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Conference Paper: Does chewing gum lead to earlier postoperative gastrointestinal recovery in children? A systematic review and meta-analysis [Oral presentation]

TitleDoes chewing gum lead to earlier postoperative gastrointestinal recovery in children? A systematic review and meta-analysis [Oral presentation]
Authors
Issue Date22-Jun-2023
Abstract

Introduction

Postoperative ileus is a common occurrence among children undergoing major operations, including gastrointestinal and spinal surgeries. Preliminary evidence in adults suggests that chewing gum plays a role in accelerating the return of postoperative gastrointestinal function. However, evidence is scarce in the paediatric population. The aim of this study was to investigate whether chewing gum has benefits for children.

Methods

We searched PubMed, Medline, Embase and Cochrane Trials databases for randomised controlled trials that compare gum chewing with standard care after elective surgery in children from 1st Jan 2005 to 31st July 2021. We assessed the identified trials for quality, performed a systematic review and meta-analysis in accordance with PRISMA and registered in PROSPERO (CRD42022358801). The main outcome measures examined were time to flatus and stool postoperatively, time to tolerate oral intake and length of hospital stay, which were analysed using fixed effects models. We also examined clinical complication rates and postoperative pain control.

Results

We included six eligible trials, with a total of 357 enrolled patients. The intervention was well tolerated without complications. There was no significant difference in time to flatus (–2.86 hours; 95% CI: –6.2 to 0.47 hours, p=0.09), time to stool (–6.39 hours; 95% CI: –13.9 to 1.2 hours, p=0.1), time to tolerate oral intake (–0.03 days; 95% CI: –0.15 to 0.1 days, p=0.68) and length of hospital stay (0.08 days; 95% CI: –0.07 to 0.22 days, p=0.29). Postoperative pain control (opioid consumption, pain score, nausea score) was similar in both groups (p>0.05).

​​​​​​​Conclusion

Current evidence demonstrates that gum chewing is not associated with earlier postoperative gastrointestinal recovery in children. Future adequately powered and well-designed trials are necessary to evaluate any clinical benefit of chewing gum for children and whether it could result differences in healthcare satisfaction.



Persistent Identifierhttp://hdl.handle.net/10722/337122

 

DC FieldValueLanguage
dc.contributor.authorFung, ACH-
dc.contributor.authorTsang, JTW-
dc.contributor.authorChung, PHY-
dc.contributor.authorWong, KKY-
dc.date.accessioned2024-03-11T10:18:16Z-
dc.date.available2024-03-11T10:18:16Z-
dc.date.issued2023-06-22-
dc.identifier.urihttp://hdl.handle.net/10722/337122-
dc.description.abstract<p><strong>Introduction</strong></p><p>Postoperative ileus is a common occurrence among children undergoing major operations, including gastrointestinal and spinal surgeries. Preliminary evidence in adults suggests that chewing gum plays a role in accelerating the return of postoperative gastrointestinal function. However, evidence is scarce in the paediatric population. The aim of this study was to investigate whether chewing gum has benefits for children.</p><p><strong>Methods</strong></p><p>We searched PubMed, Medline, Embase and Cochrane Trials databases for randomised controlled trials that compare gum chewing with standard care after elective surgery in children from 1<sup>st</sup> Jan 2005 to 31<sup>st</sup> July 2021. We assessed the identified trials for quality, performed a systematic review and meta-analysis in accordance with PRISMA and registered in PROSPERO (CRD42022358801). The main outcome measures examined were time to flatus and stool postoperatively, time to tolerate oral intake and length of hospital stay, which were analysed using fixed effects models. We also examined clinical complication rates and postoperative pain control.</p><p><strong>Results</strong></p><p>We included six eligible trials, with a total of 357 enrolled patients. The intervention was well tolerated without complications. There was no significant difference in time to flatus (–2.86 hours; 95% CI: –6.2 to 0.47 hours, p=0.09), time to stool (–6.39 hours; 95% CI: –13.9 to 1.2 hours, p=0.1), time to tolerate oral intake (–0.03 days; 95% CI: –0.15 to 0.1 days, p=0.68) and length of hospital stay (0.08 days; 95% CI: –0.07 to 0.22 days, p=0.29). Postoperative pain control (opioid consumption, pain score, nausea score) was similar in both groups (p>0.05).</p><p>​​​​​​​<strong>Conclusion</strong></p><p>Current evidence demonstrates that gum chewing is not associated with earlier postoperative gastrointestinal recovery in children. Future adequately powered and well-designed trials are necessary to evaluate any clinical benefit of chewing gum for children and whether it could result differences in healthcare satisfaction.</p><p><br></p>-
dc.languageeng-
dc.relation.ispartof69th Annual International Congress of British Association of Paediatric Surgeons (21/06/2023-23/06/2023, Bruges, Belgium)-
dc.titleDoes chewing gum lead to earlier postoperative gastrointestinal recovery in children? A systematic review and meta-analysis [Oral presentation]-
dc.typeConference_Paper-

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