The effect of chewing gum on gastric distention in patients undergoing laparoscopic cholecystectomy Digestive System
Conditions
Interventions
All consenting patients underwent Laparoscopic Cholecystectomy only from November 1, 2022, to May 31, 2024.
Participants will undergo random sampling and be assigned to group NG (“no gum”) and group
Sponsors
Bulacan Medical Center
Eligibility
Sex/Gender
All
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: 1. Aged 18 years and older 2. Undergo elective laparoscopic cholecystectomy 3. Indication of cholelithiasis or gallbladder polyp 4. Agree to participate in the study 5. Operations performed by general surgery residents of the same level of training
Exclusion criteria
Exclusion criteria: 1. Patients aged less than 18 years old 2. Undergo laparoscopic cholecystectomy with other pathologies 3. Performed by general surgery consultants/attendings 4. Those who do not undergo laparoscopic cholecystectomy 5. Oesophageal intubation 6. Patients who do not agree to participate 7. Patients who have undergone previous gastric surgery 8. Patients at risk of aspiration
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The visual presence of gastric distention during the performance of limited diagnostic laparoscopy measured using nasogastric tubes at the start of the procedure. If (+) gastric distention impedes visualization and identification of vital structures, then a nasogastric tube will be used before proceeding with the cholecystectomy. If (-) gastric distention, the no nasogastric tube will be used and the senior general surgery resident doctor will proceed with the cholecystectomy. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Duration of hospitalization measured using the number of hospital days per patient recorded in study notes at one timepoint 2. Decrease in operative time measured using the mean of the number of minutes per procedure recorded in study notes at one timepoint 3. If this intervention provides additional discomfort to the patient measured using the Wong-Baker Faces Pain Scale 8 hours post-operatively 4. If the intervention adds additional costs to the patient measured using descriptive methods as chewing gum in the Philippines is Php 1.00 (which is approx. GBP 0.01) at one timepoint 5. If the intervention helps in decreasing intraoperative injuries measured using descriptive methods at one timepoint | — |
Countries
Philippines
Contacts
Public ContactSofia Isabel Ribeiro - Yadav
Outcome results
None listed