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Gum chewing speeds postop ileus resolution.(Gynecology)

OB GYN News

| December 01, 2005 | Kirn, Timothy F. | COPYRIGHT 2005 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

SAN FRANCISCO -- A pack of chewing gum can save laparoscopic abdominal surgery patients over $500 in hospitalization costs?

That's what a randomized study of postoperative ileus and "sham feeding" found.

Estimates are that half of inpatient abdominal and pelvic surgery patients do not have a return of bowel function for 4 days, and 25% have not had a return by 6 days. The cost of postoperative ileus nationally is estimated to be $750 million to $1 billion a year.

A number of investigators have begun to explore the use of sham feeding--that is, chewing without swallowing food--to see whether it can cause cholinergic stimulation of the gut and speed the return to normal bowel function following abdominal surgery.

This study took that concept to the next level, James T. McCormick, D.O., said at the annual clinical congress of the American College of Surgeons. It found that laparoscopic colectomy patients randomized to chewing four sticks of gum a day had their first defecation and were discharged from the hospital almost a ...

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Source: HighBeam Research, Gum chewing speeds postop ileus resolution.(Gynecology)

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