Is Gum Chewing Useful for Ileus After Elective Colorectal Surgery? A Systematic Review and Meta-Analysis of Randomized Clinical Trials

Vásquez, W.; Hernández, Adrian V.; García-Sabrido, J.L.

doi:10.1007/s11605-008-0756-8

Cited by 96 publications

(51 citation statements)

References 34 publications

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“…As noted above, the appropriate use of epidurals and maintaining a near-zero fluid balance are associated with an enhanced return of bowel activity after abdominal surgery [88,146]. Chewing gum has been shown to be safe and beneficial in restoring gut activity after colorectal surgery [176][177][178] Postoperative artificial nutrition Most patients tolerate normal oral intake soon after elective PD. Early oral intake in this patient group has been shown to be feasible and safe [6,144].…”

Section: Summary and Recommendationmentioning

confidence: 99%

Guidelines for Perioperative Care for Pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS^®) Society Recommendations

et al. 2012

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Section: Summary and Recommendationmentioning

confidence: 99%

Guidelines for Perioperative Care for Pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS^®) Society Recommendations

et al. 2012

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“…The use of chewing gum has emerged as a further, new, novel and simple strategy for preventing postoperative ileus. Several studies have reported on the beneficial effect of using chewing gum after surgery to limit the incidence of ileus [6][7][8] . This study aimed to determine whether gum chewing in the immediate postoperative period facilitates a return to bowel function after cesarean section.…”

Section: Influence Of Gum Chewing On Postoperative Bowel Activitymentioning

confidence: 99%

Influence of Gum Chewing on Postoperative Bowel Activity after Cesarean Section

Kafalı

Duvan

Gözdemir

et al. 2009

Gynecol Obstet Invest

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Objective: To assess the effects of gum chewing on postoperative bowel function after cesarean section. Material and Methods: Women who underwent cesarean section were randomized to either a gum-chewing group (n = 74) or a non-gum-chewing group (n = 76). The two groups were compared with respect to the return of bowel activity, postoperative analgesic and antiemetic drug requirement and postoperative hospital stay. Results: Bowel sounds appeared in a significantly shorter duration of time in the study group, the mean being 5.9 h as compared to 6.7 h in the control group (p < 0.01). The first passage of flatus postoperatively was 22.4 h in the gum-chewing group and 31 h in the control group (p < 0.001). The total length of hospital stay was shorter in the gum-chewing group (2.1 days) than in the control group (2.3 days), but it was not statistically significant (p > 0.05). Postoperative analgesic requirement in both groups was similar, but the postoperative antiemetic need in the gum-chewing group was lower than in the control group (p < 0.01). Conclusion: On the basis of the tolerability and results on bowel function, gum chewing provides a simple method for early recovery of bowel function after cesarean section.

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“…No limitation based on language and publication status Three meta-analyses 15,16,18 limited the publication language to English. The remaining two meta-analyses 19,22 restricted the written language to English and Chinese.…”

Section: Search Methodologymentioning

confidence: 99%

Chewing gum for postoperative ileus after colorectal surgery: A systematic review of overlapping meta-analyses

Zhang¹,

Deng²,

Shuai³

et al. 2017

Chinese Nursing Research

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a b s t r a c tBackground: Many meta-analyses investigating gum chewing for postoperative recovery after colorectal surgery have been published with inconsistent findings. Therefore, we performed this study to systematically review these overlapping meta-analyses and offer clinical recommendations based on the current best evidence for decision makers. Methods: Multiple databases, including PubMed, EMBASE, Cochrane Library, Chinese BioMedical Literature on disc (CBMdisc), China National Knowledge Infrastructure (CNKI), Chinese Wanfang and Chinese VIP, were searched through October 2016. We included meta-analyses investigating the effectiveness of chewing gum for postoperative ileus after colorectal resection. Two investigators independently scanned and evaluated eligible meta-analyses, extracted essential information, assessed the methodological quality with the Assessment of Multiple Systematic Reviews (AMSTAR) tool and Oxford Levels of Evidence, and used the Jadad decision algorithm at each step for all procedures. Heterogeneity 50% was accepted. Results: Ten meta-analyses were included in our study. The AMSTAR scores varied from 5 to 9, with a median of 7.7. Most heterogeneity fell into the acceptable range. After implementing the Jadad decision algorithm, two meta-analyses of RCTs were selected based on search strategies and the implications of selection. The available best evidence indicated that gum chewing significantly reduced time to first flatus, time to first bowel movement, time to first bowel sounds and length of hospital stay. However, these two meta-analyses reached inconsistent conclusions as to the complications and economic benefits. Conclusions: With the current best available evidence, we suggest gum chewing is beneficial for gastrointestinal function and reducing postoperative ileus.

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Is Gum Chewing Useful for Ileus After Elective Colorectal Surgery? A Systematic Review and Meta-Analysis of Randomized Clinical Trials

Cited by 96 publications

References 34 publications

Guidelines for Perioperative Care for Pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS^®) Society Recommendations

Guidelines for Perioperative Care for Pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS^®) Society Recommendations

Influence of Gum Chewing on Postoperative Bowel Activity after Cesarean Section

Chewing gum for postoperative ileus after colorectal surgery: A systematic review of overlapping meta-analyses

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Is Gum Chewing Useful for Ileus After Elective Colorectal Surgery? A Systematic Review and Meta-Analysis of Randomized Clinical Trials

Cited by 96 publications

References 34 publications

Guidelines for Perioperative Care for Pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS®) Society Recommendations

Guidelines for Perioperative Care for Pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS®) Society Recommendations

Influence of Gum Chewing on Postoperative Bowel Activity after Cesarean Section

Chewing gum for postoperative ileus after colorectal surgery: A systematic review of overlapping meta-analyses

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Guidelines for Perioperative Care for Pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS^®) Society Recommendations

Guidelines for Perioperative Care for Pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS^®) Society Recommendations