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To evaluate the efficacy of chewing in the recovery of intestinal function after radical cystectomy. Systematic review and meta-analysis. Following the PRISMA statement, PubMed, CINAHL, Google Scholar, Cochrane Review Database, EMBASE, Scopus, and grey literature were searched for evidence. The analysis included 2 trials with 100 patients. Compared to placebo, chewing gum resulted in faster recovery of bowel function (mean difference [MD], -16.00; 95% confidence interval [CI], -18.67 to -13.32; P .00001). In addition, chewing gum de