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Does Coffee Intake Reduce Postoperative Ileus After Laparoscopic Elective Colorectal Surgery? A Prospective,
Simone Hasler-Gehrer1, Michael Linecker1,2, Andreas Keerl1
1Department for General, Visceral and Vascular Surgery, Kantonsspital Baden, Baden, Switzerland.
Standardized coffee intake after colorectal surgery can accelerate bowel function recovery. This simple strategy may help prevent postoperative ileus and shorten hospital stays.
Area of Science:
- Gastroenterology
- Surgical Recovery
- Clinical Nutrition
Background:
- Postoperative ileus is a common complication following colorectal surgery.
- It significantly increases hospital stay duration and healthcare costs.
Purpose of the Study:
- To investigate the impact of regular coffee consumption on postoperative bowel activity.
- To assess coffee's efficacy in accelerating bowel movement recovery after laparoscopic colorectal resection.
Main Methods:
- A prospective randomized controlled trial involving 115 patients undergoing elective laparoscopic colorectal resection.
- Patients were assigned to consume either coffee or tea postoperatively until discharge.
- Primary endpoint was time to first bowel movement; secondary endpoints included laxative use and hospital stay duration.
Main Results:
- Patients consuming coffee experienced their first bowel movement significantly earlier (median 65.2 hours vs. 74.1 hours, p=0.008).
- Coffee intake was associated with a 1.67 times higher hazard ratio for earlier bowel movement (p=0.009).
- The coffee group had a shorter hospital stay (6 days vs. 7 days, p=0.043).
Conclusions:
- Coffee intake is a simple and effective method to promote faster bowel function recovery after colorectal surgery.
- This intervention may serve as a strategy to prevent postoperative ileus and reduce hospital stays.
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