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505
Chewing Gum After Radical Cystectomy With Urinary Diversion for Recovery of Intestinal Function: A Systematic Review
Craig S Atkins1, Tito D Tubog1, Scott K Schaffer1
1Texas Wesleyan University, Fort Worth, TX.
Summary
Chewing gum can accelerate bowel function recovery after radical cystectomy. This simple intervention speeds up the return of bowel function and flatus, though it does not impact hospital stay or postoperative ileus incidence.
Area of Science:
- Urology
- Gastroenterology
- Surgical Recovery
Background:
- Radical cystectomy is a major surgery for bladder cancer.
- Postoperative recovery of intestinal function is crucial for patient outcomes.
- Interventions to expedite bowel function recovery are of significant clinical interest.
Purpose of the Study:
- To evaluate the efficacy of chewing gum in enhancing intestinal function recovery post-radical cystectomy.
- To synthesize current evidence on the impact of chewing gum on postoperative bowel function.
Main Methods:
- A systematic review and meta-analysis were conducted.
- Searches included multiple databases (PubMed, CINAHL, EMBASE, etc.) and grey literature.
- Two trials involving 100 patients were analyzed.
Main Results:
- Chewing gum significantly accelerated bowel function recovery (MD, -16.00; P < .00001).
- Time to flatus was reduced with chewing gum use (MD, -14.81; P < .0001).
- No significant effect was observed on length of stay or postoperative ileus incidence.
Conclusions:
- Chewing gum is a cost-effective intervention to improve bowel function return after radical cystectomy.
- Further high-quality research is needed due to low evidence quality.
- The findings support the use of chewing gum as an adjunct in postoperative care.
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