When excluding the outlier studies from these meta analyses, the effect of chewing gum on both time to first flatus and time to first bowel movement interestingly became closely significant (respectively SMD = − 0.07; 95%CI − 0.19:0.06 and SMD = − 0.24; 95%CI − 0.5;0.01) (Figs. 4 B and 5 B).
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Comparison of treatment to improve gastrointestinal functions after colorectal surgery within enhanced recovery programmes: a systematic review and meta-analysis.
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