Effects of Gum Chewing on Recovery of Bowel Function Following Benign Gynecologic Surgery

Chiang Mai University

Status and phase: Unknown; Phase 3; Phase 2

Conditions: Recovery of Bowel Function, Due to Gum Chewing

Treatments: Behavioral: Gum chewing

Study type: Interventional

Funder types: Other

Identifiers

NCT01394094

10OCT010402

Details and patient eligibility

About

Gum chewing can promotes the return bowel function after gynecologic surgery.

Full description

Following abdominal surgery for treatment of benign gynecologic surgery, paralytic ileus may be develops. Gum chewing can promotes the return of bowel function through the cephalic-vagal reflex and increased intestinal enzymes secretion. This study will be evaluate effects of adding gum chewing to the conventional postoperative feeding protocol on the return of bowel function, its related complication, and patients's satisfaction.

Enrollment: 124 estimated patients

Sex: Female

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients undergoing abdominal surgery for benign gynecologic conditions at Maharaj Nakorn Chiang Mai hospital

Exclusion criteria

• Perioperative hyperalimentation
• Recent chemotherapy (within 3 weeks before surgery)
• Previous bowel surgery
• Inflammatory bowel disease
• Previous abdominal or pelvic radiation
• Need for immediate postoperative endotracheal intubation
• Need for postoperative admission to intensive care unit
• Undergoing emergency surgery with oral intake of fluid or food with in 4 hours before surgery

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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124 participants in 2 patient groups

Gum Chewing

Experimental group

Description:

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

Treatment:

Behavioral: Gum chewing

Conventional

No Intervention group

Description:

Conventional postoperative feeding schedule