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Gum-Department of Medical Services Ministry of Public Health of Thailand refers to a sugar-free chewing gum intervention, specifically Clorets Mint Tab Sugar-free gum, evaluated in clinical trials for its ability to accelerate gastrointestinal (GI) recovery after major surgery. Developed as a non-pharmacological protocol by the Department of Medical Services of Thailand, the intervention involves chewing the gum for 30 minutes three times daily starting the morning after surgery. The mechanism of action is based on sham feeding, which stimulates the cephalic-vagal reflex, thereby increasing the secretion of GI hormones like gastrin and neurotensin and promoting bowel motility. This approach aims to reduce the duration of postoperative ileus and shorten hospital stays for patients undergoing procedures such as surgical staging for gynecological cancers.
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