Effect of Postoperative Coffee Consumption on Postoperative Ileus after Abdominal Surgery: An Updated Systematic Review and Meta-Analysis

Background: Previous systematic reviews have not clarified the effect of postoperative coffee consumption on the incidence of postoperative ileus (POI) and the length of hospital stay (LOS). We aimed to assess its effect on these postoperative outcomes. Methods: Studies evaluating postoperative coff...

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Vydáno v:Nutrients Ročník 13; číslo 12; s. 4394
Hlavní autoři: Watanabe, Jun, Miki, Atsushi, Koizumi, Masaru, Kotani, Kazuhiko, Sata, Naohiro
Médium: Journal Article
Jazyk:angličtina
Vydáno: Switzerland MDPI AG 08.12.2021
MDPI
Témata:
Abdomen
Abdominal surgery
Bias
Caffeine
Cesarean section
Clinical trials
Coffee
Colorectal surgery
confidence interval
decaffeination
Defecation
Digestive System Surgical Procedures - adverse effects
Female
Food
Gynecologic Surgical Procedures - adverse effects
Gynecological surgery
Handbooks
hospitals
Humans
Ileus - prevention & control
intestinal obstruction
Length of Stay - statistics & numerical data
Male
Meta-analysis
Postoperative Complications - prevention & control
Postoperative Period
relative risk
Systematic Review
Time Factors
Web portals
caffeine
abdominal surgery
coffee
length of stay
meta-analysis
ileus
systematic review
ISSN:2072-6643, 2072-6643
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Shrnutí:Background: Previous systematic reviews have not clarified the effect of postoperative coffee consumption on the incidence of postoperative ileus (POI) and the length of hospital stay (LOS). We aimed to assess its effect on these postoperative outcomes. Methods: Studies evaluating postoperative coffee consumption were searched using electronic databases until September 2021 to perform random-effect meta-analysis. The quality of evidence was assessed using the Cochrane risk-of-bias tool. Caffeinated and decaffeinated coffee were also compared. Results: Thirteen trials (1246 patients) and nine ongoing trials were included. Of the 13 trials, 6 were on colorectal surgery, 5 on caesarean section, and 2 on gynecological surgery. Coffee reduced the time to first defecation (mean difference (MD) −10.1 min; 95% confidence interval (CI) = −14.5 to −5.6), POI (risk ratio 0.42; 95% CI = 0.26 to 0.69); and LOS (MD −1.5; 95% CI = −2.7 to −0.3). This trend was similar in colorectal and gynecological surgeries. Coffee had no adverse effects. There was no difference in POI or LOS between caffeinated and decaffeinated coffee (p > 0.05). The certainty of evidence was low to moderate. Conclusion: This review showed that postoperative coffee consumption, regardless of caffeine content, likely reduces POI and LOS after colorectal and gynecological surgery.
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ISSN:2072-6643
2072-6643
DOI:10.3390/nu13124394