Gum-Chewing After Laparoscopic Surgery fasten the recovery
Saturday - May 20, 2017 5:24 pm
The pathogenesis of postoperative ileus is multifactorial, but it is more common in cases of preoperative narcotic and drug interaction and abdominal surgery procedures, especially intraoperative bowel manipulation, and temporarily contributes to stop peristaltic (bowel movement); the related mechanism is probably dysfunction in parasympathetic system activity (inhibitory neurons).
It has also been recently considered by researchers as a strategy toward ileus reduction. In some studies, beneficial effect of chewing gum has been approved in the resumption of bowel function after surgery, but in some others contradictory findings have been achieved for the effects of gum chewing on peristaltic movements and digestive system stimulation.
In gum-chewing group, the first bowel sounds was significantly shorter compared to the control group (p=0.016). The first defecation was 30.7 hours in the gum group and 38.4 hours in the control group (p=0.000). The first passage of flatus was seen on postoperative hours 24.8 in gum chewing group and on hours 30.0 in the control group respectively (p=0.002), and also the first feeling of hunger were felt on postoperative hours 11.8 in the gum-chewing group and 14.5 hours in the control group (p=0.050). None of the participants felt dissatisfied with chewing gum and none were excluded from the study.
The results of the study indicate that chewing is acceptable and inexpensive physiologic method for decreasing the time to the passage of flatus, bowel movements, and feeling of hunger in patients undergoing surgery. It can be added to postoperative care without any concern on early post-operation feeding as a low-cost, safe and tolerable treatment in early intestinal stimulation to reduce ileus associated complications.