TY - JOUR
T1 - Electro-acupuncture to prevent prolonged postoperative ileus
T2 - A randomized clinical trial
AU - Meng, Zhi Qiang
AU - Garcia, M. Kay
AU - Chiang, Joseph S.
AU - Peng, Hui Ting
AU - Shi, Ying Qiang
AU - Fu, Jie
AU - Liu, Lu Ming
AU - Liao, Zhong Xing
AU - Zhang, Ying
AU - Bei, Wen Ying
AU - Thornton, Bob
AU - Palmer, J. Lynn
AU - McQuade, Jennifer
AU - Cohen, Lorenzo
PY - 2010/1/7
Y1 - 2010/1/7
N2 - AIM: To examine whether acupuncture can prevent prolonged postoperative ileus (PPOI) after intraperitoneal surgery for colon cancer. METHODS: Ninety patients were recruited from the Fudan University Cancer Hospital, Shanghai, China. After surgery, patients were randomized to receive acupuncture (once daily, starting on postoperative day 1, for up to six consecutive days) or usual care. PPOI was defined as an inability to pass flatus or have a bowel movement by 96 h after surgery. The main outcomes were time to first flatus, time to first bowel movement, and electrogastroenterography. Secondary outcomes were quality of life (QOL) measures, including pain, nausea, insomnia, abdominal distension/fullness, and sense of well-being. RESULTS: No significant differences in PPOI on day 4 ( P = 0.71) or QOL measures were found between the groups. There were also no group differences when the data were analyzed by examining those whose PPOI had resolved by day 5 ( P = 0.69) or day 6 ( P = 0.88). No adverse events related to acupuncture were reported. CONCLUSION: Acupuncture did not prevent PPOI and was not useful for treating PPOI once it had developed in this population.
AB - AIM: To examine whether acupuncture can prevent prolonged postoperative ileus (PPOI) after intraperitoneal surgery for colon cancer. METHODS: Ninety patients were recruited from the Fudan University Cancer Hospital, Shanghai, China. After surgery, patients were randomized to receive acupuncture (once daily, starting on postoperative day 1, for up to six consecutive days) or usual care. PPOI was defined as an inability to pass flatus or have a bowel movement by 96 h after surgery. The main outcomes were time to first flatus, time to first bowel movement, and electrogastroenterography. Secondary outcomes were quality of life (QOL) measures, including pain, nausea, insomnia, abdominal distension/fullness, and sense of well-being. RESULTS: No significant differences in PPOI on day 4 ( P = 0.71) or QOL measures were found between the groups. There were also no group differences when the data were analyzed by examining those whose PPOI had resolved by day 5 ( P = 0.69) or day 6 ( P = 0.88). No adverse events related to acupuncture were reported. CONCLUSION: Acupuncture did not prevent PPOI and was not useful for treating PPOI once it had developed in this population.
KW - Acupuncture
KW - Gastrointestinal disorders
KW - Gastrointestinal motility
KW - Gastrointestinal neoplasms
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U2 - 10.3748/wjg.v16.i1.104
DO - 10.3748/wjg.v16.i1.104
M3 - Article
C2 - 20039456
AN - SCOPUS:75449108163
SN - 1007-9327
VL - 16
SP - 104
EP - 111
JO - World journal of gastroenterology
JF - World journal of gastroenterology
IS - 1
ER -