Postoperative Ileus
Conditions
Keywords
sham feeding, postoperative ileus, liver transplantation
Brief summary
Postoperative ileus is a common after abdominal surgery. Multifactorial etiology such as surgical trauma, bowel manipulation and perioperative opioids contributes to delayed return of normal gut function Chewing gum has recently been used as a form of sham feeding to stimulate acceleration of gut function after abdominal surgery. The investigators hypothesize that sham feeding with chewing gum will accelerate return of gut function after liver transplantation.
Interventions
gum chewing
Routine care during NPO
Sponsors
Study design
Eligibility
Inclusion criteria
* elective liver transplantation surgery * an ability to chew gum
Exclusion criteria
* emergency surgery * age less than 18 years, * inability to provide written informed consent * an inability to chew gum * hepaticojejunostomy * sedated patients * reintubated patients * Glasgow Coma Scale \<13 * reoperation before gas out * previous bowel surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| time to flatus | an expected average of 75 hours |
Secondary
| Measure | Time frame |
|---|---|
| percentage of target calories | an average 4 days |
| ICU length of stay | an average 96 hous |
| hospital length of stay | an average 20 days |
Countries
South Korea