Chewing gum administration towards gastrointestinal motility on postoperative patients of PKU Muhammadiyah Gamping Hospital

Arianti Arianti , Imam Annafi

Arianti Arianti
Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia. Email: arianti@umy.ac.id

Imam Annafi
Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia
Online First: December 28, 2021 | Cite this Article
Arianti, A., Annafi, I. 2021. Chewing gum administration towards gastrointestinal motility on postoperative patients of PKU Muhammadiyah Gamping Hospital. Bali Medical Journal 10(3): 1048-1052. DOI:10.15562/bmj.v10i3.2823

Background: Surgical procedures involving anesthetics could cause a complication of the digestive tract called postoperative ileus (POI). POI complicates the patient’s recovery and prolongs the stay period at the hospital. One of the most common interventions to prevent POI is early-postoperative feeding (EPF) to stimulate gastrointestinal motility that will prevent POI. Still, EPF is considered to be unsafe, according to several studies. Because of the disadvantage of EPF, some studies seek an alternative to EPF, one of which is postoperative chewing gum. The study aims to test the effectiveness of chewing gum to stimulate gastrointestinal motility in postoperative patients of PKU Muhammadiyah Gamping Hospital.

Methods: The research utilized a quasi-experimental design with the post-test control group. The research’s samples are 30 postoperative patients of PKU Muhammadiyah Gamping Hospital. Samples were taken with probability sampling technique with purposive sampling approach. The effectiveness of chewing gum to stimulate gastrointestinal motility was determined by comparing the time record of the first bowel sound heard between the intervention and the control groups.

Results: The result shows that there is a significance of chewing gum intervention to stimulate gastrointestinal motility. The Meantime of the first bowel sound heard of the intervention group (2.00 ± 0.07) is shorter than the control group (2.36 ± 0.33). Comparison between the intervention and control groups shows significance with p-value = 0.02 (p<0.05 indicates importance).

Conclusion: Chewing gum intervention is effective in stimulating gastrointestinal motility in postoperative patients.


Serra MAA de O, Silva Filho FF da, Albuquerque ADO, Santos CAA dos, Carvalho Junior JF de, Silva RDA e. Nursing care in the immediate postoperative period: a cross-sectional study. Online Brazilian J Nurs. 2015;14(2):161. Available from: http://dx.doi.org/10.17665/1676-4285.20155082

Berg K, Årestedt K, Kjellgren K. Postoperative recovery from the perspective of day surgery patients: A phenomenographic study. Int J Nurs Stud. 2013;50(12):1630–8. Available from: http://dx.doi.org/10.1016/j.ijnurstu.2013.05.002

Meissner W, Coluzzi F, Fletcher D, Huygen F, Morlion B, Neugebauer E, et al. Improving the management of post-operative acute pain: priorities for change. Curr Med Res Opin. 2015;31(11):2131–43. Available from: http://dx.doi.org/10.1185/03007995.2015.1092122

A T, H A, F Z. A Systemic Review on Surgical Site Infections: Classification, Risk Factors, Treatment Complexities, Economical and Clinical Scenarios. J Bioequiv Availab. 2016;09(01). Available from: http://dx.doi.org/10.4172/jbb.1000321

Mansour SE, Elnegeri MA, Ibrahim AA. Chewing Gum after Cesarean Section : It’s Effect on Regaining Intestinal Function. IOSR J Nurs Heal Sci. 2016;5(6):75–83.

Lewis SJ, Egger M, Sylvester PA, Thomas S. Early enteral feeding versus “nil by mouth” after gastrointestinal surgery: systematic review and meta-analysis of controlled trials. BMJ. 2001;323(7316):773–6. Available from: https://pubmed.ncbi.nlm.nih.gov/11588077

Short V, Herbert G, Perry R, Lewis SJ, Atkinson C, Ness AR, et al. Chewing gum for postoperative recovery of gastrointestinal function. In: Cochrane Database of Systematic Reviews. John Wiley & Sons, Ltd; 2014. Available from: http://dx.doi.org/10.1002/14651858.cd006506.pub2

