Gum chewing reduces the time to first defaecation after pelvic surgery: A randomised controlled study

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dc.contributor.authorPekin, A. Tazegul
dc.contributor.authorKerimoglu, O. Secilmis
dc.contributor.authorDogan, N. U.
dc.contributor.authorYilmaz, S. A.
dc.contributor.authorKebapcilar, A. G.
dc.contributor.authorBakbak, B. B. Gencoglu
dc.contributor.authorCelik, C.
dc.date.accessioned2020-03-26T19:06:04Z
dc.date.available2020-03-26T19:06:04Z
dc.date.issued2015
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractPost-operative ileus is a major complication that increases the morbidity in patients who had abdominal surgery. Several different procedures have been used to manage bowel function, including adequate pain control, prokinetic drugs and supportive strategies. The present study aimed to assess the effect of chewing gum on bowel recovery in patients undergoing gynaecologic abdominal surgeries. A total of 137 patients were randomised into gum-chewing and control groups. Patients in the gum-chewing group began chewing gum at post-operative 3rd h and chewed gum thereafter every 4 h daily, for 30 min each time. All patients received the same post-operative treatment. Primary outcome measures were the time to first passage of flatus and time to first passage of stool. The secondary outcome measures included the first hearing of normal bowel sounds, nausea and the time until discharge from the hospital. Compared with the control group, the time interval between operation and first flatus was shorter in the gum-chewing group (median, 33 h vs 30 h). However, the difference was not significant (p = 0.381). The first defaecation time was significantly shorter in the gum-chewing group. The median time to first defaecation was 67 (20-105) h in the control group and 45 (12-97) h in the gum-chewing group (p<0.01). Gum chewing is safe, well tolerated and it allows early defaecation after gynaecologic abdominal surgery.en_US
dc.identifier.doi10.3109/01443615.2014.970146en_US
dc.identifier.endpage498en_US
dc.identifier.issn0144-3615en_US
dc.identifier.issn1364-6893en_US
dc.identifier.issue5en_US
dc.identifier.pmid25325342en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage494en_US
dc.identifier.urihttps://dx.doi.org/10.3109/01443615.2014.970146
dc.identifier.urihttps://hdl.handle.net/20.500.12395/32200
dc.identifier.volume35en_US
dc.identifier.wosWOS:000369867400014en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTAYLOR & FRANCIS INCen_US
dc.relation.ispartofJOURNAL OF OBSTETRICS AND GYNAECOLOGYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectBowel recoveryen_US
dc.subjectGynaecologic surgeryen_US
dc.subjectgum chewingen_US
dc.subjectpost-operative ileusen_US
dc.titleGum chewing reduces the time to first defaecation after pelvic surgery: A randomised controlled studyen_US
dc.typeArticleen_US

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