Reasonable Time for Removal of the Nasogastric Tube after a Radical Gastrectomy.
- Author:
Cheol Yong SONG
1
;
Byung Suk PARK
;
Sung Joon KWON
;
Young Seok PARK
;
Oh Jung KWON
;
Pa Jong JUNG
;
Kwang Soo LEE
;
Jin Young KWAK
;
Kyu Young JUN
;
Chi Kyooh WON
Author Information
1. Department of Surgery, College of Medicine, Hanyang University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Gastrectomy;
Nasogastric tube decompression;
Removal time
- MeSH:
Decompression;
Gastrectomy*;
Gastrointestinal Motility;
Humans;
Lymph Node Excision;
Mortality;
Nerve Fibers;
Retrospective Studies;
Stomach Neoplasms
- From:Journal of the Korean Surgical Society
1997;53(6):809-816
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The necessity for routine prophylactic nasogastric tube decompression after a gastrectomy is still in controversy. Several reports have indicated that nasogastric tube decompression is unnecessary and that the tube may even be harmful with serious discomforts. A D2 gastrectomy (which means a D2 lymph node dissection during gastric cancer surgery) for a gastric carcinoma is an extensively destructive procedure which takes a longer operation time than a conventional gastrectomy, destroys both sympathetic and parasympathetic nerve fibers in the upper retroperitoneum, and may interfere with the gastrointestinal motility after the operation. Therefore, we have carried out a retrospective study with 206 gastrectomized gastric-cancer patients to evaluate the necessity of nasogastric tube decompression and whether the tube influences the gas-passing time, the morbidity, and mortality after operation.
