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Following all abdominal surgery, paralytic ileus commonly develops. Surgeons have traditionally withheld postoperative oral intake until the return of bowel function to prevent related complications. Gum chewing can stimulates bowel movement and promotes the return of bowel function through the cephalic-vagal reflex and increased intestinal enzymes secretion.
The objectives of this study are to examine effects of adding gum chewing to the conventional postoperative feeding regimen on the return of bowel function, its related complications, and patients' satisfaction.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Gum chewing | Experimental | Gum chewing (30 minutes in duration each time, 4 times/days at the usual time of meal, until the first flatus) in addition to conventional postoperative feeding schedule |
|
| Conventional | No Intervention | Conventional postoperative feeding schedule |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Gum chewing | Behavioral | Gum chewing (30 minutes in duration each time, 4 times/days at the usual time of meal, until the first flatus) in addition to conventional postoperative feeding schedule |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative interval until the first flatus | Up to 7 days after delivery |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative interval until the first passage of stool | Up to 7 days after delivery | |
| Clinically significant postoperative ileus | Up to 7 days after delivery | |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Kittipat Charoenkwan, MD | Faculty of Medicine, Chiang Mai University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Medicine, Chiang Mai University | Chiang Mai | Chiang Mai | 50200 | Thailand |
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| ID | Term |
|---|---|
| D007418 | Intestinal Pseudo-Obstruction |
| ID | Term |
|---|---|
| D045823 | Ileus |
| D007415 | Intestinal Obstruction |
| D007410 | Intestinal Diseases |
| D005767 | Gastrointestinal Diseases |
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| ID | Term |
|---|---|
| D002638 | Chewing Gum |
| ID | Term |
|---|---|
| D053149 | Plant Gums |
| D001704 | Biopolymers |
| D011108 | Polymers |
| D046911 | Macromolecular Substances |
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| Postoperative hospital stay |
| Up to 7 days after delivery |
| Related complications | Up to 7 days after delivery |
| Patients' satisfaction | Up to 7 days after delivery |
| D004066 |
| Digestive System Diseases |
| D011134 |
| Polysaccharides |
| D002241 | Carbohydrates |
| D053147 | Plant Exudates |
| D001688 | Biological Products |
| D045424 | Complex Mixtures |
| D002182 | Candy |
| D005502 | Food |
| D000066888 | Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |
| D019602 | Food and Beverages |