries and caesarian sections with a few studies in radical cystectomies and gynecologic surgeries . Our study is the first randomized controlled trial that evaluated the effect of gum chewing on POI in liver transplantation patients.…”

Section: Discussionmentioning

confidence: 99%

“…Previous reports were focused on the effect of sham feeding in colorectal surgeries 24,26 and caesarian sections 27,28 with a few studies in radical cystectomies 29 and gynecologic surgeries. 30 Our study is the first randomized controlled trial that evaluated the effect of gum chewing on POI in liver transplantation patients. Another notable aspect of our study is that we evaluated and compared the daily and cumulative calorie intake.…”

Section: Discussionmentioning

confidence: 99%

Effect of sham feeding with gum chewing on postoperative ileus after liver transplantation—a randomized controlled trial

Lee

Cho

Yoon

et al. 2016

Clinical Transplantation

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Postoperative ileus (POI) is a common complication after major abdominal surgery. Gum chewing has been shown to stimulate bowel motility and decrease duration of POI after abdominal surgery. We evaluated the effect of gum chewing in reducing the time to first flatus and on oral calorie intake in patients undergoing living or deceased donor liver transplantation. Patients were randomized into the sham feeding group or the control group. The sham feeding group chewed two pieces of xylitol flavored gum for 15 minutes, three times a day after extubation until oral nutrition was tolerated. The control group received the same routine care except for the gum chewing. Fifty-nine patients were randomized into the sham feeding group (n=30) or the control group (n=29). There was no difference in the time to first flatus (72 [66.1-82.9] hours vs 69.0 [57.6-77.2] hours, P=.422). Cumulative energy intake (2.8 [5.8-23.2] % vs 10.0 [8.5-15.9] %, P=.695) and length of intensive care unit stay (4.2 [3.9-5.3] days vs 4.0 [6.7-4.5] days, P=.077) were also similar. In conclusion, sham feeding with gum chewing did not shorten the duration of POI nor facilitate oral intake after liver transplantation. (Clinicaltrials.gov number: NCT 01956643).

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A randomized trial of chewing gum to prevent postoperative ileus after laparotomy for benign gynecologic surgery

Abstract: Chewing gum after laparotomy for gynecologic surgery is safe and lowers the incidence of postoperative ileus and nausea. ClinicalTrials.gov:NCT01579175.

Cited by 27 publications

References 17 publications

Effect of Gum Chewing on Intestinal Functions after Gynecological Operations: A Randomized Controlled Study

Effect of Gum Chewing on Intestinal Functions after Gynecological Operations: A Randomized Controlled Study

Effect of chewing gum on gastrointestinal function after gynecological surgery: A systematic literature review and meta‐analysis

Effect of sham feeding with gum chewing on postoperative ileus after liver transplantation—a randomized controlled trial

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