Mode
Text Size
Log in / Sign up

Electroacupuncture Shortens Time to First Defecation in Colorectal Cancer Surgery PatientsElectroacupuncture Speeds Gut Recovery After Colon Surgery

AI-generated summary of the cited source, checked by automated accuracy review. How we work

Key Takeaway
Note electroacupuncture may accelerate bowel function recovery in colorectal cancer surgery patients aged 65 years or older.

This randomized controlled trial evaluated electroacupuncture in 72 patients with malignant tumors of the sigmoid colon or rectum scheduled for laparoscopic surgery. The observation group included 36 participants and the control group included 36 participants, with 1 case discontinued. Participants underwent electroacupuncture starting from the first postoperative day using acupoints Zhongwan (CV12), Qihai (CV6), bilateral Quchi (LI11), Tianshu (ST25), Zusanli (ST36), Shangjuxu (ST37), and Xiajuxu (ST39) with continuous wave at 2 Hz and current intensity 2 to 3 mA once daily for 30 min for five consecutive days. The comparator group received sham electroacupuncture using the same acupoints with needle tips inserted into adhesive pads without touching the skin surface.

Primary results indicated time to first defecation was shorter in the observation group than in the control group ( <0.01). In patients aged 65 years or older, time to first anal exhaust and time to first defecation were earlier in the observation group than in the control group ( <0.05, <0.01). Age correlation with time to first exhaust and defecation showed a positive correlation found (r=0.472, r=0.604, <0.01). NRS scores on postoperative day 4 and 5 were lower in the observation group than in the control group ( <0.01, <0.05).

There was no statistically significant difference between groups regarding the number of postoperative administrations of the analgesic flurbiprofen axetil ( >0.05). Length of hospital stay showed no statistically significant difference between groups ( >0.05). Incidence of postoperative intestinal obstruction within 14 days showed no cases in either group (0/36 in observation, 0/35 in control). Adverse events and serious adverse events were not reported. 1 case discontinued. Tolerability was adjusted to patient tolerance. The study concludes EA can accelerate recovery of bowel function. EA might have greater clinical value for patients aged 65 years or older.

  • EA helps patients pass gas and have bowel movements faster after surgery
  • Most beneficial for colorectal cancer patients aged 65+
  • Still experimental—available only in research settings for now

This simple add-on therapy could help older adults bounce back faster after major abdominal surgery.

You wake up after colon surgery. The cancer is out. But your gut isn’t working yet. You feel bloated. Nothing moves. You can’t eat. Every hour feels long. This delay—called slow gut recovery—is common. It can stretch hospital stays and slow healing.

For older patients, it’s even harder. Their bodies take longer to bounce back. Doctors give pain meds and wait. But what if a gentle, non-drug treatment could help the gut wake up faster?

Colon and rectal cancer affect millions worldwide. Surgery is often the best shot at a cure. Laparoscopic surgery (keyhole surgery) helps, with smaller cuts and faster healing. But one problem remains: the intestines often shut down after surgery.

This is called postoperative ileus. It’s like a traffic jam in your gut. Food, gas, and waste stop moving. Patients can’t eat. They stay in the hospital longer. For older adults, this delay raises the risk of weakness, infection, and readmission.

Current treatments are limited. Some drugs exist, but they have side effects. Many doctors just wait it out. So finding safe, effective ways to speed recovery—especially for older patients—is a big unmet need.

The surprising shift

For years, gut recovery was seen as something you just had to endure. Rest. Wait. Hope it kicks in. Acupuncture was often dismissed as “alternative” with little proof.

But here’s the twist: science is now testing acupuncture—with wires.

Electroacupuncture (EA) isn’t magic. It’s acupuncture with a small electric current added to the needles. Think of it like giving a gentle nudge to a sleepy engine, helping it restart.

This gentle nudge may be exactly what the gut needs after surgery.

Your gut runs on automatic—like breathing or heartbeat. A network of nerves keeps things moving. After surgery, this system gets stunned. It’s like a power outage in a city: lights are out, traffic stops.

Electroacupuncture may act like a generator. It sends mild pulses to key nerve hubs in the abdomen. These pulses may “reboot” the gut’s electrical system.

Imagine a switchboard. After surgery, the switches are off. EA flips them back on—slowly, safely. The signals start flowing again. Muscles in the gut begin to contract. Gas moves. Then stool.

The acupoints used—like Zusanli (ST36) and Tianshu (ST25)—sit near major nerves that connect to the intestines. It’s like plugging into the right outlet.

Researchers studied 72 people having laparoscopic surgery for colon or rectal cancer. Half got real electroacupuncture. Half got fake—needles that didn’t touch the skin and no real current.

The real treatment started the day after surgery. Needles were placed at specific points on the belly and legs. A low electric current ran for 30 minutes, once a day, for five days.

They tracked how fast patients passed gas, had a bowel movement, and how much pain they felt each day.

