Does gum chewing reduce postoperative ileus following open colectomy for left‐sided colon and rectal cancer? – a prospective randomized controlled trial

Quah, Hak-Mien; Samad, Abdus; Neathey, A. J.; Hay, D. J.; Maw, Andrew

doi:10.1111/j.1463-1318.2005.00884.x

Cited by 96 publications

(112 citation statements)

References 31 publications

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“…Gastrointestinal hormones, such as gastrin, neurotensin, cholecystokinin and pancreatic polypeptide, are also increased and result in vagal stimulation of smooth muscle fibres. 74 Chewing gum also increases secretion of saliva and pancreatic juices, and a recent study proposed that sorbitol and hexitol found in sugar-free gum may also play a role in the reduction of postoperative ileus. 75 A number of studies exist which demonstrate the benefits in patients undergoing colorectal surgery.…”

Section: Prevention Of Prolonged Postoperative Ileusmentioning

confidence: 99%

“…75 A number of studies exist which demonstrate the benefits in patients undergoing colorectal surgery. 73,74,[76][77][78] A meta-analysis of several RCTs evaluating the effect of chewing gum on postoperative ileus has subsequently been published. Although there are relatively low patient numbers and a significant heterogeneity of studies, chewing gum offers significant benefits by reducing the time to pass flatus and the time until first bowel movement.…”

Section: Prevention Of Prolonged Postoperative Ileusmentioning

confidence: 99%

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Enhanced recovery after surgery (ERAS) protocols: Time to change practice?

Melnyk

Casey

Black

et al. 2013

CUAJ

275

120

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Radical cystectomy with pelvic lymph node dissection remains the standard treatment for patients with muscle invasive bladder cancer. Despite improvements in surgical technique, anesthesia and perioperative care, radical cystectomy is still associated with greater morbidity and prolonged in-patient stay after surgery than other urological procedures. Enhanced recovery after surgery (ERAS) protocols are multimodal perioperative care pathways designed to achieve early recovery after surgical procedures by maintaining preoperative organ function and reducing the profound stress response following surgery. The key elements of ERAS protocols include preoperative counselling, optimization of nutrition, standardized analgesic and anesthetic regimens and early mobilization. Despite the significant body of evidence indicating that ERAS protocols lead to improved outcomes, they challenge traditional surgical doctrine, and as a result their implementation has been slow.The present article discusses particular aspects of ERAS protocols which represent fundamental shifts in surgical practice, including perioperative nutrition, management of postoperative ileus and the use of mechanical bowel preparation.

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Section: Prevention Of Prolonged Postoperative Ileusmentioning

confidence: 99%

Section: Prevention Of Prolonged Postoperative Ileusmentioning

confidence: 99%

Enhanced recovery after surgery (ERAS) protocols: Time to change practice?

Melnyk

Casey

Black

et al. 2013

CUAJ

275

120

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“…The gum was supplied to patients 3 times a day at 8:00 am, 1:00 pm, and 6:00 pm, starting from the day of admission to the ward after surgery; this treatment was based on studies by Quah, et al, [14], Schuster, et al, [10], Bang, et al, [6], and Kim, et al, [15]. The duration of gum chewing was 1 hour, which was based on the studies by Schuster, et al, [10] and Bang et al [6] Gum chewing was discontinued following the self-reporting of the first passage of flatus from the bowel, which was based on certain studies [6,10,14,16,17] wherein oral intake was initiated after the passage of flatus, after which gum chewing was discontinued.…”

Section: Methodsmentioning

confidence: 99%

Effects of Chewing Gum on Recovery of Bowel Motility after Laparoscopic Colorectal Surgery in South Korea

Hong¹,

Jang²,

Ju³

2015

IJUNESST

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This study aimed to assess whether gum chewing affects bowel motility, including time to first passage of flatus, time to first feces, time to tolerance of oral fluid, and length of hospital stay after laparoscopic colorectal surgery. The current study had a non-equivalent control group and non-synchronized design. Sixty-four patients who underwent laparoscopic colorectal surgery were assigned to either a gum chewing group (n = 32; experimental group) (t = 2.829, p = .006) between groups. This research concluded that chewing gum can be a useful intervention to shorten the time to the first passage of flatus and feces as well as to reduce the time to tolerance of oral fluid and length of hospital stay. or a control group (n = 32). The patients in the experimental group chewed gum for 1 hour, 3 times a day, until they passed gas. Chewing gum led to significant differences in the first passage of flatus (t = 7.716, p < .001) and feces (t = 2.216, p = .030), time to tolerance of oral fluid (t = 4.404, p < .001), and length of hospital stay

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“…Gum chewing shows immediate post-operative facilitated recovery from ileus following resection for leftsided colorectal cancer. [76] Gum chewing enhances early recovery from POI after laparoscopic colectomy. [77] It reduces ileus after elective open sigmoid colectomy.…”

Section: Clinical Healing Effectsmentioning

confidence: 99%

Untitled

Upadhyay

2017

IJGP

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The present review explains nutritional, therapeutic, and pharmaceutical potential of plant gum that is commonly applied to water-soluble, non-starch polysaccharides of commerce. This article also emphasizes commercial and domestic uses of important products of gum such as chicle and jelutong mainly non-elastic gums or chewing gums. These are also used in food, pharmaceutical, paper textile, and other industries. The present review also explains various biological activities such as antidiarrheic, antitumor, anti-inflammatory, anti-arthritic, antiparasitic, gastrourinary, antitumor, antiparasitic, antioxidant, chemopreventive, and gastroprotective activity of plant gums. These reduce stomach inflammation, system cleansing or to settle the intestines. Other uses for mesquite gum include treatment for lice, sore throat, cough, laryngitis, fever reduction, painful gums, and hemorrhoids and it can be used as a purgative. Gum arabic is a water-soluble dietary fiber rich in Ca , and decreases plasma phosphate concentration as well as urinary excretion of phosphate and Na + . Gums are used as adhesives, crystallization inhibitors, emulsifying agents, emulsion stabilizers, encapsulating agents, film formers, foam stabilizers, suspending agents, suspension stabilizers, or syneresis inhibitors and impart other specific properties. The gum is also used to a limited extent in polishes, contact insecticides and pesticides, photographic emulsions, and pharmaceuticals. This article suggests wider use of plant gums in generation of drug delivery system for cancer and brain tumor therapy. There is no doubt that chemical constituents of plant gums can be largely used for making therapeutic drugs because of their broadspectrum biological effectiveness.

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Does gum chewing reduce postoperative ileus following open colectomy for left‐sided colon and rectal cancer? – a prospective randomized controlled trial

Abstract: The addition of gum chewing to a standardized postoperative regimen did not reduce the period of postoperative ileus or shorten length of stay following open surgery for left-sided colorectal cancer.

Cited by 96 publications

References 31 publications

Enhanced recovery after surgery (ERAS) protocols: Time to change practice?

Enhanced recovery after surgery (ERAS) protocols: Time to change practice?

Effects of Chewing Gum on Recovery of Bowel Motility after Laparoscopic Colorectal Surgery in South Korea

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