Comparison of Gastric Cancer Surgery with Versus without Nasogastric Decompression.
10.3349/ymj.2002.43.4.451
- Author:
Jun Ho LEE
1
;
Woo Jin HYUNG
;
Sung Hoon NOH
Author Information
1. Department of Surgery, Yonsei University College of Medicine, Seoul, Korea. sunghoonn@yumc.yonsei.ac.kr
- Publication Type:Original Article ; Clinical Trial ; Comparative Study ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
- Keywords:
Gastric cancer;
surgery;
nasogastric decompression
- MeSH:
Adult;
Aged;
Comparative Study;
Female;
Human;
*Intubation, Gastrointestinal;
Male;
Middle Age;
Postoperative Complications/etiology;
Prospective Studies;
Stomach Neoplasms/*surgery
- From:Yonsei Medical Journal
2002;43(4):451-456
- CountryRepublic of Korea
- Language:English
-
Abstract:
There is a widespread belief that nasogastric decompression in gastric cancer surgery allows better surgical field and leads to the reduction of postoperative complications. The aim of this study was to evaluate whether gastric cancer surgery can be safely performed without nasogastric decompression. From March to June 2000, 119 patients with gastric adenocarcinoma were randomized into either a tubeless group (n=56) or an intubated group (n=63). Exclusion criteria included a history of upper gastrointestinal bleeding and pyloric obstruction. No remarkable difference was found in the incidence of complications in the tubeless and intubated groups (mean 10.9%, p=0.945). The incidence of nasogastric tube insertion in the tubeless group was similar to the incidence of nasogastric tube reinsertion in the intubated group (p=0.747). Time to pass flatus was not different in the two groups (p=0.054), nor was the length of hospital stay (p=0.148). These results suggest that gastric cancer surgery can be performed safely without nasogastric decompression.
