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Alleviates gas pain: gum chewing speeds bowel activity after gyn. surgery.(Gynecology)

OB GYN News

| July 01, 2004 | Johnson, Kate | COPYRIGHT 2004 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

PHILADELPHIA -- Gum chewing hastens gynecologic patients' postoperative bowel activity, Dr. Ding Kelly Lee reported in a poster presentation at the annual meeting of the American College of Obstetricians and Gynecologists.

Three sticks a day got the patients "unstuck" by stimulating their first passage of gas significantly earlier than in surgery patients who didn't chew gum.

"We don't send them home until we know their bowel function is fine because we are worried about ileus and also obstruction," said Dr. Lee, who conducted the study while at St. Luke's-Roosevelt Hospital Center in New York.

If patients can pass gas, eat, urinate, and defecate, they are allowed to go home, she added.

Previous research has suggested that sham feeding can enhance bowel function by increasing gastric motility and hormone secretion, and one small Japanese study has linked gum chewing to early recovery from postoperative ileus after laparoscopic colectomy (J. Am. Coll. Surg. 195[1]:30-32, 2002), said Dr. Lee, who isnow at Long Island College Hospital in New York.

Dr. Lee randomly assigned 64 patients who had undergone gynecologic abdominal laparotomy to either chew gum or receive no intervention.

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