Coffee consumption for recovery of intestinal function after laparoscopic gynecological surgery: A randomized controlled trial

Güngördük, Kemal; Paskal, Ezgi Karakaş; Demirayak, Gökhan; Köseoğlu, Sezen Bozkurt; Akbaba, Eren; Özdemir, İsa Aykut

doi:10.1016/j.ijsu.2020.08.016

Cited by 24 publications

(23 citation statements)

References 21 publications

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“…Finally, 27 studies were included in the qualitative synthesis. The 27 studies comprised 9 ongoing trials (NCT 02510911, NCT02639728, NCT03143621, NCT03191877, NCT03712891, NCT04205058, NCT04547868, IRCT20200116046153N1, and CTRI/2021/04/033141), 5 protocols without results (NCT00130026, NCT01130675, NCT02250924, NCT03660267, and NCT03815877), and 13 clinical trials (1246 patients) [21][22][23][24][25][26][27][28][29][30][31][32][33]. Table 1 shows the characteristics of the included clinical trials.…”

Section: Resultsmentioning

confidence: 99%

Effect of Postoperative Coffee Consumption on Postoperative Ileus after Abdominal Surgery: An Updated Systematic Review and Meta-Analysis

et al. 2021

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Background: Previous systematic reviews have not clarified the effect of postoperative coffee consumption on the incidence of postoperative ileus (POI) and the length of hospital stay (LOS). We aimed to assess its effect on these postoperative outcomes. Methods: Studies evaluating postoperative coffee consumption were searched using electronic databases until September 2021 to perform random-effect meta-analysis. The quality of evidence was assessed using the Cochrane risk-of-bias tool. Caffeinated and decaffeinated coffee were also compared. Results: Thirteen trials (1246 patients) and nine ongoing trials were included. Of the 13 trials, 6 were on colorectal surgery, 5 on caesarean section, and 2 on gynecological surgery. Coffee reduced the time to first defecation (mean difference (MD) −10.1 min; 95% confidence interval (CI) = −14.5 to −5.6), POI (risk ratio 0.42; 95% CI = 0.26 to 0.69); and LOS (MD −1.5; 95% CI = −2.7 to −0.3). This trend was similar in colorectal and gynecological surgeries. Coffee had no adverse effects. There was no difference in POI or LOS between caffeinated and decaffeinated coffee (p > 0.05). The certainty of evidence was low to moderate. Conclusion: This review showed that postoperative coffee consumption, regardless of caffeine content, likely reduces POI and LOS after colorectal and gynecological surgery.

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Section: Resultsmentioning

confidence: 99%

Effect of Postoperative Coffee Consumption on Postoperative Ileus after Abdominal Surgery: An Updated Systematic Review and Meta-Analysis

et al. 2021

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“…In an intervention study conducted by Güngördük et al [ 17 ] to investigate the effect of coffee compared to water on bowel function after surgery, it was found that the time available until the first bowel movement, tolerance of solid food, time of first defecation and time of first flatus was significantly shorter in coffee group. Kruse et al also reported that intake of coffee postoperatively is associated with a shorter time of first bowel movement and first defecation (9).…”

Section: Discussionmentioning

confidence: 99%

Effect of caffeine on postoperative bowel movement and defecation after cesarean section

Zamanabadi

Alizadeh

Gholami

et al. 2021

Annals of Medicine &Amp; Surgery

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Introduction and Importance: Inadequate bowel movement after cesarean section (C-section) can delay the intake of solid diet. Coffee is reported to have beneficial effects on bowel motility after the surgery. This study is designed to evaluate the effects of coffee on bowel movement and defecation following C-section. Methods In this randomized clinical trial study, women undergoing elective C-section at the hospital of (XXX) during 2019–2020 were included. Following the surgery, the patients were divided in case (coffee) and control (water) group. At three different interval after the surgery, 111 ml of coffee or water was given to these patients. After the intervention, time of bowel movement, first defecation, body mass index (BMI), age, gestational age, parity and gravidity were recorded and evaluated between the two groups. Results Of total 36 patients (18 in study and control group, respectively), the mean age, gravidity, parity, BMI and gestational age was not significantly different, p-value<0.05. The mean onset of bowel movements in case group was 14.56 h and control group was 16.83 h and the first defecation after cesarean section in case and control group was 27.78 and 31.67 h, respectively. The two groups were significantly different in both the terms, p-value = 0.042 and p-value = 0.002, respectively. Conclusion The postoperative bowel movement and defecation time is shorter with the intake of coffee among patients undergoing C-section.

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“…A stimulating effect on bowel activity is contributed to coffee consumption in popular belief. Its mechanism of action is not well understood, but several pathways such as gastrin release, exorphins binding to opiate receptors, and the inhibition of adenosine receptors are hypothesized [77]. Recent metaanalyses demonstrated a significantly reduced time to first bowel movement after consuming coffee regularly in the postoperative period, but there was inconsistent data regarding its effect on length of hospital stay [38,78].…”

Section: Coffee Consumptionmentioning

confidence: 99%

State-of-the-art colorectal disease: postoperative ileus

Sommer

Schneider

Wehner

et al. 2021

Int J Colorectal Dis

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Purpose Postoperative Ileus (POI) remains an important complication for patients after abdominal surgery with an incidence of 10–27% representing an everyday issue for abdominal surgeons. It accounts for patients’ discomfort, increased morbidity, prolonged hospital stays, and a high economic burden. This review outlines the current understanding of POI pathophysiology and focuses on preventive treatments that have proven to be effective or at least show promising effects. Methods Pathophysiology and recommendations for POI treatment are summarized on the basis of a selective literature review. Results While a lot of therapies have been researched over the past decades, many of them failed to prove successful in meta-analyses. To date, there is no evidence-based treatment once POI has manifested. In the era of enhanced recovery after surgery or fast track regimes, a few approaches show a beneficial effect in preventing POI: multimodal, opioid-sparing analgesia with placement of epidural catheters or transverse abdominis plane block; μ-opioid-receptor antagonists; and goal-directed fluid therapy and in general the use of minimally invasive surgery. Conclusion The results of different studies are often contradictory, as a concise definition of POI and reliable surrogate endpoints are still absent. These will be needed to advance POI research and provide clinicians with consistent data to improve the treatment strategies.

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Coffee consumption for recovery of intestinal function after laparoscopic gynecological surgery: A randomized controlled trial

Cited by 24 publications

References 21 publications

Effect of Postoperative Coffee Consumption on Postoperative Ileus after Abdominal Surgery: An Updated Systematic Review and Meta-Analysis

Effect of Postoperative Coffee Consumption on Postoperative Ileus after Abdominal Surgery: An Updated Systematic Review and Meta-Analysis

Effect of caffeine on postoperative bowel movement and defecation after cesarean section

State-of-the-art colorectal disease: postoperative ileus

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