Effects of transcutaneous electrical acupoint stimulation on gastrointestinal dysfunction after gastrointestinal surgery: A meta-analysis

Li, Jianli; Li, Meng; Wang, Jing; Zhang, Huanhuan; Liu, Meinv

doi:10.1016/j.ctim.2023.102938

Cited by 5 publications

(3 citation statements)

References 20 publications

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“…However, acupoint electrical stimulation ( 119 ) is a novel treatment method combining modern electroacupuncture therapy with standard acupuncture, which has the advantages of being non-invasive, safe, and not limited by time and place. Acupoint electrical stimulation has been clinically utilized for many years to prevent and treat diseases caused by ischemia/reperfusion of various organs and gastrointestinal diseases ( 120 ), yielding satisfactory results. It achieves the effect of “Fuzheng Quxie” and balancing “Yin and Yang” by stimulating the conduction of meridians and collaterals of the whole body and adjusting “Gas-Blood and Zang-Fu.” Geng et al ( 121 ) confirmed that acupoint electrical stimulation therapy not only directly improves systemic inflammation caused by II/R but also indirectly promotes the differentiation of MSCs, playing a synergistic therapeutic role.…”

Section: Treatment Approachmentioning

confidence: 99%

Advancements in the study of acute lung injury resulting from intestinal ischemia/reperfusion

Lv,

Zhao,

et al. 2024

Front. Med.

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Intestinal ischemia/reperfusion is a prevalent pathological process that can result in intestinal dysfunction, bacterial translocation, energy metabolism disturbances, and subsequent harm to distal tissues and organs via the circulatory system. Acute lung injury frequently arises as a complication of intestinal ischemia/reperfusion, exhibiting early onset and a grim prognosis. Without appropriate preventative measures and efficacious interventions, this condition may progress to acute respiratory distress syndrome and elevate mortality rates. Nonetheless, the precise mechanisms and efficacious treatments remain elusive. This paper synthesizes recent research models and pertinent injury evaluation criteria within the realm of acute lung injury induced by intestinal ischemia/reperfusion. The objective is to investigate the roles of pathophysiological mechanisms like oxidative stress, inflammatory response, apoptosis, ferroptosis, and pyroptosis; and to assess the strengths and limitations of current therapeutic approaches for acute lung injury stemming from intestinal ischemia/reperfusion. The goal is to elucidate potential targets for enhancing recovery rates, identify suitable treatment modalities, and offer insights for translating fundamental research into clinical applications.

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Section: Treatment Approachmentioning

confidence: 99%

Advancements in the study of acute lung injury resulting from intestinal ischemia/reperfusion

Lv,

Zhao,

et al. 2024

Front. Med.

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“…However, postoperative colorectal cancer patients still face various challenges. Among them, postoperative gastrointestinal dysfunction (POGD) is one of the common complications of abdominal surgery, including laparoscopic colorectal cancer surgery [15]. The most commonly occurring symptoms of POGD are nausea, vomiting, abdominal distention, postoperative intestinal ileus (POI), gastrointestinal bleeding, and possibly progressive multi-organ failure[5].…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of Evodia rutaecarpa hot compress on the recovery of gastrointestinal function after laparoscopic surgery for colorectal cancer: A propensity score-matched retrospective cohort study

Huang,

Li,

Huang

et al. 2024

Preprint

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BackgroundAlthough the use of hot compresses with the herbal medicine Evodia rutaecarpa (ER) as a complementary and alternative therapy to promote recovery of postoperative gastrointestinal function is gradually increasing in clinical practice, there is still a lack of relevant empirical studies. Particularly, the role of ER hot compress therapy on gastrointestinal recovery post-laparoscopic surgery for colorectal cancer has not been well investigated. The purpose of this study is to evaluate the efficacy and applicability of ER hot compress therapy for the recovery of postoperative gastrointestinal function.MethodsThis is a retrospective cohort study. Patients were divided into two cohorts, the ER group and the non-ER group. Propensity score matching(PSM) was introduced to limit confounding, and independent samples t-tests, non-parametric tests, or Chi-squared tests were used to compare these two cohorts.ResultsA total of 454 patients were included, with 267 (59%) receiving ER hot compress therapy and 187 (41%) not. Following 1:1 PSM, 320 patients were analyzed (160 in each group). Compared to the ER group, patients in the non-ER group had shorter times to return to a semi-liquid diet (p=0.035) and hospital stay (p=0.001), as well as lower hospital costs (p<0.001). Subgroup analyses revealed no statistically significant differences in the length of hospital stay, hospital costs, postoperative time to return to full-liquid diet, or time to return to semi-liquid diet among stage I and II tumor patients, though means and standard deviations were generally lower in the ER group. Complication incidence showed no significant difference between the two cohorts before and after PSM.ConclusionsThe use of ER hot packs after laparoscopic surgery in patients with colorectal cancer has a non-significant effect on the recovery of the gastrointestinal function and, given the results of the study, it is likely that patients with early-stage tumors may benefit more. Therefore, healthcare providers need to consider the individualisation, practicality, and economics of treatment options.