Patients getting real EA passed gas and had their first bowel movement faster—especially if they were 65 or older.

For older adults, the difference was clear. They had their first bowel movement a full day earlier than those in the fake treatment group.

That’s a big deal. One less day lying in bed. One less day on IV fluids. One less day at risk for complications.

Younger patients also improved, but the effect was strongest in older adults—the very group that needs faster recovery the most.

This doesn’t mean this treatment is available yet.

Pain dropped when function rose

Another win: less pain. By day 4 and 5, patients in the EA group reported lower pain scores.

They didn’t need more painkillers—but they hurt less. That’s rare. Most times, less pain means more drugs. Here, the body healed faster, so pain dropped naturally.

Still, both groups used about the same amount of pain medicine. And hospital stays were similar. Why? Maybe because hospitals discharge patients based on many factors—not just gut function.

No one had serious gut blockages in either group. So EA didn’t cause harm.

What scientists didn’t expect

Age mattered more than expected. The older the patient, the slower the gut recovered—unless they got EA.

In fact, researchers found a strong link: as age went up, recovery time went up too. But EA seemed to break that pattern for patients 65+.

This suggests EA might help offset age-related delays in healing. That’s a fresh idea. Most treatments focus on disease, not aging itself.

If you or a loved one is facing colon surgery—especially if you’re 65 or older—this study offers hope. A safe, drug-free therapy might one day be part of standard care.

But it’s not available yet. This was a small study in one country. EA was given by trained professionals in a hospital setting.

Don’t try this at home. Real EA uses needles and electrical devices. Fake versions sold online won’t help. And improper use could be risky.

Talk to your surgeon. Ask if your hospital offers acupuncture or clinical trials for post-surgery recovery.

Not all good news

The study had limits. Only 72 people took part. That’s small for solid proof. All were from one center in China. Results might differ elsewhere.

Also, while gut function improved, hospital stays didn’t shorten. That’s important. Faster bowel movement didn’t mean faster discharge—yet.

And the fake treatment wasn’t perfect. Patients might have guessed which group they were in, which can affect results.

More trials are needed—larger ones, in different countries. Researchers must confirm if EA shortens hospital stays and reduces complications.

If results hold, EA could become a routine part of recovery—like walking after surgery to prevent clots.

It may take years. But for older adults facing major surgery, a simple daily treatment could one day make healing easier, safer, and faster.

Study Details

Study typeRct
Sample sizen = 72
EvidenceLevel 2
Follow-up780.0 mo
PublishedApr 2026
View Original Abstract ↓
OBJECTIVE: To observe the effect of electroacupuncture (EA) on intestinal function after laparoscopic colorectal cancer surgery. METHODS: A total of 72 patients with malignant tumors of the sigmoid colon or rectum scheduled for laparoscopic surgery were randomly divided into an observation group (36 cases) and a control group (36 cases, 1 case discontinued). The observation group received EA starting from the first postoperative day. Acupoints used included Zhongwan (CV12), Qihai (CV6), and bilateral Quchi (LI11), Tianshu (ST25), Zusanli (ST36), Shangjuxu (ST37), and Xiajuxu (ST39). EA apparatus was connected between bilateral Tianshu (ST25), as well as ipsilateral Zusanli (ST36) and Shangjuxu (ST37), using continuous wave at a frequency of 2 Hz, current intensity of 2 to 3 mA, adjusted to patient tolerance. The control group received sham EA using the same acupoints. For sham EA, the needle tips were inserted into adhesive pads without touching the skin surface, and the EA apparatus was specially modified to be non-conductive, thus preventing any effective current circuit. Both groups were treated once daily for 30 min each time, for five consecutive days. The time to first anal exhaust, time to first defecation, number of postoperative administrations of the analgesic flurbiprofen axetil, and postoperative hospital stay were recorded in the two groups. Numerical rating scale (NRS) score was assessed from postoperative day 1 to 5, and the incidence of postoperative intestinal obstruction within 14 days was also recorded in the two groups. RESULTS: The time to first defecation in the observation group was shorter than that in the control group (<0.01). Among patients aged ≥65 years, the time to first anal exhaust and the time to first defecation in the observation group were earlier than those in the control group (<0.05, <0.01). A positive correlation was found between age and time to first exhaust and defecation (=0.472, =0.604, <0.01). The NRS scores on postoperative day 4 and 5 in the observation group were lower than those in the control group (<0.01, <0.05). There were no statistically significant differences between the two groups in terms of the number of flurbiprofen axetil administrations or length of hospital stay (>0.05). No cases of intestinal obstruction occurred in either group within 14 days postoperatively. CONCLUSION: EA can accelerate the recovery of bowel function after laparoscopic colorectal cancer surgery, which might have greater clinical value for patients aged 65 years or older.
Free Newsletter

Clinical research that matters. Delivered to your inbox.

Join thousands of clinicians and researchers. No spam, unsubscribe anytime.