Volume 19 Issue 12
Dec.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(12): 2045-2047
ZHU Chun-fang, ZHENG Lu-shan, YU Shi-an. The effect of sham feeding combined with early fluid diet on the recovery of gastrointestinal function after laparoscopic hepatectomy[J]. Chinese Journal of General Practice, 2021, 19(12): 2045-2047. doi: 10.16766/j.cnki.issn.1674-4152.002232
Citation: ZHU Chun-fang, ZHENG Lu-shan, YU Shi-an. The effect of sham feeding combined with early fluid diet on the recovery of gastrointestinal function after laparoscopic hepatectomy[J]. Chinese Journal of General Practice, 2021, 19(12): 2045-2047. doi: 10.16766/j.cnki.issn.1674-4152.002232
shu

The effect of sham feeding combined with early fluid diet on the recovery of gastrointestinal function after laparoscopic hepatectomy

doi: 10.16766/j.cnki.issn.1674-4152.002232

  • Department of General Surgery, Jinhua Central Hospital, Jinhua, Zhejiang 321000, China

Funds:

 LGF20H160028

  • Received Date: 2020-04-27
    Abstract
  •   Objective  To explore the effect of sham feeding (chewing gum) combined with early liquid diet on the recovery of gastrointestinal function in patients with laparoscopic hepatectomy.  Methods  A total of 112 patients who underwent laparoscopic hepatectomy in the Department of General Surgery of Jinhua Central Hospital from June 2018 to December 2019 were selected as the study subjects. They were randomly divided into chewing group (36 cases), control group (38 cases) and blank group (38 cases). Chewing group: chewing gum (1 time/2 h, 2 ~ 3 tablets each time) combined with early liquid diet (6 hours after operation, 3 ~ 5 times/day). Control group: liquid diet was given 6 hours after operation, 3 ~ 5 times/day. Blank group: drink warm boiled water 6 hours after operation, and give liquid food after anal exhaust. The recovery of bowel sounds, first anal exhaust, defecation time, serum motilin MTL, gastrin gas levels and postoperative gastrointestinal symptoms were compared among the three groups.  Results  The recovery of bowel sounds, first exhaust and defecation time in the chewing group [(9.76±1.59) h, (20.57±2.31) and (56.82±8.27) h] were significantly earlier than those in the control group [(11.08±1.96) h, (26.64±2.77) h, and (64.33±10.39) h], the blank group [(15.26±2.09) h, (30.05±3.85) h, and (72.94±11.67) h]. The differences were statistically significant (t=3.171, 10.207, 3.428; 12.688, 12.756, 6.822, all P < 0.05). On the first day after operation, the levels of motilin MTL and gastrin gas in chewing group were higher than those in control group and blank group (all P < 0.05). The incidence of postoperative nausea and vomiting in chewing group was lower than that in control group and blank group (all P < 0.05).  Conclusion  Sham feeding combined with early liquid diet can effectively promote the recovery of gastrointestinal function after laparoscopic hepatectomy.

     

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