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Compared with control group, the chewing gum group had less time to the first flatus (12.4±2.9 vs. 17.8±2.2 h; P0.001), first bowel sounds heard (17.3±2.8 vs. 25.0±2.5 h; P0.001) and first defecation (51.9±5.2 vs. 76.1±3.8 h; P0.001), but no significant differences were found in the length of hospital stay (11.7±2.1 vs. 11.9±2.5 d; P=0.697) and the postoperative complications (P=0.501). This study demonstrated that chewing gum can promote bowel function recovery in elderly patients after lumbar spinal surgery. This study dem