Previous research has shown that gum-chewing has a beneficial effect on the activity of bowel functioning After Laparoscopic Gastric Cancer Surgery. However, this study concludes that gum-chewing after laparoscopic gastrectomy does not have an effect on the recovery process of gastrointestinal functioning.
Over a long period of time, finding a way to increase the speed of recovery of gastrointestinal function after Gastric Cancer surgery was a significant process that needed improvement. Patients undergoing abdominal surgery experienced exhaustion postoperative ileus (POI), which refers to the delayed release of feces, lasting 3-5 days. It can result in pain, abdominal discomfort, vomiting and can delay the speed of recovery after Gastric Cancer surgery. This prolongs the continuation of regular bowel movements and makes the recovery process after surgery slower. Moreover, it can result in extended hospital stays, infections, deep vein thrombosis, issues related to the lungs and more hospital costs.
Often, many drugs, epidural anesthesia, and nasogastric tubes are used as pain control and to help with recovery.Recent studies presented that Gum-Chewing After Laparoscopic Gastric Cancer Surgery can stimulate gastrointestinal contractions of the muscles, which is said to reduce POI. On the contrary, other findings refute the effects of gum-chewing on movement of the gastrointestinal tract and digestive system stimulation after gastrectomy. Therefore, the aim of this current study, published in the Medicine journal, was to analyze the effectiveness of gum-chewing on restoring postoperative bowel function in Gastric Cancer Surgery patients who received laparoscopic gastrectomy.
Amazing!!Recovery Through Gum-Chewing After Laparoscopic Gastric Cancer Surgery:The study was a prospective, single-center, randomized, controlled clinical trial. It consisted of 75 adult patients with Gastric Cancer Surgery that received laparoscopic surgery in Shanghai Tongji hospital from March 2014 to March 2016. After eligibility of the participant’s selection, they were randomly separated by a 1:1 ratio of a gum-chewing After Laparoscopic Gastric Cancer Surgery (38 participants) or no Gum-Chewing After Laparoscopic Gastric Cancer Surgery (control group of 37 participants), using a computer-generated sequence to randomize the groups to avoid biases.
Gum-Chewing After Laparoscopic Gastric Cancer Surgery:The patients in the gum group chewed sugarless gum for at least 15 minutes at 7:00, 12:00 and 18:00 from the first postoperative day and continued until the day of defecation (the discharge of feces from the body), which was approximately seven days.The patients in the no gum group received medical treatment with ward care. After 24 hours of surgery, the nasogastric tube was removed and patients of both groups were allowed to receive a clear-liquid diet. 24-hour intervals were used to record the first time of defecation, the incidence of POI, pain scores, nausea, vomiting scores and analgesic drug use. Additionally, to reduce biases amongst both groups, there were no differences in sex, age, American Society of Anesthesiologists (ASA) grade and chronic diseases (i.e. hypertension, type 2 diabetes mellitus, post-stroke syndrome and coronary artery disease). Source