Acupuncture and Related Therapies for Treatment of Postoperative Ileus in Colorectal Cancer: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Liu, Y, May, B, Zhang, A, Guo, X, Lu, C, Xue, C and Zhang, H 2018, 'Acupuncture and Related Therapies for Treatment of Postoperative Ileus in Colorectal Cancer: A Systematic Review and Meta-Analysis of Randomized Controlled Trials', Evidence-based Complementary and Alternative Medicine, vol. 2018, pp. 1-18.


Document type: Journal Article
Collection: Journal Articles

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Title Acupuncture and Related Therapies for Treatment of Postoperative Ileus in Colorectal Cancer: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Author(s) Liu, Y
May, B
Zhang, A
Guo, X
Lu, C
Xue, C
Zhang, H
Year 2018
Journal name Evidence-based Complementary and Alternative Medicine
Volume number 2018
Start page 1
End page 18
Total pages 18
Publisher Hindawi
Abstract Delays in recovery of intestinal function following abdominal surgery are associated with longer hospital stays, increased postoperative complications, and higher costs to the health care system. Studies of acupuncture for postoperative ileus and other postoperative issues have reported improvements. This systematic review and meta-analysis aimed to assess whether acupuncture assisted recovery following surgery for colorectal cancer (CRC). Randomized controlled trials (RCTs) were identified from major English and Chinese language biomedical databases. Participants (aged 18 years plus) had received surgical resection for CRC. 22 studies (1,628 participants) were included. Five were sham-controlled. Outcomes included gastrointestinal function recovery (21 studies), recovery of urinary function (1 study), postoperative abdominal distension (3 studies), and quality of life (1 study). Meta-analyses found significant reductions in time to first bowel sounds, first flatus, and first defecation in both the sham-controlled and nonblinded studies. These results suggested that the addition of acupuncture following CRC surgery improved recovery of gastrointestinal function based on four blinded good quality RCTs (281 participants) and 17 nonblinded lower quality RCTs (1,265 participants). The best available evidence was for interventions that included electroacupuncture at the point ST36 Zusanli and there is supporting evidence for other types of acupuncture therapies that involve stimulation of this point. This review is registered with the following: systematic review registration in PROSPERO: CRD42017079590.
Subject Traditional Chinese Medicine and Treatments
Keyword(s) Functional dyspepsia
Chinese herbal medicine
Chinese herbs
Prokinetics
Proton pump inhibitors
Systematic reviews
DOI - identifier 10.1155/2018/3178472
Copyright notice Copyright © 2018 Yihong Liu et al. This is an open access article distributed under the Creative Commons Attribution License
ISSN 1741-427X
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