Effects of chewing gum on postoperative recovery of paralytic ileus: A systematic review
Keywords:
Abdominal surgery, Chewing gum, Paralytic ileusAbstract
Postoperative intestinal insufficiency (Paralytic ileus) is a common complication, especially after open abdominal surgery and general anesthesia. This will result in increased pain for patients suffering from gastrointestinal disturbances. Chewing gum is one of the options, believed to support the bowels function faster after surgery. This systematic review aimed to determine the effect of chewing gum on the recovery of bowel function in patients after abdominal surgery. By the Joanna Briggs Institute's systematic review guidelines, studies were selected from studies published between 2012 and 2022, and the quality of the research was evaluated using Heller's research quality assessment tool.
The results of the research revealed that from the search, there were 150 articles in the preliminary article which ten articles passed the inclusion criteria. The results of the summary of the research article quality assessment found that the article has a level of empirical evidence at level 2, 5 articles, and level 3, 5 articles. The results found that five articles employed randomized and controlled groups for the experimental design, and five articles employed the quasi-experimental design. The results showed that gum-chewing patients were able to recover bowel function in patients after surgery. Chewing gum is effective in reducing indigestion and accelerating the recovery of the gastrointestinal tract after abdominal surgery. Most chewing gums are easy to find, safe, harmless, and cheap.
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