Coffee Improves Recovery From Gut Surgery

Collden

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Haven't seen these two studies discussed here, well one of them is very recent. They're interesting because they seem to provide very direct evidence of a beneficial effect of coffee on gut health, unlike epidemiological studies which are confounded by healthy user bias. Coffee is often anecdotally said to disturb gut function due to the caffeine or acidity, etc, which these studies argue against. It seems very unlikely coffee would be detrimental to normal gut health, if it can actually speed the recovery after gastrointestinal surgery, when the gut would be in an extremely vulnerable state.

Given how crucial gut function is to ones overall health, whether coffee is good or bad for the gut seems essential as to whether it is beneficial or detrimental to health more generally. How does coffee affect your stomach? Has anyone with gut problems found an improvement in gut health due to increasing coffee consumption, or by stopping coffee consumption?

Effects of coffee consumption on gut recovery after surgery of gynecological cancer patients: a randomized controlled trial.
Güngördük K1, Özdemir İA2, Güngördük Ö3, Gülseren V4, Gokçü M4, Sancı M4.
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Abstract
BACKGROUND:
Paralytic ileus that develops after elective surgery is a common and uncomfortable complication and is considered inevitable after an intraperitoneal operation.

OBJECTIVE:
The purpose of this study was to investigate whether coffee consumption accelerates the recovery of bowel function after complete staging surgery of gynecologic cancers.

STUDY DESIGN:
In this randomized controlled trial, 114 patients were allocated preoperatively to either postoperative coffeeconsumption with 3 times daily (n=58) or routine postoperative care without coffee consumption (n=56). Total abdominal hysterectomy and bilateral salpingo-oophorectomy with systematic pelvic and paraaortic lymphadenectomy were performed on all patients as part of complete staging surgery for endometrial, ovarian, cervical, or tubal cancer. The primary outcome measure was the time to the first passage of flatus after surgery. Secondary outcomes were the time to first defecation, time to first bowel movement, and time to tolerance of a solid diet.

RESULTS:
The mean time to flatus (30.2±8.0 vs 40.2±12.1 hours; P<.001), mean time to defecation (43.1±9.4 vs 58.5±17.0 hours; P<.001), and mean time to the ability to tolerate food (3.4±1.2 vs 4.7±1.6 days; P<.001) were reduced significantly in patients who consumed coffee compared with control subjects. Mild ileus symptoms were observed in 17 patients (30.4%) in the control group compared with 6 patients (10.3%) in the coffee group (P=.01). Coffee consumption was well-tolerated and well-accepted by patients, and no intervention-related side-effects were observed.

CONCLUSION:
Coffee consumption after total abdominal hysterectomy and systematic paraaortic lymphadenectomy expedites the time to bowel motility and the ability to tolerate food. This simple, cheap, and well-tolerated treatment should be added as an adjunct to the postoperative care of gynecologic oncology patients.
Effects of coffee consumption on gut recovery after surgery of gynecological cancer patients: a randomized controlled trial. - PubMed - NCBI

The Effects of Drinking Coffee While Recovering from Colon and Rectal Resection Surgery.
Piric M1, Pasic F1, Rifatbegovic Z1, Konjic F1.
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Abstract
AIM:
Resection surgery on the colon and rectum are changing both anatomical and physiological relations within the abdominal cavity. Delayed functions of the gastrointestinal tract, flatulence, failure of peristalsis, prolonged spasms and pain, limited postoperative recovery of these patients increase the overall cost of treatment. Early consumption of coffee instead of tea should lead to faster restoration of normal function of the colon without unwanted negative repercussions.

METHOD:
This study is designed as a prospective-retrospective clinical study and was carried out at the Surgery Center Tuzla, during the year 2013/ 2014. Sixty patients were randomized in relation to the type of resection surgery, etiology of disease-malignant benign, and in relation to whether they were coffee users or not. Patients were divided into two groups. The first group of thirty patients was given 100 ml of instant coffee divided into three portions right after removing the nasogastric tube, first postoperative day, while the second group of thirty patients got 100 ml of tea. Monitored parameter was: time of first stool and the second group of monitored parameters was: whether there was returning of nasogastric tube or not, increased use of laxatives, whether there was anastomotic leak, radiologic and clinical dehiscence, audit procedures, or lethal outcomes in the treatment of patients.

RESULTS:
A total of 61 patients were randomized into two groups of 30 int he group of tea and coffee 29 in the group, two patients were excluded from the study because they did not consume coffee before surgery. Time of getting stool in the postoperative period after elective resection surgery on the colon and rectum is significantly shorter after drinking coffee for about 15h (p <0.01). Also, the length of hospital stay was significantly shorter after drinking coffee (p <0.01). Time of hospitalization in subjects/respondents coffee consumers on average lasted 8.6 days with consumers of tea for 16 days. The incidence of postoperative complications was significantly lower after consumption of coffee (p <0.05).

CONCLUSION:
Postoperative consumption of coffee is a safe and effective way to accelerate the establishment of the bowel function after colorectal resection surgery.
The Effects of Drinking Coffee While Recovering from Colon and Rectal Resection Surgery. - PubMed - NCBI
 

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