Gum chewing group will have less ileus and early resume of bowel motion than control group.
The standardize surgical techniques, less used of epidural analgesia, early ambulation and used of naso-gastric tube for decompression are aimed to reduce the paralytic ileus after abdominal surgery . Most Western studies have examined and found that gum chewing are able to prevent postoperative ileus or promotes early bowel function after abdominal surgery.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
92
Chewing gum group patients performing gum chewing on postoperative day 1 at three times daily for 30 minutes after operation and until discharged.
Queen Mary Hospital
Hong Kong, China
Time to first flatus
Time to passage of flatus after surgery was significantly shorter in the intervention group (22 vs 39 hours, p=0.007).
Time frame: from postoperative day 0 till an expected average of day 7
Time to first sense of hunger
Patients in the intervention group also noticed feeling of hunger earlier (17 vs 40 hours, p\<0.001).
Time frame: from postoperative day 0 till an expected average of day 7
Time to first bowel movement,
The first bowel motion also occurred earlier in the intervention group (22 vs 52 hours, p\<0.001)
Time frame: from postoperative day 0 till an expected average of day 7
Length of stay
There is no difference in length of stay between intervention group or control group
Time frame: from postoperative day 0 till an expected average of day 7
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