Ileus

Publication Title: 
Medicine

BACKGROUND: Cancer patients undergoing surgical procedure often suffer from bowel dysfunction and postoperative ileus (POI). Cancer management for early recovery of bowel function is still a challenging topic. Acupuncture has been commonly used in a variety of gastrointestinal diseases. The aim of this study is to evaluate the effects of acupuncture therapy to reduce the duration of POI and enhance bowel function in cancer patients. METHODS: We will systematically screen all randomized controlled trials (RCTs) published through electronically and hand searching.

Author(s): 
Liu, Yi-Hua
Ye, Yang
Zheng, Jia-Bin
Wang, Xue-Qian
Zhang, Ying
Lin, Hong-Sheng
Publication Title: 
World journal of gastroenterology: WJG

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.

Author(s): 
Meng, Zhi-Qiang
Garcia, M. Kay
Chiang, Joseph S.
Peng, Hui-Ting
Shi, Ying-Qiang
Fu, Jie
Liu, Lu-Ming
Liao, Zhong-Xing
Zhang, Ying
Bei, Wen-Ying
Thornton, Bob
Palmer, J. Lynn
McQuade, Jennifer
Cohen, Lorenzo
Publication Title: 
Annals of Surgical Oncology

PURPOSE: Postoperative ileus (POI) prolongs hospital stay and increases risk of postoperative complications. We conducted a randomized, sham-controlled trial to evaluate whether acupuncture reduces POI more effectively than sham acupuncture. METHODS: Colon cancer patients undergoing elective colectomy were randomized to receive 30 min of true or sham acupuncture twice daily during their first 3 postoperative days.

Author(s): 
Deng, Gary
Wong, W. Douglas
Guillem, Jose
Chan, Yi
Affuso, Theresa
Yeung, K. Simon
Coleton, Marci
Sjoberg, Daniel
Vickers, Andrew
Cassileth, Barrie
Publication Title: 
Hong Kong Medical Journal = Xianggang Yi Xue Za Zhi / Hong Kong Academy of Medicine

1. Electroacupuncture at acupoints of Zusanli, Sanyinjiao, Hegu, and Zhigou is more effective than no acupuncture and sham acupuncture in stimulating early return of bowel function and reducing analgesic requirement after laparoscopic colorectal surgery. 2. Electroacupuncture is more effective than no acupuncture in reducing the duration of hospital stay. 3. Receipt of electroacupuncture is an independent predictor of shorter duration of ileus and hospital stay after laparoscopic colorectal surgery.

Author(s): 
Ng, S. S. M.
Leung, W. W.
Hon, S. S. F.
Li, J. C. M.
Wong, C. Y. N.
Lee, J. F. Y.
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