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The investigators are randomizing patients to receive chewing gum (Extra Sugar Free, Spearment) every 4 hours during waking hours for 15 minutes versus standard postoperative care. The investigators then have them fill out a survey in house and 1 week after their surgery that record time to first flatus, hunger, toleration of clear liquids and food and some information about pain, satisfaction, and quality of life. The investigators contact them via phone and email a maximum of three times in order to collect this information. 30 days postoperatively the investigators also contact them and perform a chart review for any postoperative complications.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard postoperative care | No Intervention | ||
| Chewing gum arm | Experimental | Sugar free (extra, spearment) chewing gum given to the patient to chew during waking hours every four hours for 15 minutes |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Chewing gum | Other | Sugar Free (Extra spearment) gum given to chew every 4 hours during waking hours for 15 minutes. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Time to flatus | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative ileus | Nausea, vomiting, abdominal distention two episodes of 100cc of emesis | 30 days |
| time to discharge | 30 days | |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Catherine A Sewell, MD, MPH | Johns Hopkins University | Principal Investigator |
| Amelia M Jernigan, MD | Johns Hopkins University | Study Chair |
| Grace Chen, MD | Johns Hopkins Bayview | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Johns Hopkins Bayview | Baltimore | Maryland | 21224 | United States | ||
| Johns Hopkins Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25147092 | Derived | Jernigan AM, Chen CC, Sewell C. A randomized trial of chewing gum to prevent postoperative ileus after laparotomy for benign gynecologic surgery. Int J Gynaecol Obstet. 2014 Dec;127(3):279-82. doi: 10.1016/j.ijgo.2014.06.008. Epub 2014 Jul 21. |
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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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| time to toleration of diet |
| 30 days |
| patient satisfaction | 30 days |
| Baltimore |
| Maryland |
| 21287 |
| United States |
| 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 |