Postoperative Ileus
Conditions
Keywords
chewing gum, ileus, gastrointestinal function, colorectal surgery, abdominal surgery
Brief summary
The Purpose of this study is to evaluate the effect of gum chewing on recovery of gastrointestinal function in patient undergoing major colorectal surgery. The investigators hypothesize that patients who chew gum after major colorectal surgery will have faster recovery of gastrointestinal function.
Interventions
DIETARY_SUPPLEMENTSugared Chewing Gum (Juicy Fruit)
One stick of gum, 3 times daily from Postoperative day 1 to 7
Sponsors
Cedars-Sinai Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* Able to freely give written informed consent to participate in the study and have signed the Informed Consent Form * American Society of Anesthesiologists (ASA) Class I-III (Appendix III); * Due to undergo small and/or large partial bowel resection via laparotomy or laparoscopy
Exclusion criteria
* Mentally incompetent or unable or unwilling to provide informed consent or comply with study procedures * American Society of Anesthesiologists (ASA) Class IV or V; * History of abdominal carcinomatosis * History of radiation enteritis * Children \< 18 or adults \> 85 years of age
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time (in hours) to tolerating a low residue diet | 30 day postoperative period | Time measured from end of operation to patient tolerating 50% of a low residue diet without emesis in 24 hours |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time (hours) to first bowel movement | 30 day postoperative period | Time (hours) from end of operation to first bowel movement |
| Daily Appetite Assessment | Postoperative day 1 - 7 | Patient asked to record appetite on a scale from 0 (no appetite) to 10 (appetite as good as can be) |
| Daily pain assessment | Postoperative day 1 - 7 | Patient asked to rate pain on VAS scale from 0 (no pain) to 10 (pain as bad as can be) |
| Time (in hours) to passage of flatus | 30 day postoperative period | Time from end of operation to first passage of flatus (reported by patient) |
| Major or Minor Medical and Surgical Complications | 30 day postoperative period | — |
| Length of postoperative hospitalization in days | Duration of postoperative hospitalization (expected average of 5 days) | — |
| Daily nausea assessment | Postoperative day 1 - 7 | Patient asked to rate nausea on a scale from 0 (no nausea) to 10 (nausea as bad as can be) |
Countries
United States
Outcome results
None listed