Return of Bowel Function After One or Two Level Anterior Lumbar Interbody Fusion With Chewing Gum
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Spondylosis
- Sponsor
- Mayo Clinic
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- Change in bowel pattern based on gum-chewing
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
Researchers are trying to identify is chewing gum improves bowel function after anterior lumbar interbody fusion
Detailed Description
Aims, purpose, or objectives: 1. Observe changes in bowel pattern based on gum-chewing 2. Examine bowel function after anterior lumbar interbody fusion 3. Measure length of time to return of bowel function after anterior lumbar interbody fusion 4. Compare return of bowel function in patients who chew gum and patients standardized to usual post-operative care 5. Measure the hospital length of stay amongst study groups 6. Measure post-operative pain amongst study groups Background (Include relevant experience, gaps in current knowledge, preliminary data, etc.): One or two level anterior lumbar interbody fusions are designed to correct lumbar spondylosis and spondylolisthesis, which can cause debilitating back and leg pain. This surgery involves an anterior approach, which often requires displacement of bowel for the length of the surgery. Patients frequently have a slow return of bowel function secondary to anesthetic time, opioid use, and primarily due to the bowel displacement intraoperatively. Because this is a one or two level surgery, many patients would benefit from same-day discharge but often remain inpatient several days due to slow return of bowel function. Gum chewing has been shown to decrease the time for return to bowel function (RBF) in colorectal and gynecology patients postoperatively. Gum chewing and RBF has been studied in the spine population for posterior operations but not anterior spine surgery. This study aims to identify whether chewing gum has an impact on patient's report of pain, RBF, length of stay, and subjective report of satisfaction post-operatively. This could be an outpatient operation; however, pain and RBF often prevent patients from discharging home the same day of surgery.
Investigators
Maziyar A. Kalani
Consultant Neurosurgeon
Mayo Clinic
Eligibility Criteria
Inclusion Criteria
- •Undergoing one or two level anterior lumbar interbody fusion
- •Diagnosis of spondylosis, spondylolisthesis, revision of foraminal stenosis or neurogenic claudication
Exclusion Criteria
- •Previous bowel surgery
- •Diagnosis of an inflammatory bowel disease
- •Allergy to xylitol
- •Some participants may subsequently undergo a posterior spinal fusion on the same-day of surgery. They will not be excluded, but the investigators will include this group in a different data subset.
Outcomes
Primary Outcomes
Change in bowel pattern based on gum-chewing
Time Frame: 24 hours after surgery
Number of hours until return of bowel sounds
Secondary Outcomes
- Bowel function(Number of hours from admission to discharge up to 48 hours)
- Length of time to return of bowel function after anterior lumbar interbody fusion(Number of hours from admission to discharge up to 48 hours)
- Total length of hospital(Number of hours from admission to discharge up to 48 hours)
- Pain score(24 hours post-operatively)