Tags

Type your tag names separated by a space and hit enter

The effect of dietary fiber on bowel function following radical hysterectomy: a randomized trial.
Gynecol Oncol 1997; 66(3):417-24GO

Abstract

OBJECTIVE

To assess the effect of high-fiber dietary instruction in relieving chronic constipation, a known and accepted complication of radical hysterectomy (RH).

METHODS

Thirty-five women with a diagnosis of cervical cancer who were scheduled for RH were randomized into groups that followed either a high-fiber diet plan or their usual diet. Data were gathered using a validated subjective bowel function questionnaire (SBFQ); a typical day's intake form and food frequency tool; and a diary used to record food, medication, bowel, and exercise information. Patients were evaluated at 1, 4, and 7 months after surgery.

RESULTS

Postoperatively, the dietary fiber intake was significantly higher for the treatment (T) group (22.9 g) than the control (C) group (12.4 g) (P = 0.007). With regard to intergroup comparisons, there were few differences at the first follow-up. By the second visit, the T group reported taking medications to achieve regularity less often (P = 0.0269), straining less often (P = 0.0210), having pain with bowel movement (BM) less often (P = 0.0116), and having crampy abdominal pain less often (P = 0.123) than the C group. Four significant positive changes occurred in the T group, whereas only one occurred in the C group. With regard to intragroup comparison, the significant changes in bowel function in the T group were generally positive, whereas all of the C group's significant changes were negative. According to summary questions on the SBFQ, the T group reported a significant change in the frequency of BM (P = 0.0096); however, the C group reported no significant changes. Analysis of bowel function records showed clearer differences. The T group took less time to defecate (P < 0. 001) but had more BMs accompanied by gas (P < 0.001). The C group had significantly more BMs with cramps (P < 0.001), straining (P < 0. 001), and retention (P < 0.001) and significantly more BMs, which were hard (P < 0.001). Two C patients dropped out of the study because of severe bowel dysfunction despite maximum medication.

CONCLUSION

Dietary management seems to be an inexpensive effective therapeutic intervention for addressing bowel dysfunction associated with RH.

Authors+Show Affiliations

Department of Clinical Nutrition, University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

9299255

Citation

Griffenberg, L, et al. "The Effect of Dietary Fiber On Bowel Function Following Radical Hysterectomy: a Randomized Trial." Gynecologic Oncology, vol. 66, no. 3, 1997, pp. 417-24.
Griffenberg L, Morris M, Atkinson N, et al. The effect of dietary fiber on bowel function following radical hysterectomy: a randomized trial. Gynecol Oncol. 1997;66(3):417-24.
Griffenberg, L., Morris, M., Atkinson, N., & Levenback, C. (1997). The effect of dietary fiber on bowel function following radical hysterectomy: a randomized trial. Gynecologic Oncology, 66(3), pp. 417-24.
Griffenberg L, et al. The Effect of Dietary Fiber On Bowel Function Following Radical Hysterectomy: a Randomized Trial. Gynecol Oncol. 1997;66(3):417-24. PubMed PMID: 9299255.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effect of dietary fiber on bowel function following radical hysterectomy: a randomized trial. AU - Griffenberg,L, AU - Morris,M, AU - Atkinson,N, AU - Levenback,C, PY - 1997/9/23/pubmed PY - 1997/9/23/medline PY - 1997/9/23/entrez SP - 417 EP - 24 JF - Gynecologic oncology JO - Gynecol. Oncol. VL - 66 IS - 3 N2 - OBJECTIVE: To assess the effect of high-fiber dietary instruction in relieving chronic constipation, a known and accepted complication of radical hysterectomy (RH). METHODS: Thirty-five women with a diagnosis of cervical cancer who were scheduled for RH were randomized into groups that followed either a high-fiber diet plan or their usual diet. Data were gathered using a validated subjective bowel function questionnaire (SBFQ); a typical day's intake form and food frequency tool; and a diary used to record food, medication, bowel, and exercise information. Patients were evaluated at 1, 4, and 7 months after surgery. RESULTS: Postoperatively, the dietary fiber intake was significantly higher for the treatment (T) group (22.9 g) than the control (C) group (12.4 g) (P = 0.007). With regard to intergroup comparisons, there were few differences at the first follow-up. By the second visit, the T group reported taking medications to achieve regularity less often (P = 0.0269), straining less often (P = 0.0210), having pain with bowel movement (BM) less often (P = 0.0116), and having crampy abdominal pain less often (P = 0.123) than the C group. Four significant positive changes occurred in the T group, whereas only one occurred in the C group. With regard to intragroup comparison, the significant changes in bowel function in the T group were generally positive, whereas all of the C group's significant changes were negative. According to summary questions on the SBFQ, the T group reported a significant change in the frequency of BM (P = 0.0096); however, the C group reported no significant changes. Analysis of bowel function records showed clearer differences. The T group took less time to defecate (P < 0. 001) but had more BMs accompanied by gas (P < 0.001). The C group had significantly more BMs with cramps (P < 0.001), straining (P < 0. 001), and retention (P < 0.001) and significantly more BMs, which were hard (P < 0.001). Two C patients dropped out of the study because of severe bowel dysfunction despite maximum medication. CONCLUSION: Dietary management seems to be an inexpensive effective therapeutic intervention for addressing bowel dysfunction associated with RH. SN - 0090-8258 UR - https://www.unboundmedicine.com/medline/citation/9299255/full_citation L2 - https://linkinghub.elsevier.com/retrieve/pii/S0090-8258(97)94797-1 DB - PRIME DP - Unbound Medicine ER -