Abstract
BackgroundEarly intake after surgery can decrease postoperative ileus. Several studies show coffee can stimulate bowel activity and be safe in patients after elective colectomy, mainly due to caffeine. It was postulated that drinking Chinese green tea as rich caffeine beverage after subtotal distal gastrectomy accelerates postoperative recovery in patients.MethodThis was a single-centre parallel open-label randomized trial. Patients with gastric cancer undergoing robotic or laparoscopic subtotal gastrectomy were randomly allocated to receive drinking Chinese green tea (GT group) or potable water (PW group) after surgery. The primary endpoint was the time to gastrointestinal function recovery and tolerance of solid food, and the secondary endpoints included the incidence of postoperative complications, symptoms of postoperative adverse reaction, length of stay, pain as assessed by analgesic consumption and a visual analogue scale, and fatigue as assessed by a fatigue score model.ResultsA total of 80 patients were recruited, 40 to each group. Patient characteristics were similar in both groups. The GT group showed significantly shorter time to gastrointestinal function recovery compared with PW group to first flatus (47.23 ± 13.46 vs. 76.96 ± 20.35, P < 0.001), first bowel motion (78.70 ± 25.77 vs. 125.76 ± 36.25, P < 0.001) and tolerance of solid food (62.20 ± 16.15 vs. 98.66 ± 20.15, P < 0.001).ConclusionDrinking Chinese green tea after robotic or laparoscopic subtotal gastrectomy is safe and promotes postoperative recovery of gastrointestinal function, also was an add method with strengthening analgesia and anti-inflammatory effect in the presence of the Enhance Recovery After Surgery (ERAS) program. Registration number: ChiCTR1800018294 (http://www.chictr.org.cn).
Highlights
Gastric cancer is the fifth most common cancer and the third leading cause of cancer-related deaths worldwide [1], and surgical resection is the only appropriate treatment toThese authors contributed : Dan Liu, Xinxin Jing
There was a significant difference in mean time to first flatus between the Green tea (GT) and PW groups (47.23 ± 13.46 vs. 76.96 ± 20.35, t = −7.580, 95% confidence interval(CI): −37.557~−21.897, P < 0.001)
There was a significant difference in mean time to first bowel motion between the GT and PW groups (78.70 ± 25.77 vs. 125.76 ± 36.25, t = −6.557, 95%CI: −61.365~−32.766, P < 0.001)
Summary
Gastric cancer is the fifth most common cancer and the third leading cause of cancer-related deaths worldwide [1], and surgical resection is the only appropriate treatment toThese authors contributed : Dan Liu, Xinxin Jing. It was postulated that drinking Chinese green tea as rich caffeine beverage after subtotal distal gastrectomy accelerates postoperative recovery in patients. Method This was a single-centre parallel open-label randomized trial. Patients with gastric cancer undergoing robotic or laparoscopic subtotal gastrectomy were randomly allocated to receive drinking Chinese green tea (GT group) or potable water (PW group) after surgery. Conclusion Drinking Chinese green tea after robotic or laparoscopic subtotal gastrectomy is safe and promotes postoperative recovery of gastrointestinal function, was an add method with strengthening analgesia and anti-inflammatory effect in the presence of the Enhance Recovery After Surgery (ERAS) program.
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