title: The use of coffee, chewing-gum and gastrograffin in the management of postoperative ileus: A review of current evidence.
abstract: Postoperative ileus is one of the main complications in the postoperative period. New measures appeared with the introduction of «fast-track surgery» to accelerate recovery: coffee, chewing gum and gastrograffin. We performed a summary of current evidence, reviewing articles from MEDLINE, Cochrane Database of Systematic Reviews, ISI Web of Science, and SCOPUS databases. Employed search terms were «postoperative ileus» AND («definition» OR «epidemiology» OR «risk factors» OR «Management»). We selected 44 articles: 9 systematic reviews 11 narrative reviews, 13 randomized clinical trials, 6 observational studies, and the remaining 5 scientific letters, assumptions, etc. There is little literature about this topic, studies are heterogeneous, with disparity in the results. In addition, they only focus on colorectal and gynecological surgery. New high-quality studies are needed, preferably randomized clinical trials, in order to clarify the usefulness of these measures.
authors.affiliation: Servicio de Cirugía General, Hospital General Universitario JM Morales Meseguer, Murcia España; Facultad de Medicina, Campus de Excelencia Internacional Mare Nostrum, Universidad de Murcia, Murcia España. Electronic address: diego.ff90@gmail.com.
authors.forename: Diego
authors.initials: D
authors.lastname: Flores-Funes
authors.affiliation: Servicio de Cirugía General, Hospital General Universitario JM Morales Meseguer, Murcia España; Facultad de Medicina, Campus de Excelencia Internacional Mare Nostrum, Universidad de Murcia, Murcia España.
authors.forename: Álvaro
authors.initials: Á
authors.lastname: Campillo-Soto
authors.affiliation: Servicio de Cirugía General, Hospital General Universitario JM Morales Meseguer, Murcia España; Facultad de Medicina, Campus de Excelencia Internacional Mare Nostrum, Universidad de Murcia, Murcia España.
authors.forename: Enrique
authors.initials: E
authors.lastname: Pellicer-Franco
authors.affiliation: Servicio de Cirugía General, Hospital General Universitario JM Morales Meseguer, Murcia España; Facultad de Medicina, Campus de Excelencia Internacional Mare Nostrum, Universidad de Murcia, Murcia España.
authors.forename: José Luis
authors.initials: JL
authors.lastname: Aguayo-Albasini
mesh_terms: D002638:Chewing Gum; D003069:Coffee; D003287:Contrast Media; D003974:Diatrizoate Meglumine; D006801:Humans; D045823:Ileus / Q000000981:diagnostic imaging* / Q000628:therapy*; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000628:therapy*
chemical_list: D002638:Chewing Gum; D003069:Coffee; D003287:Contrast Media; D003974:Diatrizoate Meglumine
keywords: Café; Chewing gum; Chicle; Coffee; Contraste hidrosoluble; Gastrograffin; Gastrografín; Management; Manejo; Paralytic ileus; Postoperative ileus; Tratamiento; Treatment; Water-soluble contrast; Íleo paralítico; Íleo postoperatorio