Xylitol Gum Chewing, Non-xylitol Gum Chewing, Control Group
Conditions
Keywords
Laparoscopic cholecystectomy, postoperative bowel activity, xylitol gum chewing
Brief summary
Altogether, 75 patients undergoing elective laparoscopy cholecystectomy were randomly divided into 3 groups (final numbers, xylitol chewing gum: 24 controls, xylitol free chewing gum:25 and control 25 patients). Controls underwent a routine postoperative regimen. Both groups chewed gum 3 times a day except the control group. Other postoperative management was routine. First flatus, first bowel movement, first defecation, first mobilization time, and discharge time from hospital were recorded. Symptoms included nausea, and vomiting.
Detailed description
Purpose: Laparoscopic cholecystectomy (LC) has become the standard treatment for gallbladder surgery due to its advantages over open surgery. However, postoperative ileus (POI) remains a common complication. Gum chewing has been proposed to stimulate bowel function post-surgery, but it's unclear whether xylitol in gum influences outcomes. Our objective was to evaluate the effects of postoperative xylitol gum chewing on gastrointestinal functional recovery after laparoscopy. Design: A Three-Arm Randomized Controlled Trial Methods: Altogether, 75 patients undergoing elective laparoscopy cholecystectomy were randomly divided into 3 groups (final numbers, xylitol chewing gum: 24 controls, xylitol free chewing gum:25 and control 25 patients). Controls underwent a routine postoperative regimen. Both groups chewed gum 3 times a day except the control group. Other postoperative management was routine. The first flatus, first bowel movement, first defecation, first mobilization time, and discharge time from the hospital were recorded. Symptoms included nausea and vomiting.
Interventions
OTHERxylitol chewing gum
Chewing gum with xylitol was chewed 3 times a day for 15 minutes. A new chewing gum was chewed by the researcher in each chewing period, chewing gum was stopped at the end of 15 minutes and each quadrant was listened for 15 seconds. The onset of bowel movement was evaluated and all information was recorded in the patient information form and follow-up form. Patients who were discharged without stool output were telephoned and their stool output was questioned. Gum chewing was performed at the 2nd hour, 4th hour and 6th hour postoperatively (due to the opening of the oral cavity at 6 hours) and the collection of patient data was continued by telephone until discharge and afterwards.
Sponsors
Giresun University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
40 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Turkish-speaking, * Verbal communication, * Cognitive abilities are normal, * No psychiatric diagnosis, * 40 to 65 years old, * He's having a laparoscopic cholecystectomy, * ASA (American Society of Anaesthesiologists) Score-I and II, * who has no problem chewing gum, * who's going to have scheduled surgery, * The prescribed duration of surgery not exceeding 100 minutes, * Patients whose oral intake was to be opened after 6 hours.
Exclusion criteria
* Having emergency surgery, * Liver failure, * Kidney failure, * Muscle disease * Those with a known allergy to the anesthesia drugs used and morbidly obese, * The one with the walking problem, * The one with the jaw problem, * Patients who cannot be contacted, * With a post-operative nasogastric tube, * Patients whose oral intake would be opened less than 6 hours were excluded from the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to first postsurgical flatus, Time to first bowel sound after surgery, Time to first postsurgical defecation, First Mobilization time, Discharge time from hospital | Baseline | The onset of time to first postsurgical flatus, time to first bowel sound after surgery, Time to first postsurgical defecation, first mobilization time, discharge time from hospital were evaluated and all information was recorded in the patient information form and follow-up form. Patients who were discharged without stool output were telephoned and their stool output was questioned. Gum chewing was performed at the 2nd hour, 4th hour and 6th hour postoperatively (due to the opening of the feeding at 6 hours) and the collection of patient data was continued by telephone until discharge and afterwards. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Nausea After Surgery, Vomiting After Surgery | Baseline | Nausea and vomiting were evaluated and all information was recorded. |
Countries
Turkey (Türkiye)
Outcome results
None listed