Title: The effect of chewing gum on postoperative ileus after laparotomy for gastroduodenal
perforations: A randomized controlled trial.
Version: 3 Date: 26 Dec 2024
Reviewer:  Akira Umemura
Reviewer's report:
The  authors have described a case of PPCCC complicated with peptic ulcer disease. However,
I do not have any ideas about direct relationships between PPCCC and peptic ulcer disease.
Simply complicated situation can not bring scientific findings for readers. The authors have to
investigate this issue more concisely.
In addition, there are too few figures for readers. The highlight of this article is intraoperative
findings and pathological examinations. They have to present these findings by more pictures.
Moreover, treatment of ulcers should be presented by figures.
They concluded that immediate  multidisciplinary efforts are essential for cases like this case.
It is not the conclusion you should emphasize.
Title: The effect of chewing gum on postoperative ileus after laparotomy for gastroduodenal
perforations: A randomized controlled trial.
Version: 3 Date: 26 Dec 2024
Reviewer:  Akira Umemura
Reviewer's report:
The  authors have described a case of PPCCC complicated with peptic ulcer disease. However,
I do not have any ideas about direct relationships between PPCCC and peptic ulcer disease.
Simply complicated situation can not bring scientific findings for readers. The authors have to
investigate this issue more concisely.
In addition, there are too few figures for readers. The highlight of this article is intraoperative
findings and pathological examinations. They have to present these findings by more pictures.
Moreover, treatment of ulcers should be presented by figures.
They concluded that immediate  multidisciplinary efforts are essential for cases like this case.
It is not the conclusion you should emphasize.
Please review this paper.
user
Title: The effect of chewing gum on postoperative ileus after laparotomy for gastroduodenal
perforations: A randomized controlled trial.
Version: 3 Date: 26 Dec 2024
Reviewer:  Akira Umemura
Reviewer's report:
The  authors have described a case of PPCCC complicated with peptic ulcer disease. However,
I do not have any ideas about direct relationships between PPCCC and peptic ulcer disease.
Simply complicated situation can not bring scientific findings for readers. The authors have to
investigate this issue more concisely.
In addition, there are too few figures for readers. The highlight of this article is intraoperative
findings and pathological examinations. They have to present these findings by more pictures.
Moreover, treatment of ulcers should be presented by figures.
They concluded that immediate  multidisciplinary efforts are essential for cases like this case.
It is not the conclusion you should emphasize.
assistant