Effects of Gum Chewing on Recovery of Bowel Function Following Abdominal Surgery for Endometrial and Ovarian Cancer
Effects of Gum Chewing on Recovery of Bowel Function Following Abdominal Surgery for Endometrial and Ovarian Cancer: a Randomized Controlled Trial
Following extensive abdominal surgery for the treatment of endometrial or ovarian cancer, paralytic ileus frequently develops. Gum chewing can promotes the return of bowel function through the cephalic-vagal reflex and increased intestinal enzymes secretion.
The objectives of this study are to evaluate effects of adding gum chewing to the conventional postoperative feeding protocol on the return of bowel function, its related complications, and patients' satisfaction.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Phase
Phase
- Phase 2
- Phase 3
Contacts and Locations
Study Locations
-
-
-
Chiang Mai, Thailand, 50200
- Faculty of Medicine, Chiang Mai University
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients undergoing staging or cytoreductive surgery for primary endometrial or ovarian cancer at Maharaj Nakorn Chiang Mai hospital
Exclusion Criteria:
- Perioperative hyperalimentation
- Recent chemotherapy (within 3 weeks before surgery)
- Previous bowel surgery
- Inflammatory bowel diseases
- Previous abdominal or pelvic radiation
- Need for immediate postoperative endotracheal intubation
- Need for postoperative admission to intensive care unit
- Undergoing emergency surgery with oral intake of fluid or food within 4 hours before surgery
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Gum chewing
Gum chewing (30 minutes in duration each time, 4 times/days at the usual time of meal, until the first flatus) in addition to conventional postoperative feeding schedule
|
Gum chewing (30 minutes in duration each time, 4 times/days at the usual time of meal, until the first flatus) in addition to conventional postoperative feeding schedule
|
|
No Intervention: Conventional
Conventional postoperative feeding schedule
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Time to first flatus
Time Frame: Up to 7 days after surgery
|
Up to 7 days after surgery
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Incidence and severity of postoperative nausea, vomiting,and abdominal discomfort
Time Frame: Up to 7 days after surgery
|
Up to 7 days after surgery
|
|
Incidence of postoperative complications
Time Frame: Up to 7 days after surgery
|
Up to 7 days after surgery
|
|
Time to first regular diet
Time Frame: Up to 7 days after surgery
|
Up to 7 days after surgery
|
|
Time to first defecation
Time Frame: Up to 7 days after surgery
|
Up to 7 days after surgery
|
|
Postoperative analgesics requirement
Time Frame: Up to 7 days after surgery
|
Up to 7 days after surgery
|
|
Hospital stay
Time Frame: On the day of hospital discharge, an expected average of 7 days
|
On the day of hospital discharge, an expected average of 7 days
|
|
Patients' satisfaction
Time Frame: Up to 7 days after surgery
|
Up to 7 days after surgery
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Kittipat Charoenkwan, MD, Chiang Mai University
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- GUM-ET/OV
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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