Effect of chewing gum on the bowel motility after cholecystectomy

Khadije Yazdi; Ali Akbar Abdollahi; Naser Behnampour; Mani Niazi; Bijan Arya; Mahbubeh Azadrah

Zahedan Journal of Research in Medical Sciences

The Official Journal of Zahedan University of Medical Sciences

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Effect of chewing gum on the bowel motility after cholecystectomy

Author(s):

Khadije Yazdi¹,

Ali Akbar Abdollahi^2,*,

Naser Behnampour³,

Mani Niazi⁴,

Bijan Arya⁴,

Mahbubeh Azadrah⁵

1Instructor of Nursing, School of Nursing and Midwifery, Gorgan University of Medical Sciences and Health Services, Gorgan, Iran.

2Instructor of Nursing, School of Nursing and Midwifery, Gorgan University of Medical Sciences and Health Services, Gorgan, Iran

3Instructor of Biostatistic, Golestan University of Sciences and Health Services, Gorgan, Iran.

4Assistant professor of Surgery, Gorgan University of Medical Sciences and Health Services, Gorgan, Iran.

5General Physician, Gorgan, Iran.

Zahedan Journal of Research in Medical Sciences:Vol. 13, issue 3; e94010

Published online:Jan 05, 2011

Article type:Research Article

Received:Jul 20, 2010

Accepted:Oct 05, 2010

How to Cite:Khadije YazdiAli Akbar AbdollahiNaser BehnampourMani NiaziBijan AryaMahbubeh Azadrahet al.Effect of chewing gum on the bowel motility after cholecystectomy.Zahedan J Res Med Sci.13(3):e94010.

Abstract

Background: Postoperative ileus is common after cholecystectomy, causes gas retension, distention, nausea, vomiting, and even pain. Chewing gum is a type of sham feeding that may reduce the duration of postoperative ileus. This study determines the effect of chewing gum in the immediate postoperative period to facilitate ileus recovery following cholecystectomy.

Material & Methods: This is a randomized controlled trial in 2009. Twenty-four patients undergoing cholecystectomy and they divided in to two equal groups (n=12). Patients in group A chewed sugarless gum there time after surgery, each time 20 miniutes in 4, 10 and 18 hours after finishing sugery. Demographics, intraoperative, and postoperative care data did not reveal any significant difference between two groups. The data resending the first passage of flatus, defecation and bowel sound in every 2 hours for each patient completed in questioning. Data were analyzed using SPSS software version-13.5 and student t-test.

Results: The first bowel sound heard 3 ±1.3 and 2.8 ±1.3 hours post-operatively in cases and controls, respectively. The above findings were not significant between two groups. Furthermore gas passing reported at 18.3±10.5 and 36.28±12.6 hours post-operation in case and control groups respectively. The first defecation was occured at 36.8 ±21.7 and 69.5 ±19.2 hours after operation in case and control groups, respectively (p =0.001).

Conclusion: This study showed that the chewing gum can help bowel movement after cholecystectomy

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