Postoperative Ileus
Conditions
Brief summary
Postoperative ileus (POI) is a serious complication after surgery. While it complicates all type of surgery, it is more frequent after abdominal surgery (especially bowel or colorectal surgery). Many studies aim to reduce the occurence of POI without efficiency. The aim of this study is to assess the efficiency of the vagal stimulation, by the mean of chewing, to reduce the duration of POI.
Interventions
BEHAVIORALchewing
patients are asked to chew chewing gum X 3/ day
Sponsors
Centre Hospitalier de Cholet
University Hospital, Angers
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* patients undergoing colorectal surgery or small bowel surgery * elective or in emergency * open surgery or laparoscopy * diagnosis of POI * indication of fasting or nasogastric tube placement
Exclusion criteria
* contra-indication of chewing * pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To assess the efficiency of chewing gum in reducing the duration of POI. POI is defined by the criteria of Vather from the postoperative day 1 up to day 30 | collected each day until the end of the POI, assessed up to day 21 | The duration of POI is the time between the first day of meeting the criteria of Vather to the day of recovery of tolerance of solid food and of exoneration of stool and/or flatus (GI-3 recovery). Patients will be asked to report in their diary the day of tolerance of solid food and of exoneration of stool and/or flatus (GI-3 recovery) after the diagnosis of POI |
Countries
France
Outcome results
None listed