Clinical trial Recruiting at 1 site Interventional Ages 17 to 85

Chewing gum to speed bowel recovery after open gastrointestinal surgery

Official title: Impact of Chewing Gum on Postoperative Gut Motility in Gastrointestinal Surgery Patients: A Randomized Controlled Trial at Khyber Teaching Hospital, Peshawar, Pakistan

Run by Khyber Medical University Peshawar · NCT07425249 · Data updated 2026-11-12

This trial will test whether chewing glucose-containing gum after open gastrointestinal surgery helps adults' intestines start working sooner.

More Postoperative Ileus trials

Quick facts

Study typeInterventional
Ages17 Years to 85 Years
SexAll
Enrollment96 (estimated)
SponsorKhyber Medical University Peshawar
Academic / other
Locations1 site (Peshawar, KPK)
StatusRecruiting
StartedJanuary 1, 2026
Main results expectedAugust 25, 2026
Study endsOctober 29, 2026
Registry record updatedFebruary 20, 2026
Trial IDNCT07425249 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 17–85 undergoing open gastrointestinal (elective or emergency) surgery who can provide informed consent and do not meet exclusion criteria.

Probably not a fit

Patients with metabolic or endocrine disorders, renal disease, chronic constipation or neuromuscular disorders, those on medications that affect gut motility, with dental prostheses, or having laparoscopic surgery are unlikely to benefit or be eligible.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This randomized controlled trial will enroll 96 adults undergoing open gastrointestinal surgery and use block randomization to assign participants to a chewing-gum intervention or a control group. The intervention group will begin chewing glucose-containing gum six hours after surgery as a form of sham feeding. Primary outcomes include time to first bowel sounds, passage of flatus, and first defecation, with statistical comparisons between groups. The study aims to determine whether postoperative gum chewing shortens the duration of postoperative ileus and speeds recovery of gut motility.

Why it matters

Potential benefit: If successful, chewing gum could offer a simple, low-cost way to speed return of bowel function, reduce discomfort, and shorten hospital stays.

How similar studies have gone: Previous randomized trials and meta-analyses of gum chewing after abdominal surgery have reported modest but consistent reductions in time to first flatus and bowel movement, so this approach has supportive prior evidence.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age between 17 and 85 years.
* Patients of either gender.
* Undergoing open gastrointestinal surgical procedures (elective or emergency).
* Willing to participate and able to provide informed consent.

Exclusion Criteria:

* Patients with metabolic or endocrine disorders (diabetes mellitus, hypothyroidism, or hyperthyroidism).
* Patients with renal disease or electrolyte imbalance.
* Patients with chronic constipation or neuromuscular disorders.
* Patients with substance abuse or drug addiction.
* Patients receiving medications affecting gut motility (calcium channel blockers or antiepileptic drugs).
* Patients with dental prosthesis or undergoing laparoscopic gastrointestinal surgery.

Where it's running

  • Khyber Teaching Hospital
    Peshawar, Kpk, Pakistan
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.