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Gum chewing group will have less ileus and early resume of bowel motion than control group.
The standardize surgical techniques, less used of epidural analgesia, early ambulation and used of naso-gastric tube for decompression are aimed to reduce the paralytic ileus after abdominal surgery . Most Western studies have examined and found that gum chewing are able to prevent postoperative ileus or promotes early bowel function after abdominal surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| bubble gum chewing and routine care | Experimental | Start chewing gum on postoperative day at three times daily with no more than 30 minutes till discharged |
|
| routine care | No Intervention | Non interventional group will receive existing routine care as usual |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| bubble gum | Other | Chewing gum group patients performing gum chewing on postoperative day 1 at three times daily for 30 minutes after operation and until discharged. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Time to first flatus | Time to passage of flatus after surgery was significantly shorter in the intervention group (22 vs 39 hours, p=0.007). | from postoperative day 0 till an expected average of day 7 |
| Measure | Description | Time Frame |
|---|---|---|
| Time to first sense of hunger | Patients in the intervention group also noticed feeling of hunger earlier (17 vs 40 hours, p<0.001). | from postoperative day 0 till an expected average of day 7 |
| Time to first bowel movement, |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Nga Fan Shum | Hospital Authority, Queen Mary Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Queen Mary Hospital | Hong Kong | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27654648 | Derived | Shum NF, Choi HK, Mak JC, Foo DC, Li WC, Law WL. Randomized clinical trial of chewing gum after laparoscopic colorectal resection. Br J Surg. 2016 Oct;103(11):1447-52. doi: 10.1002/bjs.10277. |
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| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| ID | Term |
|---|---|
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
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The first bowel motion also occurred earlier in the intervention group (22 vs 52 hours, p<0.001)
| from postoperative day 0 till an expected average of day 7 |
| Length of stay | There is no difference in length of stay between intervention group or control group | from postoperative day 0 till an expected average of day 7 |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |