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Erschienen in: European Surgery 6/2019

05.07.2019 | original article

Quantification of the effects of coffee on postoperative ileus after laparoscopic ventral rectopexy: a randomized controlled trial

verfasst von: Kentaro Hayashi, Akira Tsunoda, Atsushi Shiraishi, Hiroshi Kusanagi

Erschienen in: European Surgery | Ausgabe 6/2019

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Summary

Background

Coffee consumption positively affects intestinal function following abdominal surgery with bowel resection. This study aimed to quantify the effect of coffee on intestinal activity after laparoscopic ventral rectopexy (LVR).

Methods

We conducted a single-center, open-labeled, randomized controlled trial from 2014 to 2016 (UMIN-CTR, UMIN000024908). Patients who had undergone scheduled LVR for rectal intussusception or external rectal prolapse were randomly assigned to a coffee group or a water group (23 per group) and asked to drink 100 ml of either coffee or water after the procedure. Each participant was orally administered a radiopaque marker capsule the morning after surgery, and abdominal radiographs were obtained daily. The primary outcome was the total number of evacuated radiopaque markers 26 h after administration. Secondary outcomes included time to first flatus and defecation and results of segmental transit analysis of the markers on radiographs.

Results

The mean number of evacuated radiopaque markers 26 h after administration in the coffee group was significantly higher than that in the water group (1 [range, 0–6] vs. 0 [range, 0–0]; p = 0.04), however, the mean time (hours) to first defecation (55.1 [range, 19.1–114.0] vs. 69.7 [range, 20.7–141.6]; p = 0.13) or time (hours) to first flatus (9.3 [range, 0.5–47.1] vs. 12.6 [range, 1.1–46.1]; p = 0.35) was not significant.

Conclusion

Coffee consumption accelerates bowel movements, but its clinical effect after LVR is also small. Further studies about the indication of coffee for the type of surgery or the optimal amount of coffee consumption are warranted.
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Metadaten
Titel
Quantification of the effects of coffee on postoperative ileus after laparoscopic ventral rectopexy: a randomized controlled trial
verfasst von
Kentaro Hayashi
Akira Tsunoda
Atsushi Shiraishi
Hiroshi Kusanagi
Publikationsdatum
05.07.2019
Verlag
Springer Vienna
Erschienen in
European Surgery / Ausgabe 6/2019
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-019-0605-x

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