Barely Significant

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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).