Ledari FM, Barat S, Delavar MA. Chewing gums has stimulatory effects on bowel function in patients undergoing cesarean section: a randomized controlled trial. Bosn J basic Med Sci. 2012;12(4):265–8. Available from: https://pubmed.ncbi.nlm.nih.gov/23198943

Craciunas L, Sajid MS, Ahmed AS. Chewing gum in preventing postoperative ileus in women undergoing caesarean section: a systematic review and meta-analysis of randomised controlled trials. BJOG An Int J Obstet Gynaecol. 2014;121(7):793–800. Available from: http://dx.doi.org/10.1111/1471-0528.12696

Huang H-P, He M. Usefulness of chewing gum for recovering intestinal function after cesarean delivery: A systematic review and meta-analysis of randomized controlled trials. Taiwan J Obstet Gynecol. 2015;54(2):116–21. Available from: http://dx.doi.org/10.1016/j.tjog.2014.10.004

Zhu Y-P, Wang W-J, Zhang S-L, Dai B, Ye D-W. Effects of gum chewing on postoperative bowel motility after caesarean section: a meta-analysis of randomised controlled trials. BJOG An Int J Obstet Gynaecol. 2014;121(7):787–92. Available from: http://dx.doi.org/10.1111/1471-0528.12662

Abdollahi AA, Yazdi K, Behnampour N, Niazi M. Effect of Gum-chewing on the Movement of Intestines after Abdominal Resection and Length of Hospital Stay. Int J Hosp Res. 2013;2(3):127–32.

Mahmoud MH, Mohammad SH. Chewing gum for declining ileus and accelerating gastrointestinal recovery after appendectomy. Front Nurs. 2018;5(4):277–84. Available from: http://dx.doi.org/10.1515/fon-2018-0038

Nimarta N, Singh NV, Shruti Shruti,, Gupta R. Effectiveness Of Chewing Gum On Bowel Molitity Among The Patients Who Have Undergone Abdominal Surgery . Nurs Midwifery Res Journal,. 2013; Available from: http://dx.doi.org/10.33698/nrf0159

Ge W, Chen G, Ding Y-T. Effect of chewing gum on the postoperative recovery of gastrointestinal function. Int J Clin Exp Med. 2015;8(8):11936–42. Available from: https://pubmed.ncbi.nlm.nih.gov/26550107

Wen Z-J, Wang W-T, Mei B-B, Wu C, Shen M-F. Gum chewing for promoting intestinal function recovery after colorectal cancer surgery: A meta-analysis. World Chinese J Dig. 2017;25(2):147. Available from: http://dx.doi.org/10.11569/wcjd.v25.i2.147

Hanham A, Addy M. The effect of chewing sugar-free gum on plaque regrowth at smooth and occlusal surfaces. J Clin Periodontol. 2001;28(3):255–7. Available from: http://dx.doi.org/10.1034/j.1600-051x.2001.028003255.x

Rashad W. Effect of sugarless gum chewing on intestinal movement after cesarean section. Life Sci J. 2013;10:3275.

Dag A, Colak T, Turkmenoglu O, Gundogdu R, Aydin S. A randomized controlled trial evaluating early versus traditional oral feeding after colorectal surgery. Clinics (Sao Paulo). 2011;66(12):2001–5. Available from: https://pubmed.ncbi.nlm.nih.gov/22189721

Anita Nelson FK. Simple Steps to Hasten Post-Operative Recovery. J Women’s Heal Care. 2013;02(04). Available from: http://dx.doi.org/10.4172/2167-0420.1000137

Lee HS, Shim H, Jang JY, Lee H, Lee JG. Early feeding is feasible after emergency gastrointestinal surgery. Yonsei Med J. 2014;55(2):395–400. Available from: https://pubmed.ncbi.nlm.nih.gov/24532509

Hall JE, Guyton AC. Membrane physiology, nerve, and muscle [Internet]. Guyton and Hall Physiology Review. Elsevier; 2011. p. 5–22. Available from: http://dx.doi.org/10.1016/b978-1-4160-5452-8.00011-1

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