Paralytic Ileus
Conditions
Brief summary
Following all abdominal surgery, paralytic ileus commonly develops. Surgeons have traditionally withheld postoperative oral intake until the return of bowel function to prevent related complications. Gum chewing can stimulates bowel movement and promotes the return of bowel function through the cephalic-vagal reflex and increased intestinal enzymes secretion. The objectives of this study are to examine effects of adding gum chewing to the conventional postoperative feeding regimen on the return of bowel function, its related complications, and patients' satisfaction.
Interventions
BEHAVIORALGum chewing
Gum chewing (30 minutes in duration each time, 4 times/days at the usual time of meal, until the first flatus) in addition to conventional postoperative feeding schedule
Sponsors
Chiang Mai University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
15 Years to 50 Years
Healthy volunteers
Yes
Inclusion criteria
* Pregnant women undergoing cesarean delivery
Exclusion criteria
* Perioperative hyperalimentation * Recent chemotherapy * Concurrent bowel surgery * Previous bowel surgery * Concurrent bowel obstruction * History of inflammatory bowel diseases * Previous abdominal/pelvic radiation * Postoperative placement of endotracheal tube/nasogastric tube * Postoperative admission to intensive care unit
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative interval until the first flatus | Up to 7 days after delivery |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative interval until the first passage of stool | Up to 7 days after delivery |
| Clinically significant postoperative ileus | Up to 7 days after delivery |
| Postoperative hospital stay | Up to 7 days after delivery |
| Related complications | Up to 7 days after delivery |
| Patients' satisfaction | Up to 7 days after delivery |
Countries
Thailand
Outcome results
None listed