Effect of Caffeine Intake on Postoperative Ileus: A Systematic Review and Meta-Analysis
Gkegkes ID, Minis EE, Iavazzo C
Digestive surgery · 34 citas
Etiquetas de revisión
Financiación no declaradaDatos neutrales que nuestra revisión registró sobre cómo se hizo este estudio. Describen el método, nunca si nos gusta el resultado.
Cómo se estudió
- Diseño
- Metaanálisis (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2019-01-11 · Dig Surg · vol. 37 · número 1 · págs. 22–31
- Editorial
- Karger Publishers
- Citado
- 59 citas · más que el 86% de estudios similares · 1.9× el promedio de su campo
- Referencias
- 38 trabajos
- Acceso
- Lectura gratuita
- Áreas de investigación
- Enhanced Recovery After Surgery · Stoma care and complications · Nausea and vomiting management
- Palabras clave
- Medicine, Ileus, Postoperative ileus, Caffeine, Gastroenterology, Internal medicine, Surgery
- MeSH
- intestines, humans, intestinal pseudo-obstruction, caffeine, phytotherapy, length of stay, digestive system surgical procedures, gynecologic surgical procedures, recovery of function, defecation, gastrointestinal motility, time factors, coffee
3 autores
- Ioannis D. Gkegkes🇬🇷KAT General Hospital of Attica
- Evelyn Eleni Minis🇬🇷KAT General Hospital of Attica
- Christos R Iavazzo🇬🇷Metaxa Hospital
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Postoperative ileus prolongs both hospital stay and patients' morbidity, having at the same time a great impact on health care costs. Coffee, a worldwide popular, cheap beverage might have an important effect on the motility of the postoperative bowel.
Methods
PubMed, Scopus, and Cochrane Central Register of Controlled Trials were systematically searched.
Results
Four studies met the inclusion criteria of our meta-analysis. A total of 341 patients were included. The postoperative administration of coffee significantly reduces the time to first bowel movement, the time to first flatus and the time to tolerance of solid diet. Safe conclusions could not be drawn regarding the additional use of laxatives, the necessity for reinsertion of nasogastric tube or the need for reoperation as all the aforementioned outcomes did not present any statistically significance. None of the complications were attributed to the administration of coffee.
Conclusion
The administration of coffee as a postoperative ileus prevention measure can change the way postoperative enhanced recovery is applied. Even though the mechanism of action of coffee is not fully known, currently available literature demonstrates a significant improvement in gastrointestinal motility without having any impact on postoperative morbidity. Studies with higher methodological quality can offer a more careful evaluation of the clinical use of this popular beverage.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.
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