Effects of Gum Chewing on Recovery of Bowel Function Following Benign Gynecologic Surgery

Phase 2

• Conditions: Recovery of Bowel Function, Due to Gum Chewing
• Interventions: Behavioral: Gum chewing

• Registration Number: NCT01394094
• Lead Sponsor: Chiang Mai University

Brief Summary

Gum chewing can promotes the return bowel function after gynecologic surgery.

Detailed Description

Following abdominal surgery for treatment of benign gynecologic surgery, paralytic ileus may be develops. Gum chewing can promotes the return of bowel function through the cephalic-vagal reflex and increased intestinal enzymes secretion. This study will be evaluate effects of adding gum chewing to the conventional postoperative feeding protocol on the return of bowel function, its related complication, and patients's satisfaction.

Study Timeline

• Status Verified: 2011-07
• Study Start: 2011-07
• Study First Submitted: 2011-07-13
• Study First Submitted QC: 2011-07-13
• Last Update Submitted: 2011-07-13
• Study First Posted: 2011-07-14
• Last Update Posted: 2011-07-14
• Primary Completion: 2013-10
• Study Completion: 2013-10

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: Female
• Target Recruitment: 124

Inclusion Criteria

• Patients undergoing abdominal surgery for benign gynecologic conditions at Maharaj Nakorn Chiang Mai hospital

Exclusion Criteria

• Perioperative hyperalimentation
• Recent chemotherapy (within 3 weeks before surgery)
• Previous bowel surgery
• Inflammatory bowel disease
• Previous abdominal or pelvic radiation
• Need for immediate postoperative endotracheal intubation
• Need for postoperative admission to intensive care unit
• Undergoing emergency surgery with oral intake of fluid or food with in 4 hours before surgery

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Gum Chewing	Gum chewing	Gum chewing (30 minutes in duration each time, 4 times/days at the usual time of meal, until the first flatus) in addition to conventional postoperative feeding schedule

Primary Outcome Measures

Name	Time	Method
Time to first flatus	Up to 7 days after surgery

Secondary Outcome Measures

Name	Time	Method
Incidence and severity of postoperative nausea, vomiting and abdominal discomfort	Up to 7 days after surgery
Incidence of postoperative complications	Up to 7 days after surgery
Time to first regular diet	Up to 7 days after surgery
Time to first defecation	Up to 7 days after surgery
Hospital stay	Up to 7 days after surgery
Patients's satisfaction	Up to 7 days after surgery

Trial Locations

Locations (1)

Faculty of Medicine, Chiang Mai University; 🇹🇭 Amphoe Muang, Chiang Mai, Thailand