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Article: Use of chewing gum in reducing postoperative ileus after elective colorectal resection: A systematic review

TitleUse of chewing gum in reducing postoperative ileus after elective colorectal resection: A systematic review
Authors
KeywordsChewing gum
Colorectal resection
Motility
Postoperative ileus
Issue Date2007
PublisherSpringer New York LLC. The Journal's web site is located at http://www.springerlink.com/content/0012-3706/
Citation
Diseases Of The Colon And Rectum, 2007, v. 50 n. 12, p. 2149-2157 How to Cite?
AbstractPURPOSE: Published studies comparing the addition of chewing gum to standardized postoperative care to shorten postoperative ileus showed controversial results. This study was designed to conduct a systematic review of all relevant trials on chewing gum to reduce postoperative ileus after colorectal resection. METHODS: All published trials that compared the additional use of gum chewing with standard postoperative management were identified from Ovid MEDLINE, EMBASE, CINAHL, and All Evidence-Based Medicine Reviews between January 1991 and January 2007. The clinical outcomes were extracted and meta-analysis was performed by Forest plot review. RESULTS: Five randomized, controlled trials with 158 (94 males) patients with mean age of 61.9 years were included. Seventy-eight patients received an addition of gum chewing and 80 had standard postoperative care for colorectal resection. Operating time (P=0.78) and blood loss (P=0.48) were similar. All patients tolerated the gum without any side-effects. With combined standard postoperative care and gum chewing, the patients passed flatus 24.3 percent earlier (weighted mean difference, -20.8 hours; P=0.0006) and had bowel movement 32.7 percent earlier (weighted mean difference, -33.3 hours; P=0.0002). They were discharged 17.6 percent earlier than those having ordinary postoperative treatment (weighted mean difference, -2.4 days; P<0.00001). The gum-chewing group was associated with similar overall postoperative complication rate (odds ratio, 0.45; P=0.05) with individual complication showing a trend favoring gum chewing, although they were not of statistical significance. Readmission (odds ratio, 0.36; P=0.24) and reoperation rates (odds ratio, 1.36; P=0.83) of the two groups were similar. CONCLUSIONS: The use of gum chewing in the postoperative period is a safe method to stimulate bowel motility and reduce ileus after colorectal surgery. © 2007 American Society of Colon and Rectal Surgeons.
Persistent Identifierhttp://hdl.handle.net/10722/83346
ISSN
2015 Impact Factor: 3.739
2015 SCImago Journal Rankings: 2.077
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorChan, MKYen_HK
dc.contributor.authorLaw, WLen_HK
dc.date.accessioned2010-09-06T08:39:56Z-
dc.date.available2010-09-06T08:39:56Z-
dc.date.issued2007en_HK
dc.identifier.citationDiseases Of The Colon And Rectum, 2007, v. 50 n. 12, p. 2149-2157en_HK
dc.identifier.issn0012-3706en_HK
dc.identifier.urihttp://hdl.handle.net/10722/83346-
dc.description.abstractPURPOSE: Published studies comparing the addition of chewing gum to standardized postoperative care to shorten postoperative ileus showed controversial results. This study was designed to conduct a systematic review of all relevant trials on chewing gum to reduce postoperative ileus after colorectal resection. METHODS: All published trials that compared the additional use of gum chewing with standard postoperative management were identified from Ovid MEDLINE, EMBASE, CINAHL, and All Evidence-Based Medicine Reviews between January 1991 and January 2007. The clinical outcomes were extracted and meta-analysis was performed by Forest plot review. RESULTS: Five randomized, controlled trials with 158 (94 males) patients with mean age of 61.9 years were included. Seventy-eight patients received an addition of gum chewing and 80 had standard postoperative care for colorectal resection. Operating time (P=0.78) and blood loss (P=0.48) were similar. All patients tolerated the gum without any side-effects. With combined standard postoperative care and gum chewing, the patients passed flatus 24.3 percent earlier (weighted mean difference, -20.8 hours; P=0.0006) and had bowel movement 32.7 percent earlier (weighted mean difference, -33.3 hours; P=0.0002). They were discharged 17.6 percent earlier than those having ordinary postoperative treatment (weighted mean difference, -2.4 days; P<0.00001). The gum-chewing group was associated with similar overall postoperative complication rate (odds ratio, 0.45; P=0.05) with individual complication showing a trend favoring gum chewing, although they were not of statistical significance. Readmission (odds ratio, 0.36; P=0.24) and reoperation rates (odds ratio, 1.36; P=0.83) of the two groups were similar. CONCLUSIONS: The use of gum chewing in the postoperative period is a safe method to stimulate bowel motility and reduce ileus after colorectal surgery. © 2007 American Society of Colon and Rectal Surgeons.en_HK
dc.languageengen_HK
dc.publisherSpringer New York LLC. The Journal's web site is located at http://www.springerlink.com/content/0012-3706/en_HK
dc.relation.ispartofDiseases of the Colon and Rectumen_HK
dc.rightsThe original publication is available at www.springerlink.com-
dc.subjectChewing gumen_HK
dc.subjectColorectal resectionen_HK
dc.subjectMotilityen_HK
dc.subjectPostoperative ileusen_HK
dc.subject.meshChewing Gum-
dc.subject.meshColectomy - adverse effects-
dc.subject.meshColonic Diseases - etiology - physiopathology - prevention and control-
dc.subject.meshIleus - etiology - physiopathology - prevention and control-
dc.subject.meshGastrointestinal Motility/physiology-
dc.titleUse of chewing gum in reducing postoperative ileus after elective colorectal resection: A systematic reviewen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0012-3706&volume=50&issue=12&spage=2149&epage=2157&date=2007&atitle=Use+of+chewing+gum+in+reducing+postoperative+ileus+after+elective+colorectal+resection:+a+systematic+review+en_HK
dc.identifier.emailLaw, WL: lawwl@hkucc.hku.hken_HK
dc.identifier.authorityLaw, WL=rp00436en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/s10350-007-9039-9en_HK
dc.identifier.pmid17710495-
dc.identifier.scopuseid_2-s2.0-37249005912en_HK
dc.identifier.hkuros141798en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-37249005912&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume50en_HK
dc.identifier.issue12en_HK
dc.identifier.spage2149en_HK
dc.identifier.epage2157en_HK
dc.identifier.isiWOS:000251641700021-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridChan, MKY=12797043500en_HK
dc.identifier.scopusauthoridLaw, WL=7103147867en_HK

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