Postoperative Ileus
Conditions
Keywords
gynecological malignancies, postoperative, bowel activity, gum chewing
Brief summary
Postoperative ileus can cause the accumulation of secretions and gas, resulting in nausea, vomiting and abdominal distension and pain. Prolonged paralytic ileus is one of the commonest reasons for delayed recovery and discharge from hospital following abdominal surgery. Advances in surgical techniques and peri-operative management such as the use of laparoscopic surgery, thoracic epidural analgesia, early postoperative feeding and mobilization, amongst others, have been shown to help in the resolution of postoperative ileus. Chewing gum, as a proxy for sham feeding, may accelerate the motility of the GI tract by stimulating the cephalic phase of digestion and eliciting the release of multiple promotility GI hormones. A number of small controlled studies evaluating the effect of chewing gum on postoperative intestinal recovery in patients undergoing colorectal surgery have been conducted. Decreased time for bowel function recovery and decreased hospital length of stay have not been consistently documented, possibly owing to the insufficient power of existing studies and study design issues. In addition, all previous studies have been limited by their use of sugarfree gum, containing known motility agents (eg, sorbitol). In this study, gum chewing was studied for its effect on women with surgical staging for malignant gynecologic disease such as endometrial cancer, cervix cancer and ovarian cancer.
Interventions
DRUGgum
gum
Sponsors
Erzincan Military Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
No
Inclusion criteria
* Women who would undergo surgical staging for malignant gynecologic disease such as endometrial cancer, cervix cancer and ovarian cancer were assessed for eligibility.
Exclusion criteria
* women who had thyroid diseases, inflammatory bowel disease, complaints of chronic constipation (defined as two or less bowel movements per week), had a history of prior abdominal bowel surgery, abdominal radiation, or neoadjuvant chemotherapy, * need for intensive care more that 24 hours postoperatively, had nasogastric tube drainage beyond the first postoperative morning bowel anastomosis in relation to their operation during the surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| postoperative flatus pass time | an expected average of 48 hours | The main outcome variable of the study was postoperative flatus pass time (hours from end of operation). Participants will be followed for the duration of the flatus pass time, an expected average of 48 hours |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| duration of hospital stay | an expected average of 3 weeks | Participants will be followed for the duration of hospital stay, an expected average of 3 weeks |
| gastrointestinal disturbance | an expected average of 3 weeks | gastrointestinal disturbance such as nausea, abdominal cramping, abdominal distension, rate of vomiting |
| time to first bowel movement | an expected average of 48 hours hours from end of operation | time to first bowel movement (hours from end of operation).Participants will be followed for time to first bowel movement, an expected average of 48 hours hours from end of operation |
| Time to first defaecation | an expected average of 72 hours | The main outcome variable of the study was postoperative flatus pass time (hours from end of operation).Participants will be followed for the duration of the first defaecation time, an expected average of 72 hours |
Countries
Turkey (Türkiye)
Contacts
Primary ContactEgemen Ertas, M.D
Backup ContactAykut Ozdemir, M.D
Outcome results
None listed