General obstetrics

You have full text access to this OnlineOpen article

Gum chewing stimulates early return of bowel motility after caesarean section

  1. KHI Abd-El-Maeboud,
  2. MI Ibrahim,
  3. DAA Shalaby,
  4. MF Fikry

Article first published online: 12 JUN 2009

DOI: 10.1111/j.1471-0528.2009.02225.x

Issue

BJOG: An International Journal of Obstetrics & Gynaecology

BJOG: An International Journal of Obstetrics & Gynaecology

Volume 116, Issue 10, pages 1334–1339, September 2009

Additional Information

How to Cite

Abd-El-Maeboud, K., Ibrahim, M., Shalaby, D. and Fikry, M. (2009), Gum chewing stimulates early return of bowel motility after caesarean section. BJOG: An International Journal of Obstetrics & Gynaecology, 116: 1334–1339. doi: 10.1111/j.1471-0528.2009.02225.x

Author Information

  1. Department of Obstetrics and Gynecology, Ain Shams University, Cairo, Egypt

*KHI Abd-El-Maeboud, Department of Obstetrics and Gynecology, Faculty of Medicine, Shams University, Abbasia, Cairo, Egypt. Email kabdelmaeboud@yahoo.com

Publication History

  1. Issue published online: 10 AUG 2009
  2. Article first published online: 12 JUN 2009
  3. Accepted 9 April 2009. Published Online 12 June 2009.

SEARCH

SEARCH BY CITATION

ARTICLE TOOLS

View Full Article (HTML) Get PDF (91K)

