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

Chen, Xu; Peng, Jie; Liu, Su; Qi, Dashi

doi:10.1111/jog.13602

Cited by 22 publications

(19 citation statements)

References 26 publications

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“…Nowadays, no adverse effects have been reported after the use of gum-chewing to stimulate sham feeding in patients after surgery (Abd-El-Maeboud et al, 2009;Ertas et al, 2013;Craciunas et al, 2014;Jernigan et al, 2014;Xu et al, 2018;Campbell et al, 2019). Similarly in the present study, all patients in the gum-chewing group were well tolerated and completed their course of gum-chewing until the passage of the first flatus.…”

Section: Characteristicsupporting

confidence: 76%

“…Furthermore, recently meta-analyses also showed that gum-chewing could significantly improve bowel function in patients after colorectal resection, cesarean section, and gynecological surgery (Purkayastha et al, 2008;Craciunas et al, 2014;Xu et al, 2018). However, these investigations still have some limitations, such as high heterogeneity (e.g.…”

Section: Effect Of Chewing Gum On Gastrointestinal Function Recovery mentioning

confidence: 99%

“…Required blood transfusion, n (%) 3.0 (7.5) 2.0 (4.8) 5.0 (6.1) 0.672 should also utilize the postoperative concerning in patients in order to reduce the recovery period and length of time to discharge from the hospital. Gum-chewing is one kind of manner as an artificial or sham feeding that hasten bowel movements in a short time in various studies (Purkayastha et al, 2008;Abd-El-Maeboud et al, 2009;Ertas et al, 2013;Craciunas et al, 2014;Jernigan et al, 2014;Xu et al, 2018). Consequently, we have taken up the gum-chewing as an intervention in this study.…”

Section: Characteristicmentioning

confidence: 99%

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Effect of Chewing Gum on Gastrointestinal Function Recovery After Surgery of Gynecological Cancer Patients at Rajavithi Hospital: A Randomized Controlled Trial

Nanthiphatthanachai

Insin

2020

Asian Pac J Cancer Prev

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Cancer is a major public health concern and is the second leading cause of death worldwide, after cardiovascular disease (Bray et al., 2018). Although breast cancer is the most common cancer occurring in female, gynecological cancers have also affected them. Gynecological cancers are cancers that originate in the female reproductive tracts. The five main types of gynecological cancers are cervical, ovarian, uterine, vaginal, and vulvar. The incidence rate of gynecological cancers among women varied by cancer type and ethnicity. In 2019, gynecological cancers accounted for approximately 12.2% (109,000 out of 891,480) of all new cancers diagnosed among women in the United States and contribute to 33,100 annual deaths (Siegel et al., 2019). Among women in Thailand, an estimated overall incidence of gynecological cancer is approximately 10%

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Section: Characteristicsupporting

confidence: 76%

Section: Effect Of Chewing Gum On Gastrointestinal Function Recovery mentioning

confidence: 99%

Section: Characteristicmentioning

confidence: 99%

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Effect of Chewing Gum on Gastrointestinal Function Recovery After Surgery of Gynecological Cancer Patients at Rajavithi Hospital: A Randomized Controlled Trial

Nanthiphatthanachai

Insin

2020

Asian Pac J Cancer Prev

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“…However, there are other studies that used these modalities in both adults and children with negative results [363][364][365][366] . Chewing gum was also associated with a lower incidence of postoperative ileus and PONV [367][368][369][370] ; however, Ge et al 371 found no difference.…”

Section: Nonpharmacologic Therapies For Ponv and Pdnvmentioning

confidence: 97%

Management strategies for the treatment and prevention of postoperative/postdischarge nausea and vomiting: an updated review

et al. 2020

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Postoperative nausea and vomiting (PONV) and postdischarge nausea and vomiting (PDNV) remain common and distressing complications following surgery. The routine use of opioid analgesics for perioperative pain management is a major contributing factor to both PONV and PDNV after surgery. PONV and PDNV can delay discharge from the hospital or surgicenter, delay the return to normal activities of daily living after discharge home, and increase medical costs. The high incidence of PONV and PDNV has persisted despite the introduction of many new antiemetic drugs (and more aggressive use of antiemetic prophylaxis) over the last two decades as a result of growth in minimally invasive ambulatory surgery and the increased emphasis on earlier mobilization and discharge after both minor and major surgical procedures (e.g. enhanced recovery protocols). Pharmacologic management of PONV should be tailored to the patient’s risk level using the validated PONV and PDNV risk-scoring systems to encourage cost-effective practices and minimize the potential for adverse side effects due to drug interactions in the perioperative period. A combination of prophylactic antiemetic drugs with different mechanisms of action should be administered to patients with moderate to high risk of developing PONV. In addition to utilizing prophylactic antiemetic drugs, the management of perioperative pain using opioid-sparing multimodal analgesic techniques is critically important for achieving an enhanced recovery after surgery. In conclusion, the utilization of strategies to reduce the baseline risk of PONV (e.g. adequate hydration and the use of nonpharmacologic antiemetic and opioid-sparing analgesic techniques) and implementing multimodal antiemetic and analgesic regimens will reduce the likelihood of patients developing PONV and PDNV after surgery.

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“…The gastric POI is prevented in rats by central activation of the VN (Yuan and Tache 2017). Gum chewing, well known to activate the VN, also reduces POI (Xu et al 2018). Hence, stimulating the CAP and its anti-inflammatory action could improve POI.…”

Section: Vns In the Treatment Of Postoperative Ileusmentioning

confidence: 99%

Vagus Nerve Stimulation at the Interface of Brain–Gut Interactions

Bonaz

Sinniger

Pellissier

2018

Cold Spring Harb Perspect Med

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The vagus nerve, a key component of the cross-communication between the gut and the brain, is a major element of homeostasis sensing the "milieu intérieur" and boosting the nervous and endocrine responses to maintain the gastrointestinal health status. This nerve has anti-inflammatory properties regulating the gut through the activation of the hypothalamic-pituitary-adrenal axis and the release of cortisol and through a vagovagal reflex, which has an anti-tumor necrosis factor (TNF) effect called the cholinergic anti-inflammatory pathway. Stimulating this nerve is an interesting tool as a nondrug therapy for the treatment of gastrointestinal diseases in which brain-gut communication is dysfunctional, such as inflammatory bowel disorders and others. This review presents the rationale of vagal gastrointestinal physiology and diseases and the most recent advances in vagus nerve stimulation. It also highlights the main issues to be addressed in the future to improve this bioelectronic therapy for gastrointestinal disorders.

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

Abstract: Chewing gum is an effective measure to ameliorate gastrointestinal function and decrease complications after gynecological surgery.

Cited by 22 publications

References 26 publications

Effect of Chewing Gum on Gastrointestinal Function Recovery After Surgery of Gynecological Cancer Patients at Rajavithi Hospital: A Randomized Controlled Trial

Effect of Chewing Gum on Gastrointestinal Function Recovery After Surgery of Gynecological Cancer Patients at Rajavithi Hospital: A Randomized Controlled Trial

Management strategies for the treatment and prevention of postoperative/postdischarge nausea and vomiting: an updated review

Vagus Nerve Stimulation at the Interface of Brain–Gut Interactions

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