Chewing gum and postoperative ileus in adults: a systematic literature review and meta-analysis

Show simple item record Su'a, BU en Pollock, TT en Lemanu, DP en MacCormick, Andrew en Connolly, AB en Hill, Andrew en 2017-07-18T03:10:48Z en 2014-12-24 en 2015-02 en
dc.identifier.citation International Journal of Surgery, 14:49-55 Feb 2015 en
dc.identifier.issn 1743-9191 en
dc.identifier.uri en
dc.description.abstract INTRODUCTION: Post-operative ileus (POI) is a major problem following elective abdominal surgery. Several studies have been published investigating the use of chewing gum to reduce POI. These studies however, have produced variable results. Thus, there is currently no consensus on whether chewing gum should be widely instituted as a means to help reduce POI. METHODS: We performed a systematic literature review to evaluate whether the use of chewing gum post-operatively improves POI in abdominal surgery. A comprehensive review of the literature was conducted according to the guidelines in the PRISMA statement. The following databases were searched: MEDLINE, PUBMED, EMBASE, SCOPUS, Science Direct, CINAHL and the Cochrane Central Register of Controlled Trials. Clinical outcomes were extracted and meta-analysis was performed. RESULTS: There were 1019 patients from 12 randomised controlled studies included in this review. Only one study was conducted in an Enhanced Recovery after Surgery (ERAS) environment. Seven of the twelve studies concluded that chewing gum reduced post-operative ileus. The remaining five studies found no clinical improvement. Overall, there was a small benefit in reducing time to flatus, and time to bowel motion, but no difference in the length of stay or complications. CONCLUSION: Chewing gum offers only a small benefit in reducing time to flatus and time to passage of bowel motion following abdominal surgery. This benefit is of limited clinical significance. Further studies should be conducted in a modern peri-operative care environment. en
dc.format.medium Print-Electronic en
dc.language English en
dc.publisher Elsevier / Surgical Associates Ltd en
dc.relation.ispartofseries International Journal of Surgery en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from en
dc.rights.uri en
dc.subject Abdomen en
dc.subject Humans en
dc.subject Ileus en
dc.subject Postoperative Complications en
dc.subject Flatulence en
dc.subject Chewing Gum en
dc.subject Adult en
dc.title Chewing gum and postoperative ileus in adults: a systematic literature review and meta-analysis en
dc.type Journal Article en
dc.identifier.doi 10.1016/j.ijsu.2014.12.032 en
pubs.begin-page 49 en
pubs.volume 14 en
dc.identifier.pmid 25576763 en en
pubs.end-page 55 en
dc.rights.accessrights en
pubs.subtype Review en
pubs.elements-id 473388 en Medical and Health Sciences en School of Medicine en South Auckland clinical school en Surgery Department en
dc.identifier.eissn 1743-9159 en
pubs.record-created-at-source-date 2017-07-18 en 2015-01-07 en
pubs.dimensions-id 25576763 en

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