Electro-acupuncture to prevent prolonged postoperative ileus: A randomized clinical trial

Department of Integrative Oncology, Fudan University Cancer Hospital, Shanghai 200032, China.
World Journal of Gastroenterology (Impact Factor: 2.37). 01/2010; 16(1):104-11. DOI: 10.3748/wjg.v16.i1.104
Source: PubMed


To examine whether acupuncture can prevent prolonged postoperative ileus (PPOI) after intraperitoneal surgery for colon cancer.
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.
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.
Acupuncture did not prevent PPOI and was not useful for treating PPOI once it had developed in this population.

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Available from: Lorenzo Cohen, Apr 12, 2014
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    • "The morning after surgery groups in terms of the first time to solid food intake and defecation. Two previous studies indicated that first defecation took 4.4 days for open colectomy and that acupuncture did not benefit earlier solid food intake and defecation for postoperative patients (Meng et al., 2010; Salimath et al., 2007). In Taiwan, patient solid food intake depends on the individual patient's subjective comfort level with a clear liquid diet after first flatus passage. "
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