Abstract
Purpose
The purpose of this study was to examine the effects of a gum-chewing on the recovery of bowel motility and days of hospitalization after surgery for colorectal cancer.
Methods
This study used a non-equivalent control group and non-synchronized design. Thirty-four patients undergoing abdominal surgery for colorectal cancer were assigned to either gum-chewing group (n=17) or control group (n=17). The patients in the gum-chewing group chewed gum for 10 min three times daily from the first postoperative morning until the day they began oral intake. Outcome variables were time of first flatus, time of first bowel movement, and length of hospital stay.
References
1. Health and Human Services. Cancer Analysis Report 2008. 2009.
3. Tjandra JJ, Chan MK. Systematic review on short-term outcomes of laparoscopic resection for colon and rectosigmoid cancer. Colorectal Dis. 2006. 8:375–388.
4. Salimath J, Jones M, Hunt DL, Lane MK. Comparison of return of bowel function and length of stay in patients undergoing laparoscopic versus open colectomy. JSLS. 2007. 11:72–75.
5. Mattei P, Rombeau JL. Review of the pathophysiology and management of postoperative ileus. World J Surg. 2006. 30:1382–1391.
6. Stewart BT, Woods RJ, Collopy BT, Fink RJ, Mackay JR, Keck JO. Early feeding after selective open colorectal resections: a prospective randomized trial. Aust N Z J Surg. 1998. 68:125–128.
7. Bickel A, Shtamler B, Mizrahi S. Early oral feeding following removal of nasogastric tube in gastrointestinal operations. Arch Surg. 1992. 127:287–289.
8. Ha NB, Shin YS, Park JW, Park ST, Ha WS, Choi SK, et al. A study on the tolerability of early postoperative feeding in patients with colorectal cancer. J Korean Surg Soc. 1999. 57:57–61.
9. Hartsel PA, Frazee RC, Harrison JB, Smith RW. Early postoperative feeding after selective colorectal surgery. Arch Surg. 1997. 132:518–521.
10. Soffer EE, Adrian TE. Effect of meal composition and sham feeding on duodenojejunal motility in humans. Dig Dis Sci. 1992. 37:1009–1014.
11. Konturek SJ, Thor P. Relation between duodenal alkaline secretion and motility in fasted and sham-fed dogs. Am J Physiol. 1986. 251:591–596.
12. Tern RM, Crawford HE, Stewart WR, Vasey MW, Koch KL. Sham feeding: cephalic-vagal influences on gastric myoelectric activity. Dig Dis Sci. 1989. 34:521–527.
13. Jepsen JM, Skoubo K, Elsborg L. Rectosigmoid motility response to sham feeding in irritable bowel syndrome. Evidence of a cephalic phase. Scand J Gastroenterol. 1989. 24:53–56.
14. Leier H. Does gum chewing help prevent impaired gastric motility in the postoperative period? J Am Acad Nurse Prac. 2007. 19:133–136.
15. Noble EJ, Harris R, Hosie KB, Thome S, Lewis SJ. Gum chewing reduces postoperative ileus? A systematic review and metaanalysis. Int Surg. 2009. 7:100–105.
16. Purkayastha S, Tilney HS, Darzi AW, Tekkis PP. Meta-analysis of randomized studies evaluating chewing gum to enhance postoperative recovery following colectomy. Arch Surg. 2008. 143:788–793.
17. Asao T, Kuwano H, Nakamura J, Morinaga N, Hirayama I, Ide M. Gum chewing enhances early recovery from postoperative ileus after laparoscopic colectomy. J Am Coll Surg. 2002. 195:30–32.
18. Schuster R, Grewal N, Greaney GC, Waxman KG. Gum chewing reduces ileus after elective open sigmoid colectomy. Arch Surg. 2006. 141:174–176.
19. Quah HM, Samad A, Neathey AJ, Hay DJ, Maw A. Does gum chewing reduce postoperative ileus following open colectomy for left-sided colon and rectal cancer? A prospective randomized controlled trial. Colorect Dis. 2006. 8:64–70.
20. Bang SY, Jung GJ, Jung HY, An S. The effects of gum-chewing on the recovery of bowel movement and oral cavity discomfort after abdominal surgery. J Korean Clin Nurs Res. 2008. 14(3):15–25.
21. Park SY, Chung M. Can gum chewing reduce postoperative ileus after open abdominal surgery? J Korean Surg Soc. 2009. 77:306–309.
22. Chan MK, Law WL. Use of chewing gum in reducing postoperative ileus after elective colorectal resection: a systematic review. Dis Colon Rectum. 2007. 50:2149–2157.
23. Milsom JW, Bohm B, Hammerhofer KA, Fazio V, Steiger E, Elson P. A prospective randomized trial comparing laparoscopic versus conventional techniques in colorectal cancer surgery: a preliminary report. J Am Coll Surg. 1998. 187:46–54.
24. Hirayama I, Suzuki M, Ide M, Asao T, Kuwano H. Gum chewing stimulates bowel motility after surgery for colorectal cancer. Hepatogastroenterology. 2006. 53:206–208.
25. Correia TD, da Silva MI, Gomes R. The impact of early nutrition on metabolic response and postoperative ileus. Curr Opin Clin Nutr Metab Care. 2004. 7:577–583.
26. McCormick JT, Garvin R, Caushai P, Simmang C, Gregorcyk S, Huber P, et al. The effects of gum chewing on bowel function and hospital stay after laparascopic vs open colectomy: a multi-institution prospective randomized trial. Am J Coll Surg. 2005. 3:Suppl. 66–67.