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Clin Colon Rectal Surg 2013; 26(03): 186-190
DOI: 10.1055/s-0033-1351137
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Facilitating Return of Bowel Function after Colorectal Surgery: Alvimopan and Gum Chewing

Deborah Keller
1   Division of Colorectal Surgery, Department of Surgery, University Hospitals Case Medical Center, Cleveland, Ohio
,
Sharon L. Stein
1   Division of Colorectal Surgery, Department of Surgery, University Hospitals Case Medical Center, Cleveland, Ohio
› Author Affiliations
Further Information

Publication History

Publication Date:
19 August 2013 (online)

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Abstract

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.

Keywords

postoperative ileus - alvimopan - chewing gum - health care utilization - enhanced recovery pathways
 

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