Please use this identifier to cite or link to this item:
Title: The effect of gum chewing on postoperative ileus in open colorectal surgery patients : a review
Authors: Sammut, Roberta
Trapani, Josef
Deguara, Justin
Ravasi, Valeria
Keywords: Chewing gum
Colon (Anatomy) -- Surgery
Rectum -- Surgery
Issue Date: 2020
Publisher: SAGE
Citation: Sammut, R., Trapani, J., Deguara, J., & Ravasi, V. (2020). The effect of gum chewing on postoperative ileus in open colorectal surgery patients: A review. Journal of Perioperative Practice, 1750458920917015.
Abstract: Background: Postoperative ileus is a common complication of abdominal surgery, leading to prolonged hospital stay and associated costs. Gum chewing may be a safe, cheap intervention to reduce postoperative ileus. Methods: The aim was to investigate the effect of gum chewing on postoperative ileus in open colorectal surgery patients. A literature search was conducted between December 2018 and March 2019 on CINAHL, Cochrane Central Register of Controlled Trials, and Cochrane Database of Systematic Reviews, MEDLINE, Academic Search Complete, PubMed, Scopus and Google Scholar. The keywords used included ‘ileus‘, ‘chewing gum‘, ‘mastication‘ and ‘sham feeding‘. Papers had to include adults undergoing open colorectal surgery. The studies were appraised using Critical Appraisal Skills Programme tools and the results summarised using a narrative review. Results: A total of three systematic reviews and three randomised controlled trials were included in the study. The studies show a significant to highly significant effect of gum chewing on postoperative ileus-related outcomes. The trials however in general utilised a weak design. Conclusions: Gum chewing decreases postoperative ileus following colorectal surgery. More robust trials are required to confirm these findings. Due to the low risk of harm and cost of using gum chewing, its use is recommended even in the interim.
Appears in Collections:Scholarly Works - FacHScNur

Files in This Item:
File Description SizeFormat 
  Restricted Access
534.09 kBAdobe PDFView/Open Request a copy

Items in OAR@UM are protected by copyright, with all rights reserved, unless otherwise indicated.