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“…Among them, the incidence of POGD after abdominal surgery ranges from 4% to 32%, and the incidence of gastrointestinal surgery is even higher. Rapid and effective identification of risk factors for POGD is of great importance for formulating prevention and treatment interventions, reducing the incidence of POGD, and reducing the medical burden of patients[ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Prognostic factors associated with gastrointestinal dysfunction after gastrointestinal tumor surgery: A meta-analysis

Song,

Zhou,

Zhang

2024

World J Gastrointest Surg

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BACKGROUND Explore the risk factors of gastrointestinal dysfunction after gastrointestinal tumor surgery and to provide evidence for the prevention and intervention of gastrointestinal dysfunction in patients with gastrointestinal tumor surgery. AIM To investigate the potential risk factors for gastrointestinal dysfunction following gastrointestinal tumor surgery and to present information supporting the prevention and management of gastrointestinal dysfunction in surgery patients. METHODS Systematically searched the relevant literature from PubMed, Web of Science, Cochrane Library, Embase, CNKI, China Biomedical Database, Wanfang Database, and Weipu Chinese Journal Database self-established until October 1, 2022. Review Manager 5.3 software was used for meta-analysis after two researchers independently screened literature, extracted data, and evaluated the risk of bias in the included studies. RESULTS A total of 23 pieces of literature were included, the quality of which was medium or above, and the total sample size was 43878. The results of meta-analysis showed that the patients were male (OR = 1.58, 95%CI: 1.25-2.01, P = 0.002) and ≥ 60 years old (OR = 2.60, 95%CI: 1.76-2.87, P < 0.001), physical index ≥ 25.3 kg/m2 (OR = 1.6, 95%CI: 1.00-1. 12, P = 0.040), smoking history (OR = 1.89, 95%CI: 1.31-2.73, P < 0.001), chronic obstructive pulmonary disease (OR = 1.49, 95%CI: 1.22-1.83, P < 0.001), enterostomy (OR = 1.47, 95%CI: 1.26-1.70, P < 0.001), history of abdominal surgery (OR = 2.90, 95%CI: 1.67-5.03, P < 0.001), surgical site (OR = 1.2, 95%CI: 1.40-2.62, P < 0.001), operation method (OR = 1.68, 95%CI: 1.08-2.62, P = 0.020), operation duration (OR = 2.65, 95%CI: 1.92-3.67, P < 0.001), abdominal adhesion grade (OR = 2.52, 95%CI: 1.90-3.56, P < 0.001), postoperative opioid history (OR = 5.35, 95%CI: 3.29-8.71, P < 0.001), tumor TNM staging (OR = 2.58, 95%CI: 1.84-3.62, P < 0.001), postoperative blood transfusion (OR = 2.92, 95%CI: 0.88-9.73, P = 0.010) is a risk factor for postoperative gastrointestinal dysfunction in patients with gastrointestinal tumors. CONCLUSION There are many factors affecting gastrointestinal dysfunction in gastrointestinal patients after surgery. Clinical staff should identify relevant risk factors early and implement targeted intervention measures on the basis of personalized assessment to improve the clinical prognosis of patients.

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Effects of transcutaneous electrical acupoint stimulation on gastrointestinal dysfunction after gastrointestinal surgery: A meta-analysis

Cited by 5 publications

References 20 publications

Advancements in the study of acute lung injury resulting from intestinal ischemia/reperfusion

Advancements in the study of acute lung injury resulting from intestinal ischemia/reperfusion

The effectiveness of Evodia rutaecarpa hot compress on the recovery of gastrointestinal function after laparoscopic surgery for colorectal cancer: A propensity score-matched retrospective cohort study

Prognostic factors associated with gastrointestinal dysfunction after gastrointestinal tumor surgery: A meta-analysis

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