Effectiveness of electroacupuncture on postoperative ileus prevention after abdominal surgery: A systematic review and trial sequential analysis of randomized controlled trials

Background We aimed to verify the effectiveness of electroacupuncture on postoperative ileus prevention after abdominal surgery by meta‐analysis and trial sequential analysis (TSA). Methods From inception to May 14, 2024, PubMed, the Cochrane Library, Web of Science, and Embase databases were search...

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Published in:Journal of gastroenterology and hepatology 2024-10, Vol.39 (10), p.2060-2068
Main Authors: Yuan, Lu, Quan, Si‐Jie, Li, Xin‐Yu, Huang, Yan‐Bing, Li, Yan‐Qiu, Zheng, Hui
Format: Article
Language:English
Subjects:
Abdomen
Abdomen - surgery
Abdominal surgery
Acupuncture
Clinical trials
Defecation
Electroacupuncture
Electroacupuncture - methods
Female
Humans
Ileus - etiology
Ileus - prevention & control
Meta-analysis
Postoperative Complications - etiology
Postoperative Complications - prevention & control
postoperative ileus
Randomized Controlled Trials as Topic
Surgery
Time Factors
Treatment Outcome
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Summary:Background We aimed to verify the effectiveness of electroacupuncture on postoperative ileus prevention after abdominal surgery by meta‐analysis and trial sequential analysis (TSA). Methods From inception to May 14, 2024, PubMed, the Cochrane Library, Web of Science, and Embase databases were searched. TSA was used to determine an optimal sample size and control false‐positive findings. The primary outcome was the time to first defecation (hours). Results Fourteen studies were included, with 1105 participants. Meta‐analysis and TSA revealed firm evidence for benefits that electroacupuncture shorted the time to first defecation (mean difference [MD] −12.73 h, I2 = 22%, P 
ISSN:0815-9319
1440-1746
1440-1746
DOI:10.1111/jgh.16670