Document Detail


Gum chewing stimulates bowel motility in patients undergoing radical cystectomy with urinary diversion.
MedLine Citation:
PMID:  18158012     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: Several studies have shown that gum chewing may stimulate bowel motility after gastrointestinal surgery. Because urinary diversion typically uses a segment of bowel, it is conceivable that patients undergoing cystectomy and diversion may benefit from gum chewing. This study aimed to determine whether gum chewing in the immediate postoperative period facilitates a return to bowel function in patients undergoing cystectomy and urinary diversion. METHODS: A total of 102 patients underwent radical cystectomy and urinary diversion for clinically localized bladder cancer. Each patient followed our institution's perioperative cystectomy care plan. The first cohort of patients underwent surgery between July 2004 and August 2005 and served as a comparison (control) group in which no gum was dispensed. The second cohort underwent surgery during September 2005 to July 2006. These patients were given chewing gum to begin on postoperative day 1. Outcome measures included time to flatus, time to bowel movement, length of hospital stay, and complications. RESULTS: The time to flatus was shorter in patients who received gum compared with controls (2.4 versus 2.9 days; P <0.001). Also, time to bowel movement was reduced in patients who received gum (3.2 versus 3.9 days; P <0.001). There was no significant difference in length of hospital stay between gum-chewing patients and controls (4.7 versus 5.1 days, respectively; P = 0.067). Gum chewing was well tolerated in all patients. CONCLUSIONS: Gum chewing may speed the recovery of bowel function after cystectomy and diversion. These findings are consistent with outcomes in the colorectal surgery published data that support the use of chewing gum as an easy and inexpensive way to enhance recovery after surgery.
Authors:
Erik J Kouba; Eric M Wallen; Raj S Pruthi
Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Urology     Volume:  70     ISSN:  1527-9995     ISO Abbreviation:  Urology     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-12-25     Completed Date:  2008-01-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0366151     Medline TA:  Urology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1053-6     Citation Subset:  IM    
Affiliation:
Division of Urologic Surgery, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Chewing Gum*
Cystectomy*
Feces
Female
Flatulence
Gastrointestinal Motility*
Humans
Intestinal Pseudo-Obstruction / etiology,  prevention & control
Length of Stay
Male
Middle Aged
Postoperative Care*
Postoperative Complications / prevention & control
Urinary Bladder Neoplasms / surgery*
Urinary Diversion*
Chemical
Reg. No./Substance:
0/Chewing Gum

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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