Chewing Gum for Ileus Post-op

There has been some evidence for chewing gum for ileus after abdominal surgery and it is a common practice. This study finds: “The addition of chewing gum to an ERAS postoperative care pathway after elective abdominal surgery does not reduce the LOS, time to bowel recovery or the rate of postoperative complications”.

Whike it may be effective, it may add nothing to modern enhanced recovery protocols involving early feeding and mobilization along with opioid sparing multimodal analgesia.

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