Gum Chewing Stimulates Early Return of Bowel Motility After Caesarean Section

Abd-El-Maeboud, Khi; Ibrahim, Moustafa I.; Shalaby, D A A; Fikry, M F

doi:10.1097/01.ogx.0000363244.17039.b9

Cited by 13 publications

(30 citation statements)

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“…They also had 9.7 hours shorter hospitalization. 14 The present study showed that baseline characteristics of the 2 groups, including surgical history, history of constipation, anesthesia time, operation time, preoperative fasting time, and postoperative analgesia pump potassium usage, have no statistically significant differences. The study group had flatus 5.69 hours earlier than the controls (22.23 vs. 28.12 h; P < 0.05) and bowel sounds 4.44s hour earlier (8.26 vs. 12.07 h; P < 0.05).…”

Section: Discussionmentioning

confidence: 48%

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Xylitol Gum Chewing to Achieve Early Postoperative Restoration of Bowel Motility After Laparoscopic Surgery

Gong

Zhang

Qiao

et al. 2015

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Our objective was to evaluate the effects of postoperative xylitol gum chewing on gastrointestinal functional recovery after laparoscopy. Altogether, 120 patients undergoing elective gynecologic laparoscopy were randomly divided into 2 groups of 60 each (final numbers: 53 controls, 56 patients). Controls underwent a routine postoperative regimen. Starting 6 hour after surgery, study patients chewed mint-flavored, sugarless xylitol gum until flatus occurred thrice a day. Other postoperative management was routine. First bowel sounds, first flatus, first bowel movement, and discharge times were recorded. Symptoms included abdominal distension, nausea, and vomiting. First flatus and first bowel sounds occurred significantly (P<0.001) earlier in the study patients. No significant differences were found for first defecation time, hospitalization duration, or mild/severe intestinal obstruction (all P>0.05). Thus, xylitol gum chewing after laparoscopy can effectively shorten the time to first flatus and helps with postoperative gastrointestinal functional recovery. It is simple, convenient, and well tolerated.

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Section: Discussionmentioning

confidence: 48%

“…In our study, patients began chewing gum 6 hour postoperatively. When patients 14,15 In some patients, it has a negative impact on their blood glucose levels. In addition, some studies have reported chewing gum ingredients that cause headaches, vasculitis, chronic diarrhea, and weight loss.…”

Section: Discussionmentioning

confidence: 99%

Xylitol Gum Chewing to Achieve Early Postoperative Restoration of Bowel Motility After Laparoscopic Surgery

Gong

Zhang

Qiao

et al. 2015

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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“…Major determinants of early hospital discharge include postoperative nausea and the return of normal bowel function [18,19]. Because the other possible contributing factors that affect the duration of a hospital stay, such as blood loss, postoperative vomiting and analgesic need, were similar in both groups, bowel function might be a major determinant in our study.…”

Section: Discussionmentioning

confidence: 84%

“…The time to the first recognized bowel movement is an important factor for patient comfort, along with early hospital discharge [18]. There is limited data about the effects of surgical techniques on bowel functions.…”

Section: Discussionmentioning

confidence: 99%

Comparison of uterine exteriorization and in situ repair during cesarean sections

Göde¹,

Okyay

Saatli

et al. 2011

Arch Gynecol Obstet

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“…Recent clinical investigations have demonstrated that gum chewing reduces postoperative ileus after gastrointestinal surgery (22,26) and cesarean section (1,23). Since sympathetic hyperactivity is one of the factors that promotes postoperative ileus (33), chewing may contribute to maintaining visceral autonomic balance and gastrointestinal homeostasis.…”

Section: Discussionmentioning

confidence: 99%

Chewing reduces sympathetic nervous response to stress and prevents poststress arrhythmias in rats

Koizumi

Minamisawa

Sasaguri

et al. 2011

American Journal of Physiology-Heart and Circulatory Physiology

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Reducing stress is important in preventing sudden death in patients with cardiovascular disease, as stressful events may cause autonomic imbalance and trigger fatal arrhythmias. Since chewing has been shown to inhibit stress-induced neuronal responses in the hypothalamus, we hypothesized that chewing could ameliorate stress-induced autonomic imbalance and prevent arrhythmias. To test this hypothesis, we analyzed changes in radiotelemetered electrocardiograms in rats that were allowed to chew a wooden stick during a 1-h period of immobilization stress. Chewing significantly reduced the occurrence of ventricular premature beats (VPBs) and complex ventricular ectopy after immobilization and prevented stress-induced prolongation of the QT interval of VPBs throughout the 10-h experimental period. It also prevented prolongation of the QRS complex and fluctuations in the QT interval in normal sinus rhythm beats preceding VPBs during both immobilization and in the poststress period. Fast Fourier transform-based spectral analysis of heart-rate variability further showed that chewing significantly inhibited the stress-induced increase in the power ratio of low-to-high frequency activity (LF/HF: a marker of sympathetic activity) during immobilization and in addition was associated with blunting of the stress-induced increase in plasma noradrenaline observed at the termination of immobilization. Similar suppressive effects on the occurrence of VPBs and the LF/HF were observed in rats that were administered the β-adrenergic blocker propranolol before immobilization. These results indicate that chewing can ameliorate sympathetic hyperactivity during stress and prevent poststress arrhythmias and suggest that chewing may provide a nonpharmacological and cost-effective treatment option for patients with a high risk of stress-induced fatal arrhythmia.

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Gum Chewing Stimulates Early Return of Bowel Motility After Caesarean Section

Cited by 13 publications

References 0 publications

Xylitol Gum Chewing to Achieve Early Postoperative Restoration of Bowel Motility After Laparoscopic Surgery

Xylitol Gum Chewing to Achieve Early Postoperative Restoration of Bowel Motility After Laparoscopic Surgery

Comparison of uterine exteriorization and in situ repair during cesarean sections

Chewing reduces sympathetic nervous response to stress and prevents poststress arrhythmias in rats

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