Featured Research

from universities, journals, and other organizations

Chewing Gum Associated With Enhanced Bowel Recovery After Colon Surgery

Date:
August 19, 2008
Source:
JAMA and Archives Journals
Summary:
Chewing gum is associated with enhanced recovery of intestinal function following surgery to remove all or part of the colon, according to an analysis of previously published studies in the August issue of Archives of Surgery, one of the JAMA/Archives journals.

Chewing gum is associated with enhanced recovery of intestinal function following surgery to remove all or part of the colon, according to an analysis of previously published studies in the August issue of Archives of Surgery, one of the JAMA/Archives journals.

"Postoperative ileus [inability of the intestines to pass contents] is regarded as an inevitable response to the trauma of abdominal surgery and is a major contributing factor to postoperative pain and discomfort associated with abdominal distension, nausea, vomiting and cramping pain," the authors write as background information in the article. The problem is estimated to cost approximately $1 billion in U.S. health care expenditures.

Sanjay Purkayastha, B.Sc., M.R.C.S., and colleagues at St. Mary's Hospital, London, analyzed data from five trials published in or before July 2006 and involving 158 patients. In each trial, a group of patients chewed sugarless gum three times per day following surgery for a period of five to 45 minutes and were compared with patients who did not chew gum.

When the trial results were combined, patients who chewed gum took an average of .66 fewer days to pass flatus (gas) and an average of 1.10 fewer days to have a bowel movement, both signs of returning intestinal function. "Postoperative length of hospital stay was assessed in four trials comprising 134 patients," the authors write. "This was also reduced in the chewing gum group by longer than one day; however, this result was not statistically significant."

Gum chewing is thought to act as a kind of "sham feeding," stimulating nerves in the digestive system, triggering the release of gastrointestinal hormones and increasing the production of saliva and secretions from the pancreas, the authors note.

"In conclusion, we feel that the current evidence suggests that gum chewing following abdominal surgery offers significant benefits in reducing the time to resolution of ileus; however, the studies are insufficiently powered to identify a significant benefit in length of stay," they write. "The potential benefits to individual patients, in health economics terms, are such that a well-designed, large-scale, blinded, randomized, controlled trial with a placebo arm is warranted to answer the question of whether gum chewing can significantly reduce the length of stay after abdominal surgery or whether it merely represents a placebo effect."


Story Source:

The above story is based on materials provided by JAMA and Archives Journals. Note: Materials may be edited for content and length.


Journal Reference:

  1. Sanjay Purkayastha; Henry S. Tilney; Ara W. Darzi; Paris P. Tekkis. Meta-analysis of Randomized Studies Evaluating Chewing Gum to Enhance Postoperative Recovery Following Colectomy. Archives of Surgery, 2008; 143 (8): 788 [link]

Cite This Page:

JAMA and Archives Journals. "Chewing Gum Associated With Enhanced Bowel Recovery After Colon Surgery." ScienceDaily. ScienceDaily, 19 August 2008. <www.sciencedaily.com/releases/2008/08/080818183936.htm>.
JAMA and Archives Journals. (2008, August 19). Chewing Gum Associated With Enhanced Bowel Recovery After Colon Surgery. ScienceDaily. Retrieved July 31, 2014 from www.sciencedaily.com/releases/2008/08/080818183936.htm
JAMA and Archives Journals. "Chewing Gum Associated With Enhanced Bowel Recovery After Colon Surgery." ScienceDaily. www.sciencedaily.com/releases/2008/08/080818183936.htm (accessed July 31, 2014).

Share This




More Health & Medicine News

Thursday, July 31, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Dangerous Bacteria Kills One in Florida

Dangerous Bacteria Kills One in Florida

AP (July 31, 2014) Sarasota County, Florida health officials have issued a warning against eating raw oysters and exposing open wounds to coastal and inland waters after a dangerous bacteria killed one person and made another sick. (July 31) Video provided by AP
Powered by NewsLook.com
Health Insurers' Profits Slide

Health Insurers' Profits Slide

Reuters - Business Video Online (July 30, 2014) Obamacare-related costs were said to be behind the profit plunge at Wellpoint and Humana, but Wellpoint sees the new exchanges boosting its earnings for the full year. Fred Katayama reports. Video provided by Reuters
Powered by NewsLook.com
Peace Corps Pulls Workers From W. Africa Over Ebola Fears

Peace Corps Pulls Workers From W. Africa Over Ebola Fears

Newsy (July 30, 2014) The Peace Corps is one of several U.S.-based organizations to pull workers out of West Africa because of the Ebola outbreak. Video provided by Newsy
Powered by NewsLook.com
Weather Kills 2K A Year, But Storms Aren't The Main Offender

Weather Kills 2K A Year, But Storms Aren't The Main Offender

Newsy (July 30, 2014) Health officials say 2,000 deaths occur each year in the U.S. due to weather, but it's excessive heat and cold that claim the most lives. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

    Environment News

    Technology News



      Save/Print:
      Share:

      Free Subscriptions


      Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

      Get Social & Mobile


      Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

      Have Feedback?


      Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
      Mobile: iPhone Android Web
      Follow: Facebook Twitter Google+
      Subscribe: RSS Feeds Email Newsletters
      Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins