Chewing Gum Reduces Postoperative Ileus after Open Appendectomy

Ngowe, Marcelin Ngowe; Eyenga, Victor; Kengne, B H; Bahebeck, Jean; Sosso, A

doi:10.1080/00015458.2010.11680596

Cited by 29 publications

(29 citation statements)

References 19 publications

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“…Overall, all studies had low risk of bias. Only one trial was at high risk of bias for sequence generation (not truly random), which was randomized based on hospital record number . But the method of randomization was unclear (not reported) in five trials .…”

Section: Resultsmentioning

confidence: 99%

Chewing gum reduces postoperative ileus following abdominal surgery: A meta‐analysis of 17 randomized controlled trials

Liu

Peng

et al. 2013

J of Gastro and Hepatol

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Section: Resultsmentioning

confidence: 99%

Chewing gum reduces postoperative ileus following abdominal surgery: A meta‐analysis of 17 randomized controlled trials

Liu

Peng

et al. 2013

J of Gastro and Hepatol

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“…In Ngowe’s study in 2010 on 46 patients with open appendectomy, the mean time of gas passage was 2.2 and 3.0 days in the gum-chewing and the control group (21). In Choi’s study on 60 patients in 2011, the mean time to the passage of flatus was 60 h and 48 h in gum-chewing and the control group which the difference was statistically significant (22); whilst, Quah reported no remarkable difference between the two groups in terms of gas passage. There is not yet an independent investigation on the exact gum chewing mechanism of action, however, some theories discuss chewing as a form of sham feeding that stimulates food digestion and secretion of salivary and hepatic glands through the vagus nerve stimulation and increases the plasma concentration of gastrin, neurotensin, pancreatic polypeptide, and duodenal alkaline secretion.…”

Section: Discussionmentioning

confidence: 95%

Chewing Sugar-Free Gum Reduces Ileus After Cesarean Section in Nulliparous Women: A Randomized Clinical Trial

Ledari

Barat

Delavar

et al. 2013

Iran Red Crescent Med J

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BackgroundGum chewing after cesarean section may stimulate bowel motility and decrease duration of postoperative ileus.ObjectivesThe current study assessed the effect of chewing sugar-free gum on the return of bowel function, where cesarean section had been performed in nulliparous women.Materials and MethodsIn a randomized clinical trial, 60 patients, scheduled for cesarean section were randomly divided in to 2 groups gum-chewing group (n = 30) and control group (n = 30) postoperatively. The patients in the gum-chewing group postoperatively chewed sugar free gum 3 times daily each time for 1 hour until discharge. The patients' demographic characteristics, duration of surgery, mean hunger time, flatus and bowel motility were compared in the two groups.ResultsThere was no significant difference between the 2 groups regarding patient demographics, intraoperative, and postoperative care. In the gum-chewing and the control group there was a significant difference in the mean postoperative interval of the first bowel movement (20.89 ± 8.8 versus 27.93 ± 9.3 hours, P = 0.004), the first feeling of hunger (10.37 ± 6.0 versus 16.33 ± 9.3 hours, P = 0.005), the first passage of flatus (25.02 ± 5.8 versus 31.08 ± 9.7 hours, P = 0.003), and the first defecation (31.17 ± 5.3versus 40.08 ± 8.8 hours, P = 0.000) respectively, which were significantly shorter in the gum-chewing group compared to those of the control group. There were no major complications in either group. All patients in the gum-chewing group tolerated it without any major complications and side effects.ConclusionsThe study results demonstrated that bowel motility after cesarean section in nulliparous women can be accelerated by gum chewing which is a useful, inexpensive and well-tolerated method for mothers in post-cesarean section.

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“…This reduction was not always clinically significant; a few hours' difference in bowel movement often did not result in a reduction of LOS. Most of these studies involved small patient numbers and had very specific inclusion criteria, such as ‘left‐sided colon or rectal cancer surgery’ only.…”

Section: Discussionmentioning

confidence: 99%

Multicentre randomized clinical trial of the effect of chewing gum after abdominal surgery

Leede

Leersum

Kroon

et al. 2018

British Journal of Surgery

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Chewing Gum Reduces Postoperative Ileus after Open Appendectomy

Abstract: Chewing gum ameliorates recovery after open appendectomy by reducing postoperative ileus. It is a cheap and helpful treatment to be recommended in developing countries in Africa.

Cited by 29 publications

References 19 publications

Chewing gum reduces postoperative ileus following abdominal surgery: A meta‐analysis of 17 randomized controlled trials

Chewing gum reduces postoperative ileus following abdominal surgery: A meta‐analysis of 17 randomized controlled trials

Chewing Sugar-Free Gum Reduces Ileus After Cesarean Section in Nulliparous Women: A Randomized Clinical Trial

Multicentre randomized clinical trial of the effect of chewing gum after abdominal surgery

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