• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / TO COMPARE THE OUTCOME OF GUM CHEWING VERSUS NO GUM CHEWING ON THE DURATION OF POST OPERATIVE ILEUS AND TOTAL LENGTH OF HOSPITAL STAY IN CASES OF RE LAPAROTOMY FOR STOMA CLOSURE IN A LOWER MIDDLE INCOME COUNTRY.

TO COMPARE THE OUTCOME OF GUM CHEWING VERSUS NO GUM CHEWING ON THE DURATION OF POST OPERATIVE ILEUS AND TOTAL LENGTH OF HOSPITAL STAY IN CASES OF RE LAPAROTOMY FOR STOMA CLOSURE IN A LOWER MIDDLE INCOME COUNTRY.

Samiullah Bhatti, Dr1, Shabbar H Changezi, Dr1, Awais A Malik, Dr2, Usman I Butt, Dr1, Waris Farooka, Prof1, Mahmood Ayyaz, Prof1. 1Services Hospital Lahore, 2Lahore General Hospital

Introduction: Postoperative ileus (POI) is generally referred to as the transient impairment of bowel motility after abdominal or other surgery. The potential complications of prolonged POI include increased postoperative pain, nausea and vomiting, delay in postoperative mobilization, prolonged hospitalization, and increased health-care costs. In view of these complications and economic burden a number of pharmacologic and non-pharmacologic strategies have been adopted all over the world to reduce the burden of postoperative ileus.The use of gum chewing has emerged as a new and simple modality for decreasing POI.

Material and Methods: 100 patients having ileostomies, fulfilling inclusion and exclusion criteria were recruited from outpatient department and divided into two groups. Group A patients were allowed to chew gums while Group B patients were not allowed to chew gums after the reversal of ileostomies. All patients were followed and monitored for the mean time to pass 1st flatus and mean length of hospital stay.

Results: Mean age of the patients in group A was 26.12 (+/- 7.1) years and in group B was 28.80 (+/- 10.5) years. There were 25(50%) males and 25(50%) females in group A. In group B there were 29(58%) males and 21(42%) females.

 Mean BMI for Group A was 23.5(+/- 5.3) and Group B was 21.4(+/- 4.6).The mean time to pass flatus was noted to be significantly shorter 18.36 (+/- 8.43) hours in the chewing group (group A) while in no chewing gum group (group B) it was 41.16(+/- 6.14) hours (p-value 0.000). The mean length of hospital stay was significantly short 84 (+/- 8.3) hours in the chewing group (group A) as compared to 107.04 (+/-6.4) hours in no gum group (group B) (p-value 0.000).

Conclusion: It is concluded that post-operative chewing of gum after the reversal of ileostomies have a definitive role in reducing post-operative ileus and total length of hospital stay.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 95149

Program Number: P349

Presentation Session: Poster Session (Non CME)

Presentation Type: Poster

View this Poster

59

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals