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Impact of drinking Chinese green tea on postoperative short outcomes for gastric cancer: a randomized controlled trial

Background Early intake after surgery can decrease postoperative ileus. Several studies show coffee can stimulate bowel activity and be safe in patients after elective colectomy, mainly due to caffeine. It was postulated that drinking Chinese green tea as rich caffeine beverage after subtotal distal...

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Published in:European journal of clinical nutrition 2021-11, Vol.75 (11), p.1568-1577
Main Authors: Liu, Dan, Jing, Xinxin, Cao, Shougen, Liu, Xiaodong, Tan, Xiaojie, Jiang, Haitao, Niu, Zhaojian, Su, Mengmeng, Zhang, Jian, Zhang, Xingqi, Liu, Gan, Zhou, Yanbing
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container_issue 11
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container_title European journal of clinical nutrition
container_volume 75
creator Liu, Dan
Jing, Xinxin
Cao, Shougen
Liu, Xiaodong
Tan, Xiaojie
Jiang, Haitao
Niu, Zhaojian
Su, Mengmeng
Zhang, Jian
Zhang, Xingqi
Liu, Gan
Zhou, Yanbing
description Background Early intake after surgery can decrease postoperative ileus. Several studies show coffee can stimulate bowel activity and be safe in patients after elective colectomy, mainly due to caffeine. It was postulated that drinking Chinese green tea as rich caffeine beverage after subtotal distal gastrectomy accelerates postoperative recovery in patients. Method This was a single-centre parallel open-label randomized trial. Patients with gastric cancer undergoing robotic or laparoscopic subtotal gastrectomy were randomly allocated to receive drinking Chinese green tea (GT group) or potable water (PW group) after surgery. The primary endpoint was the time to gastrointestinal function recovery and tolerance of solid food, and the secondary endpoints included the incidence of postoperative complications, symptoms of postoperative adverse reaction, length of stay, pain as assessed by analgesic consumption and a visual analogue scale, and fatigue as assessed by a fatigue score model. Results A total of 80 patients were recruited, 40 to each group. Patient characteristics were similar in both groups. The GT group showed significantly shorter time to gastrointestinal function recovery compared with PW group to first flatus (47.23 ± 13.46 vs. 76.96 ± 20.35, P  
doi_str_mv 10.1038/s41430-021-00868-8
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Several studies show coffee can stimulate bowel activity and be safe in patients after elective colectomy, mainly due to caffeine. It was postulated that drinking Chinese green tea as rich caffeine beverage after subtotal distal gastrectomy accelerates postoperative recovery in patients. Method This was a single-centre parallel open-label randomized trial. Patients with gastric cancer undergoing robotic or laparoscopic subtotal gastrectomy were randomly allocated to receive drinking Chinese green tea (GT group) or potable water (PW group) after surgery. The primary endpoint was the time to gastrointestinal function recovery and tolerance of solid food, and the secondary endpoints included the incidence of postoperative complications, symptoms of postoperative adverse reaction, length of stay, pain as assessed by analgesic consumption and a visual analogue scale, and fatigue as assessed by a fatigue score model. Results A total of 80 patients were recruited, 40 to each group. Patient characteristics were similar in both groups. The GT group showed significantly shorter time to gastrointestinal function recovery compared with PW group to first flatus (47.23 ± 13.46 vs. 76.96 ± 20.35, P  &lt; 0.001), first bowel motion (78.70 ± 25.77 vs. 125.76 ± 36.25, P  &lt; 0.001) and tolerance of solid food (62.20 ± 16.15 vs. 98.66 ± 20.15, P  &lt; 0.001). Conclusion Drinking Chinese green tea after robotic or laparoscopic subtotal gastrectomy is safe and promotes postoperative recovery of gastrointestinal function, also was an add method with strengthening analgesia and anti-inflammatory effect in the presence of the Enhance Recovery After Surgery (ERAS) program. Registration number: ChiCTR1800018294 ( http://www.chictr.org.cn ).</description><identifier>ISSN: 0954-3007</identifier><identifier>EISSN: 1476-5640</identifier><identifier>DOI: 10.1038/s41430-021-00868-8</identifier><identifier>PMID: 33742159</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>631/67/1504/1829 ; 692/308/2779/777 ; 692/699/1503/1504/1829 ; Analgesia ; Analgesics ; Caffeine ; Cancer ; Care and treatment ; China ; Clinical Nutrition ; Coffee ; Complications ; Complications and side effects ; Drinking ; Drinking water ; Epidemiology ; Fatigue ; Food ; Gastrectomy ; Gastric cancer ; Gastrointestinal surgery ; Green tea ; Health aspects ; Humans ; Ileus - etiology ; Inflammation ; Internal Medicine ; Intestine ; Laparoscopy ; Laparoscopy - adverse effects ; Laparoscopy - methods ; Length of Stay ; Medicine ; Medicine &amp; Public Health ; Metabolic Diseases ; Methods ; Pain perception ; Patient outcomes ; Patients ; Postoperative ; Postoperative care ; Postoperative Complications - epidemiology ; Public Health ; Stomach cancer ; Stomach Neoplasms - surgery ; Surgery ; Tea ; Treatment Outcome</subject><ispartof>European journal of clinical nutrition, 2021-11, Vol.75 (11), p.1568-1577</ispartof><rights>The Author(s) 2021</rights><rights>2021. The Author(s).</rights><rights>COPYRIGHT 2021 Nature Publishing Group</rights><rights>The Author(s) 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). 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Several studies show coffee can stimulate bowel activity and be safe in patients after elective colectomy, mainly due to caffeine. It was postulated that drinking Chinese green tea as rich caffeine beverage after subtotal distal gastrectomy accelerates postoperative recovery in patients. Method This was a single-centre parallel open-label randomized trial. Patients with gastric cancer undergoing robotic or laparoscopic subtotal gastrectomy were randomly allocated to receive drinking Chinese green tea (GT group) or potable water (PW group) after surgery. The primary endpoint was the time to gastrointestinal function recovery and tolerance of solid food, and the secondary endpoints included the incidence of postoperative complications, symptoms of postoperative adverse reaction, length of stay, pain as assessed by analgesic consumption and a visual analogue scale, and fatigue as assessed by a fatigue score model. Results A total of 80 patients were recruited, 40 to each group. Patient characteristics were similar in both groups. The GT group showed significantly shorter time to gastrointestinal function recovery compared with PW group to first flatus (47.23 ± 13.46 vs. 76.96 ± 20.35, P  &lt; 0.001), first bowel motion (78.70 ± 25.77 vs. 125.76 ± 36.25, P  &lt; 0.001) and tolerance of solid food (62.20 ± 16.15 vs. 98.66 ± 20.15, P  &lt; 0.001). Conclusion Drinking Chinese green tea after robotic or laparoscopic subtotal gastrectomy is safe and promotes postoperative recovery of gastrointestinal function, also was an add method with strengthening analgesia and anti-inflammatory effect in the presence of the Enhance Recovery After Surgery (ERAS) program. 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Several studies show coffee can stimulate bowel activity and be safe in patients after elective colectomy, mainly due to caffeine. It was postulated that drinking Chinese green tea as rich caffeine beverage after subtotal distal gastrectomy accelerates postoperative recovery in patients. Method This was a single-centre parallel open-label randomized trial. Patients with gastric cancer undergoing robotic or laparoscopic subtotal gastrectomy were randomly allocated to receive drinking Chinese green tea (GT group) or potable water (PW group) after surgery. The primary endpoint was the time to gastrointestinal function recovery and tolerance of solid food, and the secondary endpoints included the incidence of postoperative complications, symptoms of postoperative adverse reaction, length of stay, pain as assessed by analgesic consumption and a visual analogue scale, and fatigue as assessed by a fatigue score model. Results A total of 80 patients were recruited, 40 to each group. Patient characteristics were similar in both groups. The GT group showed significantly shorter time to gastrointestinal function recovery compared with PW group to first flatus (47.23 ± 13.46 vs. 76.96 ± 20.35, P  &lt; 0.001), first bowel motion (78.70 ± 25.77 vs. 125.76 ± 36.25, P  &lt; 0.001) and tolerance of solid food (62.20 ± 16.15 vs. 98.66 ± 20.15, P  &lt; 0.001). Conclusion Drinking Chinese green tea after robotic or laparoscopic subtotal gastrectomy is safe and promotes postoperative recovery of gastrointestinal function, also was an add method with strengthening analgesia and anti-inflammatory effect in the presence of the Enhance Recovery After Surgery (ERAS) program. Registration number: ChiCTR1800018294 ( http://www.chictr.org.cn ).</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>33742159</pmid><doi>10.1038/s41430-021-00868-8</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-9497-4898</orcidid><orcidid>https://orcid.org/0000-0002-7855-6258</orcidid><oa>free_for_read</oa></addata></record>
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ispartof European journal of clinical nutrition, 2021-11, Vol.75 (11), p.1568-1577
issn 0954-3007
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source Nexis UK; Springer Nature
subjects 631/67/1504/1829
692/308/2779/777
692/699/1503/1504/1829
Analgesia
Analgesics
Caffeine
Cancer
Care and treatment
China
Clinical Nutrition
Coffee
Complications
Complications and side effects
Drinking
Drinking water
Epidemiology
Fatigue
Food
Gastrectomy
Gastric cancer
Gastrointestinal surgery
Green tea
Health aspects
Humans
Ileus - etiology
Inflammation
Internal Medicine
Intestine
Laparoscopy
Laparoscopy - adverse effects
Laparoscopy - methods
Length of Stay
Medicine
Medicine & Public Health
Metabolic Diseases
Methods
Pain perception
Patient outcomes
Patients
Postoperative
Postoperative care
Postoperative Complications - epidemiology
Public Health
Stomach cancer
Stomach Neoplasms - surgery
Surgery
Tea
Treatment Outcome
title Impact of drinking Chinese green tea on postoperative short outcomes for gastric cancer: a randomized controlled trial
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