Effect of chewing gum on clinical outcomes and postoperative recovery in adult patients after gastrointestinal surgery: an umbrella review.

IF 12.5 2区医学 Q1 SURGERY

International journal of surgery Pub Date : 2025-03-12 DOI:10.1097/JS9.0000000000002332

Shu Ling Lew, Ling Jie Cheng, Siat Yee Yap, Yi Qi Liaw, Jiyoung Park, Siew Tiang Lau

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引用次数: 0

Abstract

Background: Gastrointestinal surgery is crucial for many medical conditions but can lead to difficult recoveries. Chewing gum is proposed as a remedy, yet existing reviews offer conflicting results. This umbrella review aims to synthesize the effectiveness of chewing gum on time to first flatus, time to first bowel movement, length of stay and complication rates in adult patients.

Methods: We conducted an umbrella review, searching seven databases up to 17 November 2023, with an updated search extending to 1 January 2025. The focus was on post-surgery chewing gum interventions. The quality and certainty of evidence were assessed using the AMSTAR-2 tool and umbrella review criteria.

Results: Seventeen reviews, encompassing 26,672 participants from 264 primary studies, were included. Meta-analyses indicated reductions in time to first flatus by -0.36 days (95% CI = - 0.61, - 0.1) or -12.26 hours (95% CI = - 14.73, - 9.78), time to first bowel movement by -0.59 days (95% CI = - 0.94, - 0.23) or -19.29 hours (95% CI = - 23.79, - 14.79), and length of stay by -0.85 days (95% CI = - 1.22, - 0.48) or -20.08 hours (95% CI = - 28.62, - 11.54). Additionally, chewing gum was associated with fewer postoperative complications.

Conclusion: Chewing gum may significantly aid postoperative care by reducing time to first flatus, time to first bowel movement, and length of stay. However, many included reviews were of low quality with weak evidence, highlighting the need for more rigorous studies to confirm these benefits. Integrating chewing gum into clinical practice could enhance recovery and optimise hospital bed turnover, making it a valuable addition to postoperative care protocols.

Registration: PROSPERO Number: CRD4202451XXXX.

查看原文本刊更多论文

口香糖对胃肠手术后成人患者临床结局和术后恢复的影响：综述。

背景：胃肠道手术对许多疾病至关重要，但可能导致难以恢复。口香糖被提议作为一种补救措施，但现有的评论提供了相互矛盾的结果。本综述旨在综合口香糖对成人患者首次排气时间、首次排便时间、住院时间和并发症发生率的影响。方法：我们进行了一项总括性综述，检索了截至2023年11月17日的7个数据库，并更新了检索时间至2025年1月1日。重点是术后口香糖干预。使用AMSTAR-2工具和总体审查标准评估证据的质量和确定性。结果：纳入了17篇综述，包括来自264项主要研究的26,672名参与者。荟萃分析显示，首次排便时间缩短-0.36天（95% CI = - 0.61, - 0.1）或-12.26小时（95% CI = - 14.73, - 9.78），首次排便时间缩短-0.59天（95% CI = - 0.94, - 0.23）或-19.29小时（95% CI = - 23.79, - 14.79），住院时间缩短-0.85天（95% CI = - 1.22, - 0.48）或-20.08小时（95% CI = - 28.62, - 11.54）。此外，嚼口香糖与较少的术后并发症有关。结论：咀嚼口香糖可显著减少患者第一次排气时间、第一次排便时间和住院时间，有助于术后护理。然而，许多纳入的评论质量低，证据不足，强调需要更严格的研究来证实这些益处。将嚼口香糖纳入临床实践可以提高康复和优化医院病床周转率，使其成为术后护理方案的宝贵补充。注册：普洛斯佩罗号码：CRD4202451XXXX。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International journal of surgery SURGERY-

CiteScore

17.70

自引率

3.30%

发文量

审稿时长

6-12 weeks

期刊介绍： The International Journal of Surgery (IJS) has a broad scope, encompassing all surgical specialties. Its primary objective is to facilitate the exchange of crucial ideas and lines of thought between and across these specialties.By doing so, the journal aims to counter the growing trend of increasing sub-specialization, which can result in "tunnel-vision" and the isolation of significant surgical advancements within specific specialties.