The Effects of Gum Chewing on Bowel Function Recovery Following Cesarean Section
Summary
Following all abdominal surgery, paralytic ileus commonly develops. Surgeons have traditionally withheld postoperative oral intake until the return of bowel function to prevent related complications. Gum chewing can stimulates bowel movement and promotes the return of bowel function through the cephalic-vagal reflex and increased intestinal enzymes secretion.
The objectives of this study are to examine effects of adding gum chewing to the conventional postoperative feeding regimen on the return of bowel function, its related complications, and patients' satisfaction.
Study Design
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
Conditions
Paralytic Ileus
Intervention
Gum chewing
Location
Faculty of Medicine, Chiang Mai University
Chiang Mai
Thailand
50200
Status
Recruiting
Source
Chiang Mai University
Results (where available)
Links
- Source: http://clinicaltrials.gov/show/NCT01131416
- Information obtained from ClinicalTrials.gov on July 15, 2010
Medical and Biotech [MESH] Definitions
Caerulein
A specific decapeptide obtained from the skin of Hila caerulea, an Australian amphibian. Caerulein is similar in action and composition to CHOLECYSTOKININ. It stimulates gastric, biliary, and pancreatic secretion; and certain smooth muscle. It is used in paralytic ileus and as diagnostic aid in pancreatic malfunction.
Ileus
A condition caused by the lack of intestinal PERISTALSIS or INTESTINAL MOTILITY without any mechanical obstruction. This interference of the flow of INTESTINAL CONTENTS often leads to INTESTINAL OBSTRUCTION. Ileus may be classified into postoperative, inflammatory, metabolic, neurogenic, and drug-induced.
Potassium Deficiency
A condition due to decreased dietary intake of potassium, as in starvation or failure to administer in intravenous solutions, or to gastrointestinal loss in diarrhea, chronic laxative abuse, vomiting, gastric suction, or bowel diversion. Severe potassium deficiency may produce muscular weakness and lead to paralysis and respiratory failure. Muscular malfunction may result in hypoventilation, paralytic ileus, hypotension, muscle twitches, tetany, and rhabomyolysis. Nephropathy from potassium deficit impairs the concentrating mechanism, producing polyuria and decreased maximal urinary concentrating ability with secondary polydipsia. (Merck Manual, 16th ed)
Tooth
One of a set of bone-like structures in the mouth used for biting and chewing.
Mastication
The act and process of chewing and grinding food in the mouth.
Clinical Trials
Prevention of Ileus After Gynecologic Surgery Using Chewing Gum
This study will attempt to determine if the use of chewing gum can cause the early return of bowel function after gynecologic surgery.
Does Chewing Gum After Elective Laparoscopic Colectomy Surgery Decrease Ileus?
The incidence of ileus after laparoscopic colectomy continues to pose complications for the patient, staff, and the healthcare system. Postoperative ileus remains a source of morbidity and...
Acupuncture to Prevent Postoperative Bowel Paralysis (Paralytic Ileus)
The purpose of this study is to determine if acupuncture is effective in preventing prolonged postoperative paralysis of the gastrointestinal tract among patients undergoing colostomy/ileo...
The phosphorus content in saliva is increased in chronic kidney disease. We hypothesize that a chewing gum that binds salivary phosphorus would be a novel, effective agent to reduce serum...
Since the absorption of clopidogrel through the gastrointestinal tract is limited, we want to examine whether adding clopidogrel by chewing will overcome the limited gastrointestinal absor...
PubMed Articles
Rice cake ileus - a rare and ethnic but important disease status in East-southern Asia.
Introduction Rice cake is a traditional but very popular food in Asia including Japan and has never been known as a cause of ileus. Rice cake is now becoming widespread in the United States and Europe...
The influence of partial implant-supported restorations on chewing side preference.
Summary This study aimed at determining whether the individual's chewing side preference is affected by local effects, produced by the presence of implant-supported restorations. The test group includ...
Chew on this: No support for facilitating effects of gum on spatial task performance.
OBJECTIVE: To determine whether chewing of gum facilitates spatial task performance in healthy participants, two behavioral experiments were performed. DESIGN: In the first experiment, spatial task pe...
Once bitten, twice incised: recurrent gallstone ileus.
Uncommon causes of small bowel obstruction can provide interesting surgical decision-making challenges. This report describes a patient with recurrent gallstone ileus. According to most current review...
Meconium ileus-it is time to act now!
Meconium ileus is a life-threatening presentation of neonates with cystic fibrosis (CF). Notwithstanding, today the long-term prognosis of such patients is comparable to that of CF patients not diagno...
