Key result
Chewing gum and pharmacological treatment with alvimopan are safe and simple tools to reduce postoperative ileus and associated costs after colorectal surgery.
Why the study?
Do alvimopan and chewing gum reduce postoperative ileus and length of stay in patients undergoing colorectal surgery?
Do alvimopan and chewing gum reduce postoperative ileus and length of stay in patients undergoing colorectal surgery?
Alvimopan and chewing gum are highlighted as safe and simple tools to reduce postoperative ileus and hospital length of stay after colorectal surgery.
Answers are grounded in this paper and cite their sources.
May support gum chewing and alvimopan in colorectal ERAS pathways; leaves open need for confirmatory RCTs.
Postoperative ileus is common after colorectal surgery, and has a huge impact on hospital LOS. With the impeding cost crisis in the United States, safely reducing length of stay is essential. Chewing gum and pharmacological treatment with alvimopan are safe, simple tools to reduce postoperative ileus and its associated costs. Future research will determine if integrating these tools with laparoscopic procedures and enhanced recovery pathways is a best practice in colorectal surgery.
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Keller et al. (2013) conducted a review in Postoperative ileus after colorectal surgery. Alvimopan and chewing gum was evaluated. Chewing gum and pharmacological treatment with alvimopan are safe and simple tools to reduce postoperative ileus and associated costs after colorectal surgery.
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