Gum Chewing, Added to Conventional Feeding, Reduces Risk of Post-Operative Ileus after Elective Hip and Knee Arthroplasty Procedures in Elderly Population: A Protocol for a Parallel Design, Open-Label, Randomized Controlled Trial

• DOI: 10.29337/ijsp.158
• Publication Date: 2021-08-09T10:29:54Z
• Authors: OBADA HASAN; LARAIB MAZHAR; AHSUN JIWANI; DILSHAD BEGUM; RIAZ LAKDAWALA; SHAHRYAR NOORDIN
• Keywords: Hip surgery

Postoperative ileus (poi) is defined as a temporary cessation of bowel movement after surgical procedure. Cessation not only leads to disturbing constipation but also may lead nausea, loss appetite, and food intolerance. Literature reports "sham feeding" (gum-chewing) effect an increase in chewing saliva which enhances the gastric emptying overall motility gut cephalic phase digestion. Therefore, we aim assess adding gum-chewing conventional postoperative feeding regimen on restoring function length stay hospital patients undergoing elective hip arthroplasty.This single-center, open-label, parallel design, superiority randomized-controlled trial with 2 treatment arms. The primary secondary outcomes will be time interval hours from end surgery until passage flatus stool. Statistical analysis done using STATA software. Length calculated by Kaplan-Meier analysis, unadjusted comparison groups Mantel-Cox log rank test. Risk ratios for time-to-become free time-to-discharge Cox regression modeling. P value 0.05 or less taken significant.This protocol exempted Ethical review at this stage however all required approvals ethical committee before starting study. Informed consent form patient enroll him/her Results study disseminated participants, public health, clinical professionals. results would published reputable international journal.This registered clinicaltrials.gov ID: NCT04489875.Cessation intolerance.These tend have more pain scores dissatisfaction management team.The causes formation therefore digestion even non-gastro colorectal surgeries.We hypothesize that there association between gum relief arthroplasty patients.