Transcutaneous electroacupuncture alleviates postoperative ileus after gastrectomy: A randomized clinical trial

World Journal of Gastrointestinal Surgery
Kai-Bo ChenLi Chen

Abstract

To investigate the efficacy and safety of transcutaneous electroacupuncture (TEA) to alleviate postoperative ileus (POI) after gastrectomy. 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. Time to first flatus in the TEA group was significantly shorter than in the control group (73.19 ± 15.61vs82.82 ± 20.25 h,P= 0.038), especially for open gastrectomy (76.53 ± 14.29vs87.23 ± 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/minvs1.05 ± 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...Continue Reading

Citations

Jan 24, 2021·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·Shuangning SongShi Liu

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