The Effect of Gum Chewing on Bowel Motility in Post-operative Colon Resection Patients

The Effect of Gum Chewing on Bowel Motility in Post-operative Colon Resection Patients

The purpose of this study is to determine if chewing mint-flavored sugarless gum after colon resection surgery decrease the time to first flatus, bowel movement and length of stay in the hospital.

Post-operative colon resection patients experience decreased bowel motility, which may cause pain, nausea/ vomiting, impaired nutritional intake, and abdominal distention. Return of bowel function is a strong determinant in length of hospital stay. There are small studies that have shown that chewing gum post-operatively may enhance bowel motility thus minimizing complications and decreasing length of hospital stay. The purpose of this research study is to determine the effect of gum chewing on bowel motility as measured by time to first flatus, bowel movement and length of stay in patients following a colon resection.

Inclusion Criteria:

1. Admitted to Unit 2600
2. Age 18-100 years of age
3. Alert and oriented
4. Post-operative open or laparoscopic colon resection
5. English speaking.

Exclusion Criteria:

1. Confused, or with cognitive disabilities that render the patient unable to answer questions about bowel motility.
2. Admitted to any other unit except 2600
3. Use of an epidural catheter for pain control post-operatively
4. Documented history of irritable bowel syndrome
5. Colostomy (new or old)