Evaluation of postoperative gum chewing role in stimulating bowel motility in colonic surgery

Layth Q Al-Harbawia A,Luay A Hasan A

doi:10.33899/mmed.2018.159195

Abstract

Objective: Postoperative ileus (POI) after abdominal surgery is an inevitable consequence of various etiologies. It causes much discomfort to patients by resultant vomiting, abdominal distention, and prolonged hospital stay; thus, exploring efficient and cost effective solutions could reduce the patients' suffering and hospital stay. This study aimed to evaluate the effect of gum chewing on the duration of POI following colonic surgery. Patients and methods: Ninety patients at Aljumhoory Teaching Hospital from October 2007 to October 2008, undergoing elective large bowel surgeries were randomly assigned to the study group (n=44) and the control group (n=46). Patients in the study group chewed gum 3 times daily for 20 minutes starting from the 1st postoperative day until the return of bowel function. The control group patients had standard postoperative treatment. All patients were assessed clinically and the data were collected using an inquiry forma for every patient. Results: Study and control group patients were comparable at inclusion. The mean time for the passage of first flatus as well as the time for the first bowel movement was shorter significantly in the study group (by 20.4 hours, P=

Highlights

Post operative ileus (POI) is a transient cessation of coordinated bowel motility after surgical intervention, which prevents effective transit of intestinal contents and/or tolerance of oral intake.[1]
Primary POI occurs in the absence of any precipitating complication,[2] it is an inevitable response to surgical trauma.[1]
Secondary POI occurs in the presence of a precipitating complications such as uremia and hypokalemia.[3]

Summary

Introduction

Post operative ileus (POI) is a transient cessation of coordinated bowel motility after surgical intervention, which prevents effective transit of intestinal contents and/or tolerance of oral intake.[1]. ‫ ٔٔلد أٔل ذغٕط أتكز تـ‬،‫ ساػح‬2944 ‫ح أتكز تـ‬ٚ‫ ٔٔلد أٔل خزٔج نهز‬،‫ ساػح‬4441 ‫كاٌ ٔلد أٔل شؼٕر تانجٕع أتكز تـ‬ ٙ‫خص يذج انثماء ف‬ٚ ‫ًا‬ٛ‫ ٔأيا ف‬،‫ا‬ٛ‫ ٔكاٌ انفزق يؤثزا إحصائ‬،ٖ‫ يضغد انؼهكح ػٍ انًجًٕػح الأخز‬ٙ‫ انًجًٕػح انر‬ٙ‫ساػح ف‬ .‫ا‬ٛ‫كٍ يؤثزا إحصائ‬ٚ ‫ نكٍ انفزق نى‬،ٗ‫ انًجًٕػح الأٔن‬ٙ‫ٕيا ف‬ٚ 940 ‫ ألم تـ‬ٙٓ‫انًسرشفٗ ف‬ ‫ك‬ٚ‫ ذحًم انًزضٗ نهطؼاو ػٍ طز‬ٙ‫ ٔتانران‬،ّ‫فر‬ٛ‫ نٕظ‬ٙ‫سزع يٍ إسرزجاع انًؼ‬ٚ ‫ إٌ يضغ انؼهكح يثكزا تؼذ انجزاحح‬:‫الإستنتاجات‬

Results

Conclusion