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Article: Does chewing gum lead to earlier postoperative gastrointestinal recovery in children? A systematic review and meta-analysis
Title | Does chewing gum lead to earlier postoperative gastrointestinal recovery in children? A systematic review and meta-analysis |
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Authors | |
Keywords | Chewing gum Children Postoperative ileus Randomised controlled trials |
Issue Date | 1-Jul-2024 |
Publisher | Elsevier |
Citation | Journal of Pediatric Surgery, 2024, v. Online ahead, n. 2, p. 268-274 How to Cite? |
Abstract | IntroductionPostoperative 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. MethodsWe 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 and 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. ResultsWe 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 h; 95 % CI: −6.2 to 0.47 h, p = 0.09), time to stool (−6.39 h; 95 % CI: −13.9 to 1.2 h, 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). ConclusionCurrent 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 Identifier | http://hdl.handle.net/10722/339461 |
ISSN | 2023 Impact Factor: 2.4 2023 SCImago Journal Rankings: 0.949 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Fung, Adrian Chi-heng | - |
dc.contributor.author | Tsang, Jaime Tsz-wing | - |
dc.contributor.author | Chung, Patrick Ho-yu | - |
dc.contributor.author | Wong, Kak-yuen Kenneth | - |
dc.date.accessioned | 2024-03-11T10:36:49Z | - |
dc.date.available | 2024-03-11T10:36:49Z | - |
dc.date.issued | 2024-07-01 | - |
dc.identifier.citation | Journal of Pediatric Surgery, 2024, v. Online ahead, n. 2, p. 268-274 | - |
dc.identifier.issn | 0022-3468 | - |
dc.identifier.uri | http://hdl.handle.net/10722/339461 | - |
dc.description.abstract | <h3>Introduction</h3><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><h3>Methods</h3><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 1st Jan 2005 to 31st July 2021. We assessed the identified trials for quality and 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><h3>Results</h3><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 h; 95 % CI: −6.2 to 0.47 h, p = 0.09), time to stool (−6.39 h; 95 % CI: −13.9 to 1.2 h, 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><h3>Conclusion</h3><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> | - |
dc.language | eng | - |
dc.publisher | Elsevier | - |
dc.relation.ispartof | Journal of Pediatric Surgery | - |
dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
dc.subject | Chewing gum | - |
dc.subject | Children | - |
dc.subject | Postoperative ileus | - |
dc.subject | Randomised controlled trials | - |
dc.title | Does chewing gum lead to earlier postoperative gastrointestinal recovery in children? A systematic review and meta-analysis | - |
dc.type | Article | - |
dc.identifier.doi | 10.1016/j.jpedsurg.2023.10.020 | - |
dc.identifier.scopus | eid_2-s2.0-85176324310 | - |
dc.identifier.volume | Online ahead | - |
dc.identifier.issue | 2 | - |
dc.identifier.spage | 268 | - |
dc.identifier.epage | 274 | - |
dc.identifier.eissn | 1531-5037 | - |
dc.identifier.isi | WOS:001164033500001 | - |
dc.identifier.issnl | 0022-3468 | - |