References

  • 1
    Kehlet H, Holte K. Review of postoperative ileus. Am J Surg 2001;182(Suppl.):3S–10S.
  • 2
    Behm B, Stollman N. Postoperative ileus; etiologies and interventions. Clin Gastroenterol Hepatol 2003;1:71–80.
  • 3
    Schuster R, Grewal N, Greaney GC, Waxman K. Gum chewing reduces ileus after elective open sigmoid colectomy. Arch Surg 2006;141:174–6.
  • 4
    Asao T, Kuwano H, Nakamura J-I, Morinaga N, Hirayama I, Ide M. Gum chewing enhances early recovery from postoperative ileus after laparoscopic colectomy. J Am Coll Surg 2002;195:30–2.
  • 5
    Hirayama I, Suzuki M, Ide M, Asao T, Kuwano H. Gum-chewing stimulates bowel motility after surgery for colorectal cancer. Hepatogastroenterology 2006;53:206–8.
  • 6
    Quah HM, Samad A, Neathey AJ, Hay DJ, Maw A. Does gum chewing reduce postoperative ileus following open colectomy for left-sided colon and rectal cancer? A prospective randomized controlled trial. Colorectal Dis 2006;8:64–70.
    Direct Link:
  • 7
    Matros E, Rocha F, Zinner M, Wang J, Ashley S, Breen E, et al. Does gum chewing ameliorate postoperative ileus? Results of a prospective, randomized, placebo-controlled trial. J Am Coll Surg 2006;202:773–8.
  • 8
    Weinstein L, Dyne PL, Duerbeck NB. The PROEF diet: a new postoperative regimen for oral early feeding. Am J Obstet Gynecol 1993;168:28–131.
  • 9
    Burrows W, Gingo AJ, Rose MS, Zwick SI, Kosty DL, Durker LJ, et al. Safety and efficacy of early postoperative solid food consumption after cesarean section. J Reprod Med 1995;40:463–7.
  • 10
    Kramer RL, Van Someren JK, Qualls CR, Curet LB. Postoperative management of cesarean patients: the effect of immediate feeding on the incidence of ileus. Obstet Gynecol 1996;88:29–32.
  • 11
    Soriano D, Dulitzki M, Kridar N, Barkai G, Mashiach S, Seidman DS. Early oral feeding after cesarean delivery. Obstet Gynecol 1996;87:1006–8.
  • 12
    Patolia Dolar S, Hilljard RL, Tby EC, Baker B. Early feeding after cesarean: a randomized trial. Obstet Gynecol 2001;97:113–6.
  • 13
    Gocmen A, Gocmen M, Saraoglu M. Early post-operative feeding after caesarean delivery. J Int Med Res 2002;30:506–11.
  • 14
    Adupa D, Wandabwa J, Kiondo P. A randomised controlled trial of early initiation of oral feeding after caesarean delivery in Mulago Hospital. East Afr Med J 2003;80:345–50.
  • 15
    Kovavisarach E, Atthakorn M. Early versus delayed oral feeding after cesarean delivery. Int J Gynecol Obstet 2005;90:31–4.
  • 16
    Charoenkwan K, Palapinyo C. Early solid food after cesarean section and postoperative ileus. Int J Gynecol Obstet 2005;90:144–5.
  • 17
    Schilder JM, Hurteau JA, Look KY, Moore DH, Raff G, Stehman FB, et al. A prospective controlled trial of early postoperative oral intake following major abdominal gynecologic surgery. Gynecol Oncol 1997;67:235–40.
  • 18
    Cutillo G, Maneschi F, Franchi M, Giannice R, Scambia G, Benedetti-Panici P. Early feeding compared with nasogastric decompression after major oncologic gynecologic surgery: a randomized study. Obstet Gynecol 1999;93:41–5.
  • 19
    Pearl ML, Valea FA, Fischer M, Mahler L, Chalas E. A randomized controlled trial of early postoperative feeding in gynecologic oncology patients undergoing intra-abdominal surgery. Obstet Gynecol 1998;92:94–7.
  • 20
    Macmillan SLM, Kammerer-Doak D, Rogers RG, Parker KM. Early feeding and the incidence of gastrointestinal symptoms after major gynecologic surgery. Obstet Gynecol 2000;96:604–8.
  • 21
    Reissman P, Teoh TA, Cohen SM, Weiss EG, Nogueras JJ, Wexner SD. Is early oral feeding safe after elective colorectal surgery? A prospective randomized trial. Ann Surg 1995;222:73–7.
  • 22
    Choi J, O’Connell TX. Safe and effective early postoperative feeding and hospital discharge after open colon resection. Am Surg 1996;62:853–6.
  • 23
    Hartsell PA, Frazee RC, Harrison JB, Smith RW. Early postoperative feeding after elective colorectal surgery. Arch Surg 1997;132:518–20.
  • 24
    Stewart BT, Woods RJ, Collopy BT, Fink RJ, Mackay JR, Keck JO. Early feeding after elective open colorectal resections: a prospective randomized trial. Aust N Z J Surg 1998;68:125–8.
    Direct Link:
  • 25
    Miedema BW, Schwab J, Burgess SV, Simmons JW, Metzler MH. Jejunal manometry predicts tube feeding intolerance in the postoperative period. Dig Dis Sci 2001;46:2250–5.
  • 26
    Watters JM, Kirkpatrick SM, Norris SB, Shamji FM, Wells GA. Immediate postoperative enteral feeding results in impaired respiratory mechanics and decreased mobility. Ann Surg 1997;226:369–77.
  • 27
    Jepsen JM, Skoubo-Kristensen E, Elsborg L. Rectosigmoid motility response to sham feeding in irritable bowel syndrome. Evidence of a cephalic phase. Scand J Gastroenterol 1989;24:53–6.
  • 28
    Stern RM, Crawford HE, Stewart WR, Vasey MW, Koch KL. Sham feeding. Cephalic-vagal influences on gastric myoelectric activity. Dig Dis Sci 1989;34:521–7.
  • 29
    Soffer EE, Adrian TE. Effect of meal composition and sham feeding on duodenojejunal motility in humans. Dig Dis Sci 1992;37:1009–14.
  • 30
    Satij B, Cohen SA. Evaluation of gum chewing on the return of bowel function in cesarean-delivery patients. Obstet Gynecol 2006;4(Suppl.):10s.
  • 31
    Strong TH Jr, Brown WL Jr, Brown WL, Curry CM. Experience with early postcesarean hospital dismissal. Am J Obstet Gynecol 1993;169:116–9.
  • 32
    Ferraz AAB, Cowles VE, Schulte RE, Condon RE. Comparison of opioid and non-opioid analgesics on colonic motor activity. Gastroenterology 1994;106:A498.
  • 33
    Ferraz AAB, Cowles VE, Condon RE, Carilli S, Ezberci F, Frantzides CT, et al. Nonopioid analgesics shorten the duration of postoperative ileus. Am Surg 1995;61:1079–83.
  • 34
    Cheng G, Cassissi C, Drexler PG, Vogel SB, Sninsky CA, Hocking MP. Salsalate, morphine, and postoperative ileus. Am J Surg 1996;171:85–8.
  • 35
    Søreide E, Holst-Larsen H, Veel T, Steen PA. The effects of chewing gum on gastric content prior to induction of general anesthesia. Anesth Analg 1995;80:985–9.
  • 36
    Schoenfelder RC, Ponnamma CM, Freyle D, Wang SM, Kain ZN. Residual gastric fluid volume and chewing gum before surgery. Anesth Analg 2006;102:415–7.
  • 37
    Scheinin B, Asantila R, Orko R. The effect of bupivacaine and morphine on pain and bowel function after colonic surgery. Acta Anaesthesiol Scand 1987;31:161–4.
    Direct Link:
  • 38
    Ahn H, Bronge A, Johansson K, Ygge H, Lindhagen J. Effect of continuous postoperative epidural analgesia on intestinal motility. Br J Surg 1988;75:1176–8.
    Direct Link:
  • 39
    Liu SS, carpenter RL, Mackey DC, Thirlby RC, Rupp SM, Shine TS, et al. Effects of perioperative analgesic technique on rate of recovery after colon surgery. Anesthesiology 1995;83:757–65.
  • 40
    Wattwi M, Thoren T, Hennerdal S, Garvill JE. Epidural analgesia with bupivacaine reduces postoperative paralytic ileus after hysterectomy. Anesth Analg 1989;65:353–8.
  • 41
    Niloff PH, Beach P. Does gum chewing ameliorate postoperative ileus? Results of a prospective randomized, placebo-controlled trial. J Am Coll Surg 2006;203:405.
  • 42
    Cunningham FG, MacDonald PC, Gant NF. William’s Obstetrics, 8th edn. Norwalk, CT: Appleton & Lange, 1989, pp. 456.
  • 43
    Brooten D, Roncoli M, Finkler S, Arnold L, Cohen A, Mennuti M. A randomized trial of early hospital discharge and home follow-up of women having cesarean birth. Obstet Gynecol 1994;84:832–8.
  • 44
    Summitt RL Jr, Sovall TG, Lipscomb GH, Washburn SA, Ling FW. Outpatient hysterectomy: determinants of discharge and rehospitalization in 133 patients. Am J Obstet Gynecol 1994;171:1480–4.
  • 45
    Chan de Castro SM, van den Esschert JW, van Heek NT, Dalhuisen S, Koelemay MJ, Busch OR, et al. A systematic review of the efficacy of gum chewing for the amelioration of postoperative ileus. Dig Surg 2008;25:39–45.
  • 46
    Purkayastha S, Tilney HS, Darzi AW, Tekkis PP. Meta-analysis of randomized studies evaluating chewing gum to enhance postoperative recovery following colectomy. Arch Surg 2008;143:788–93.
View Full Article (HTML) Get PDF (91K)