Impact of Chewing Gum on Postoperative Gut Motility in Gastrointestinal Surgery Patients

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age17-85
SponsorKhyber Medical University Peshawar

About this trial

Postoperative ileus (POI) is a frequent complication after abdominal surgery, leading to delayed gastrointestinal motility, prolonged hospital stay, and increased patient discomfort. Chewing gum, as a form of sham feeding, has been proposed to stimulate gut motility through vagal stimulation and increased gastrointestinal secretions. This randomized controlled trial aims to assess the effect of chewing gum on early recovery of gastrointestinal motility in patients undergoing open gastrointestinal surgery.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age between 17 and 85 years.

Patients of either gender.

Undergoing open gastrointestinal surgical procedures (elective or emergency).

Willing to participate and able to provide informed consent.

Disqualifiers

Patients with metabolic or endocrine disorders (diabetes mellitus, hypothyroidism, or hyperthyroidism).

Patients with renal disease or electrolyte imbalance.

Patients with chronic constipation or neuromuscular disorders.

Patients with substance abuse or drug addiction.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Chewing Gum

    Behavioral

    Participants will chew glucose/carbohydrate-containing chewing gum for 15 minutes, three times daily, starting 6 hours after surgery and continuing for 48 hours or until the first passage of flatus or stool, in addition to standard postoperative care.

Treatment groups

96 Participants
are divided into 2 treatment groups
Group A: Chewing Gum Intervention GroupExperimental treatment 1 intervention
Group B: Standard Care Control GroupNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Time to First Passage of Flatus

Time interval (in hours) from the end of surgery to the first postoperative passage of flatus, assessed by patient self-report and clinical evaluation.

Time frame
Within 48 hours postoperatively
2

Time to First Defecation

Time interval (in hours) from the end of surgery to the first postoperative bowel movement (defecation), assessed by patient self-report and clinical evaluation.

Time frame
Within 48 hours postoperatively

Secondary outcomes

Other outcomes

Sponsors and contacts

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Khyber Medical University Peshawar

Lead sponsor

Khyber Teaching Hospital

Collaborator