Chen, Kai-Bo, Lu, Yi-Qiao, Chen, Jian-De, Shi, Di-Ke, Huang, Zhi-Hui, Zheng, Yi-Xiong, Jin, Xiao-Li, Wang, Zhe-Fang, Zhang, Wei-Dong, Huang, Yi, Wu, Zhi-Wei, Zhang, Guo-Ping, Zhang, Hang, Jiang, Ying-Hao and Chen, Li (2018). Transcutaneous electroacupuncture alleviates postoperative ileus after gastrectomy: A randomized clinical trial. World J. Gastrointest. Surg., 10 (2). S. 13 - 21. PLEASANTON: BAISHIDENG PUBLISHING GROUP INC. ISSN 1948-9366

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Abstract

AIM To investigate the efficacy and safety of transcutaneous electroacupuncture (TEA) to alleviate postoperative ileus (POI) after gastrectomy. METHODS From April 2014 to February 2017, 63 gastric cancer patients were recruited from the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China. After gastrectomy, the patients were randomly allocated to the TEA (n = 33) or control (n = 30) group. The patients in the TEA group received 1 h TEA on Neiguan (ST36) and Zusanli (PC6) twice daily in the morning and afternoon until they passed flatus. The main outcomes were hours to the first flatus or bowel movement, time to nasogastric tube removal, time to liquid and semi-liquid diet, and hospital stay. The secondary outcomes included postoperative symptom assessment and complications. RESULTS Time to first flatus in the TEA group was significantly shorter than in the control group (73.19 +/- 15.61 vs 82.82 +/- 20.25 h, P = 0.038), especially for open gastrectomy (76.53 +/- 14.29 vs 87.23 +/- 20.75 h, P = 0.048). Bowel sounds on day 2 in the TEA group were significantly greater than in the control group (2.30 +/- 2.61/min vs 1.05 +/- 1.26/min, P = 0.017). Time to nasogastric tube removal in the TEA group was earlier than in the control group (4.22 +/- 1.01 vs 4.97 +/- 1.67 d, P = 0.049), as well as the time to liquid diet (5.0 +/- 1.34 vs 5.83 +/- 2.10 d, P = 0.039). Hospital stay in the TEA group was significantly shorter than in the control group (8.06 +/- 1.75 vs 9.40 +/- 3.09 d, P = 0.041). No significant differences in postoperative symptom assessment and complications were found between the groups. There were no severe adverse events related to TEA. CONCLUSION TEA accelerated bowel movements and alleviated POI after open gastrectomy and shortened hospital stay.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Chen, Kai-BoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lu, Yi-QiaoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Chen, Jian-DeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Shi, Di-KeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Huang, Zhi-HuiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Zheng, Yi-XiongUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jin, Xiao-LiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wang, Zhe-FangUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Zhang, Wei-DongUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Huang, YiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wu, Zhi-WeiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Zhang, Guo-PingUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Zhang, HangUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jiang, Ying-HaoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Chen, LiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-195530
DOI: 10.4240/wjgs.v10.i2.13
Journal or Publication Title: World J. Gastrointest. Surg.
Volume: 10
Number: 2
Page Range: S. 13 - 21
Date: 2018
Publisher: BAISHIDENG PUBLISHING GROUP INC
Place of Publication: PLEASANTON
ISSN: 1948-9366
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
IMPROVES DYSPEPTIC SYMPTOMS; RECTAL DISTENSION; GASTRIC-CANCER; FUNCTIONAL DYSPEPSIA; COLORECTAL-CANCER; COLONIC MOTILITY; CONSCIOUS RATS; SLOW WAVES; ACUPUNCTURE; SURGERYMultiple languages
Gastroenterology & Hepatology; SurgeryMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/19553

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