Monday, 25 March 2013

Colorectal Surgery Chewing Gum Benefits Come Unstuck

It has formerly been suggested that sugar-free gum could be used to aid abdominal recovery after surgery therapy and prevent ileus - a essential cause of delayed hospital discharge.

However, outcomes launched in Diseases of the Colon and Rectum exposed that not only did sugared gum are unsuccessful to do this, it led to a development of undesirable abdomen symptoms such as abdomen pain and symptoms of heartburn contrary to no gum chewing.
In the analysis of 114 patients undergoing open and laparoscopic essential colorectal  surgery , there was no aspect in a opportunity to sustained a low residue diet between patients who chewed sugared gum three times a day for 45 minutes on days 1-7 after surgery therapy treatment (n=54) and those who did not (mean: 56.1 vs 54.1 hours).
There was also no difference in a time to first flatus, a time to first bm, or postoperative length of stay, and a similar number of patients in each team experienced postoperative ileus (four patients in each group), evaluation Phillip Fleshner (Cedars Sinai Medical Center, Los Angeles, California, USA) and  colleagues.

And, while there was no difference in verifying of daily nausea, pain, or craving for food scores between the groups, patients in the percolate gum team had a significantly higher incident of problems, eructation, or symptoms of heartburn, contrary to the no gum group (13 vs 2%).Previous analysis of post-colorectal surgery therapy chewing gum have been small and designed unreliable outcomes, say Fleshner and  colleagues. They may have been conflicted by the repercussions of low nutrient sweetening with natural outcomes, the authors add.
"The process to explain any potential stimulated GI [gastrointestinal] flexibility via gum consuming has yet to be absolutely identified and may not be appropriate to the presumed cephalic-vagal reaction, but rather to the flexibility outcomes of hexitols in sugar-free gum," say the researchers, who believe air swallowing  while consuming may explain the side outcomes observed.
"A future analysis correlating the levels of abdomen necessary protein and catecholamines with postoperative ileus following colorectal  surgery therapy  in patients who eat sugared and sugar-free gum may better help elucidate these un responded to results," they suggest.

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