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Randomized clinical trial on the effect of coffee on postoperative ileus following elective colectomy
Abstract
Background: Postoperative ileus is a common problem after abdominal surgery. It was postulated that coffee intake would decrease postoperative ileus after colectomy. Methods: This was a multicentre parallel open-label randomized trial. Patients with malignant or benign disease undergoing elective open or laparoscopic colectomy were assigned randomly before surgery to receive either coffee or water after the procedure (100 ml three times daily). The primary endpoint was time to first bowel movement; secondary endpoints were time to first flatus, time to tolerance of solid food, length of hospital stay and perioperative morbidity. Results: A total of 80 patients were randomized, 40 to each group. One patient in the water arm was excluded owing to a change in surgical procedure. Patient characteristics were similar in both groups. In intention-to-treat analysis, the time to the first bowel movement was significantly shorter in the coffee arm than in the water arm (mean(s.d.) 60·4(21·3) versus 74·0(21·6) h; P = 0·006). The time to tolerance of solid food (49·2(21·3) versus 55·8(30·0) h; P = 0·276) and time to first flatus (40·6(16·1) versus 46·4(20·1) h; P = 0·214) showed a similar trend, but the differences were not significant. Length of hospital stay (10·8(4·4) versus 11·3(4·5) days; P = 0·497) and morbidity (8 of 40 versus 10 of 39 patients; P = 0·550) were comparable in the two groups. Conclusion: Coffee consumption after colectomy was safe and was associated with a reduced time to first bowel action. Registration number: NCT01079442 (http://www.clinicaltrials.gov).
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“Similar data were found in several single studies [118,119,120,121,122,123].”
From Effects of Coffee on the Gastro-Intestinal Tract: A Narrative Review and Literature Update (2022) · cites this paper as [118]
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Cited by
Effects of Coffee on the Gastro-Intestinal Tract: A Narrative Review and Literature Update
Nehlig, A. (2022) · Nutrients · doi:10.3390/nu14020399 · Cited by 158
Effects of Coffee and Its Components on the Gastrointestinal Tract and the Brain–Gut Axis
Iriondo-DeHond, A., Uranga, J. A., del Castillo, M. D., & Abalo, R. (2020) · Nutrients · doi:10.3390/nu13010088 · Cited by 126
Effect of Caffeine Intake on Postoperative Ileus: A Systematic Review and Meta-Analysis
Gkegkes, I. D., Minis, E. E., & Iavazzo, C. (2020) · Digestive Surgery · doi:10.1159/000496431 · Cited by 57
The Effects of Drinking Coffee While Recovering from Colon and Rectal Resection Surgery
Piric, M., Pasic, F., Rifatbegovic, Z., & Konjic, F. (2015) · Medical Archives · doi:10.5455/medarh.2015.69.357-361 · Cited by 34
Metadata
- Authors
- Müller, S. A., Rahbari, N. N., Schneider, F., Warschkow, R., Simon, T., von Frankenberg, M., Bork, U., Weitz, J., Schmied, B. M., & Büchler, M. W.
- Affiliations
- Department of General, Visceral and Transplant Surgery, University Hospital Heidelberg, Germany
- Institute of Medical Biometry and Informatics, University of Heidelberg, Heidelberg, Germany
- Venue
- British Journal of Surgery
- Publisher
- Oxford University Press (OUP)
- Published
- 2012-09-14
- Volume
- 99
- Issue
- 11
- Pages
- 1530-1538
- ISSN
- 0007-1323
- 1365-2168
- Cited by
- 100
- References
- 1
- Language
- en
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