Usefulness of Nasogastric Decompression Following Elective Gastric Cancer Surgery: A Randomized Prospective Study.
- Author:
Tae Eel RHEE
1
;
Dong Pyo LIM
;
Sung Yeub RYU
;
Dong Yi KIM
;
Young Jin KIM
;
Shin Kon KIM
Author Information
1. Department of Surgery, Chonnam National University Medical School, Gwangju, Korea. kimyjin@chonnam.ac.kr
- Publication Type:Randomized Controlled Trial ; Original Article
- Keywords:
Nasogastric decompression;
Gastric cancer surgery
- MeSH:
Anastomotic Leak;
Decompression*;
Emergencies;
Flatulence;
Gastric Outlet Obstruction;
Humans;
Length of Stay;
Nausea;
Pharyngitis;
Prospective Studies*;
Stomach Neoplasms*;
Unnecessary Procedures;
Walking;
Wounds and Injuries
- From:Journal of the Korean Surgical Society
2002;62(1):52-56
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Traditionally, nasogastric decompression has been a routine procedure following major abdominal surgery or gastrointestinal surgery. This prospective, randomized controlled trial was performed in order to evaluate the usefulness of nasogastric decompression following elective gastric cancer surgery. METHODS: This study was carried out prospectively. A total of 95 patients were randomly divided into two groups, group I (45 patients with nasogatric tube) and group II (50 patients without nasogastric tube). Patients receiving emergency surgery due to gastric outlet obstruction were excluded from this study. The data was analysed by chi-square test, T-test and Mann-Whitney U test with the level of significance set at P<0.05. RESULTS: No significant differences were found between the two groups in regards to nausea, vomting, distension, anastomotic leak or wound dehiscence. However, longer hospital stay, delayed passage of flatus, delayed initiation of ambulation, delayed start of feeding and sore throat occurred more often in group I patients than in group II patients. CONCLUSION: The result showed that the routine prophylactic use of nasogastric decompression following gastric cancer surgery is an unnecessary procedure and does not offer any considerable advantage.
