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ZJRMS 2011, 13(3): 24-20 Back to browse issues page
Effect of chewing gum on the bowel motility after cholecystectomy
Yazdi Khadije , Ali A. Abdollahi , Naser Behnampour , Mani Niazi , Bijan Arya , Mahbubeh Azadrah
, abdollahy64@yahoo.com
Abstract:   (10444 Views)
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Background: Postoperative ileus is common after cholecystectomy, causes gas retension, distention, nausea, vomiting, and even pain. Chewing gum is a type of sham feeding that may reduce the duration of postoperative ileus. This study determines the effect of chewing gum in the immediate postoperative period to facilitate ileus recovery following cholecystectomy.

Material & Methods: This is a randomized controlled trial in 2009. Twenty-four patients undergoing cholecystectomy and they divided in to two equal groups (n=12). Patients in group A chewed sugarless gum there time after surgery, each time 20 miniutes in 4, 10 and 18 hours after finishing sugery. Demographics, intraoperative, and postoperative care data did not reveal any significant difference between two groups. The data resending the first passage of flatus, defecation and bowel sound in every 2 hours for each patient completed in questioning. Data were analyzed using SPSS software version-13.5 and student t-test. 

Results: The first bowel sound heard 3 ±1.3 and 2.8 ±1.3 hours post-operatively in cases and controls, respectively. The above findings were not significant between two groups. Furthermore gas passing reported at 18.3±10.5 and 36.28±12.6 hours post-operation in case and control groups respectively. The first defecation was occured at 36.8 ±21.7 and 69.5 ±19.2 hours after operation in case and control groups, respectively (p =0.001).

Conclusion: This study showed that the chewing gum can help bowel movement after cholecystectomy. [ZJRMS, 13(3):20-24] 

Keywords: Chewing gum, postoperative care, ileus, cholecystectomy, defecation
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Type of Study: Research | Subject: Nursing
* Corresponding Author Address: Instructor of Biostatistic, Golestan University of Sciences and Health Services, Gorgan, Iran.
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Khadije Y, Abdollahi A A, Behnampour N, Niazi M, Arya B, Azadrah M. Effect of chewing gum on the bowel motility after cholecystectomy . ZJRMS. 2011; 13 (3) :24-20
URL: http://zjrms.ir/article-1-1185-en.html

Volume 13, Issue 3 (June 2011) Back to browse issues page
Zahedan Journal of Research in Medical Sciences
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