Key result
Chewing gum significantly reduced the time to first passage of flatus (52.3 vs 68.14 hours, p=0.0001) compared to standard care in patients undergoing surgery for gastroduodenal perforation peritonitis.
Why the study?
Chewing gum reduces postoperative ileus following elective abdominal surgery, but its role had not been studied in cases of gastroduodenal perforation peritonitis.
Does chewing gum reduce the duration of postoperative ileus in patients undergoing surgery for gastroduodenal perforation peritonitis?
RCT (n=82)
Open-label
Computer generated random number
No
Does chewing gum reduce the duration of postoperative ileus in patients undergoing surgery for gastroduodenal perforation peritonitis?
Absolute Event Rate: 52.3% vs 68.14%
p-value: p=0.0001
Chewing gum is a safe, low-cost intervention that significantly accelerates bowel function recovery and reduces hospital stay after surgery for gastroduodenal perforation peritonitis.
Supports chewing gum to hasten bowel recovery after gastroduodenal perforation surgery; extends RCT evidence to this population.
Chewing gum reduces the duration of post operative ileus and early recovery of bowel function following elective abdominal surgery. However, its role has not been studied in cases of gastroduodenal perforation peritonitis; prompting us to conduct this study. Eighty-two patients were randomized into two groups, 39 patients received chewing gum (study group) and 43 patients were in control group. Sensation of hunger, appearance of first bowel sound, passages of flatus and faeces were significantly early in the study group; their hospital stay was also shorter. Chewing gum reduces the duration of post operative ileus in cases of gastroduodenal perforation peritonitis. Registration number: IEC/2020-23/3359 dated 13-12-2020, Institutional Ethics committee Netaji Subhash Chandra Bose Medical College, Jabalpur, India.
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Muwel et al. (2023) conducted an RCT in Gastroduodenal perforation peritonitis (n=82). Chewing gum vs. Standard care (no chewing gum) was evaluated on Time to first passage of flatus (hours) (p=0.0001). Chewing gum significantly reduced the time to first passage of flatus (52.3 vs 68.14 hours, p=0.0001) compared to standard care in patients undergoing surgery for gastroduodenal perforation peritonitis.
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