Effect of Acupuncture on Reducing Duration of Postoperative Ileus After Gastrectomy in Patients with Gastric Cancer: A Pilot Study Using Sitz Marker



Effect of Acupuncture on Reducing Duration of Postoperative Ileus After Gastrectomy in Patients with Gastric Cancer: A Pilot Study Using Sitz Marker


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Objectives: Postoperative ileus (POI) is a common problem after abdominal surgery. Acupuncture is being accepted as an option for reducing POI and managing various functional gastrointestinal disorders. Therefore, this pilot study was conducted to evaluate the effect of acupuncture on reducing duration of POI and other surgical outcomes in patients who underwent gastric surgery. Design: A prospective, randomized, controlled pilot study was conducted on patients who underwent gastric cancer surgery from January 2013 to December 2013. Ten patients were randomly assigned into the acupuncture (A) or nonacupuncture (NA) groups at a 1:1 ratio. Interventions: The acupuncture treatment was performed by Korean traditional medicine doctors (KMDs). The style of acupuncture was Korean. In the A group, acupuncture treatment was given once daily for 5 consecutive days starting on postoperative day 1. Each patient received acupuncture at 16 acupoints based on expert consensus provided by qualified and experienced KMDs. No acupuncture treatment was performed in the NA group. Outcome measures: The primary outcome measure was the number of remnant Sitz markers in the small intestine on abdominal radiography. Secondary outcome measures were time to first flatus, start of sips water, start of soft diet, hospital stay, and laboratory findings. Results: The A group had significantly fewer remnant Sitz markers in the small intestine on postoperative days 3 and 5 compared with those in the NA group ( p = 0.025 and 0.005). A significant difference was observed in the numbers of remnant Sitz marker in the small intestine with respect to time difference by group ( p = 0.019). The A group showed relatively better surgical outcomes, but without statistical significance. Conclusions: Although further studies are warranted, acupuncture may reduce duration of POI after gastric surgery and could be a potential factor in enhanced recovery after surgery protocols.


Accession Number: 116334510; Source Information: Jun2016, Vol. 22 Issue 6, p465; Subject Term: SMALL intestine -- Radiography; Subject Term: SURGICAL complications -- Prevention; Subject Term: BOWEL obstructions -- Prevention; Subject Term: ACUPUNCTURE; Subject Term: ALTERNATIVE medicine; Subject Term: ANALYSIS of variance; Subject Term: C-reactive protein; Subject Term: CHI-squared test; Subject Term: CLINICAL trials; Subject Term: ENTERAL feeding; Subject Term: FLATULENCE; Subject Term: GASTRECTOMY; Subject Term: LENGTH of stay in hospitals; Subject Term: LONGITUDINAL method; Subject Term: PROBABILITY theory; Subject Term: RESEARCH -- Finance; Subject Term: SAMPLING (Statistics); Subject Term: SERUM albumin; Subject Term: STATISTICAL hypothesis testing; Subject Term: STOMACH -- Tumors; Subject Term: T-test (Statistics); Subject Term: TIME; Subject Term: PILOT projects; Subject Term: STATISTICAL significance; Subject Term: BODY mass index; Subject Term: RANDOMIZED controlled trials; Subject Term: TREATMENT effectiveness; Subject Term: REPEATED measures design; Subject Term: DATA analysis -- Software; Subject Term: DESCRIPTIVE statistics; Subject Term: LEUKOCYTE count; Subject Term: ; Geographic Subject: KOREA (South); Geographic Subject: ; Number of Pages: 8p; ; Illustrations: 1 Black and White Photograph, 4 Charts, 1 Graph; ; Document Type: Article;

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