Effects of Gum Chewing on Recovery of Bowel Function Following Abdominal Surgery for Endometrial and Ovarian Cancer

Chiang Mai University

Overview

Following extensive abdominal surgery for the treatment of endometrial or ovarian cancer, paralytic ileus frequently develops. Gum chewing can promotes the return of bowel function through the cephalic-vagal reflex and increased intestinal enzymes secretion. The objectives of this study are to evaluate effects of adding gum chewing to the conventional postoperative feeding protocol on the return of bowel function, its related complications, and patients' satisfaction.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

DOUBLE

Conditions

Paralytic Ileus

Interventions

Gum chewingBEHAVIORAL

Gum chewing (30 minutes in duration each time, 4 times/days at the usual time of meal, until the first flatus) in addition to conventional postoperative feeding schedule

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 80 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients undergoing staging or cytoreductive surgery for primary endometrial or ovarian cancer at Maharaj Nakorn Chiang Mai hospital Exclusion Criteria: * Perioperative hyperalimentation * Recent chemotherapy (within 3 weeks before surgery) * Previous bowel surgery * Inflammatory bowel diseases * Previous abdominal or pelvic radiation * Need for immediate postoperative endotracheal intubation * Need for postoperative admission to intensive care unit * Undergoing emergency surgery with oral intake of fluid or food within 4 hours before surgery

Locations (1)

Faculty of Medicine, Chiang Mai University

Chiang Mai, Chiang Mai, Thailand