A Randomized Controlled Trial of Postoperative Nasogastric Tube Decompression in Gynecologic Oncology Patients Undergoing Intra-Abdominal Surgery

Pearl, Michael L.; Valea, Fidel A.; Fischer, Margaret; Chalas, Eva

doi:10.1097/00006254-199704000-00012

Cited by 3 publications

(13 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One9 was a follow‐up report with a new outcome (ventral hernia) from a group of patients reported previously7. A broad range of abdominal surgery was covered in these papers; there were seven on colorectal surgery3, 7, 10–14, seven on gastroduodenal surgery2, 15–20, two each on biliary21, 22 and gynaecological23, 24 surgery, one each on vascular25 and emergency trauma26 surgery, and seven that included all facets of abdominal surgery1, 4, 6, 27–30. The included publications described 4195 participants, 2108 randomized to prophylactic nasogastric tube insertion for postoperative decompression, and 2087 randomized to no tube in the postoperative period.…”

Section: Resultsmentioning

confidence: 99%

Systematic review of prophylactic nasogastric decompression after abdominal operations

Nelson

Tse

Edwards

2005

British Journal of Surgery

221

View full text Add to dashboard Cite

show abstract

Section: Resultsmentioning

confidence: 99%

Systematic review of prophylactic nasogastric decompression after abdominal operations

Nelson

Tse

Edwards

2005

British Journal of Surgery

221

View full text Add to dashboard Cite

show abstract

“…1,19,[22][23][24][25][26][27][28][29] Randomization was based on a computerized randomization table only in 3 trials. [30][31][32] Therefore, concealment of allocation was ensured only in these 3 trials. The nature of the intervention made blinding impossible for patients and medical professionals.…”

Section: Trial Qualitymentioning

confidence: 99%

“…In the early-removal group, NGI was terminated at the end of the operation in 53% (9/17) of the trials. 3,4,20,23,[26][27][28][29]32 In 4 trials, 19,25,30,31 NGI was discontinued within 24 hours after surgery. In the remaining 4 trials, 1,21,22,24 patients received no NGI at all.…”

Section: Trial Characteristicsmentioning

confidence: 99%

“…In the remaining 4 trials, 1,21,22,24 patients received no NGI at all. In 14 trials, the routinely placed NGI was removed "late," when first flatus passed, 1,4,19,21,25,26,30 bowel sounds returned, 3,27,31 GI functions returned, 24,32 peristalsis returned, 20 or the ileus seemed to be resolved. 2 In 3 trials, the NGI was removed after at least 24 hours 28 or after 3 days.…”

Section: Trial Characteristicsmentioning

confidence: 99%

See 1 more Smart Citation

Nasogastric Intubation After Abdominal Surgery

Vermeulen

Storm‐Versloot

Busch³

et al. 2006

Arch Surg

View full text Add to dashboard Cite

show abstract

“…[3][4][5][6][7][8][9][10][11][12][13] Several series presented no differences between two groups found in terms of wound infection. 8,12 So wound dehiscence is not considered as parameter to compare between two groups in our study design. On the other hand Cheadle 6 reported 6 patients in Group I and 4 patients in Group II, while Bauer et al 3 had 3 patients in Group I and 2 patients in Group II.…”

Section: Discussionmentioning

confidence: 99%

Study of Practices of Use of Nasogastric Tube Decompression in Gastrointestinal Tract Surgery

Naniwadekar¹,

Shinde²,

Tata³

et al. 2017

jemds

View full text Add to dashboard Cite

BACKGROUND Since its inception by Levin in 1921 and popularisation by Wangensteen in 1933, nasogastric suction has become one of the routine procedures in postoperative abdominal surgery and yet there is little scientific justification. With the advent of fast track and day care surgery in this modern era, the search for postoperative care protocols which reduces costs, post-operative morbidity and shortens the duration of hospital stay continues to dominate surgical practice. MATERIALS AND METHODS The study design is an observational prospective one, conducted in the Department of Surgery of Krishna Hospital and Medical Sciences, Karad. Over a period of 18 months between August 2014 and May 2016, a total of 314 cases of both sexes admitted to surgical wards and underwent emergency or elective abdominal operations were collected. Inclusion criteria included all gastrointestinal tract surgeries. Exclusion criteria included patients who underwent oesophagectomy (These patients needs nasogastric tube as an absolute indication) and patients of gynaecological surgeries. Patients were allocated into two groups: Group I (Those with nasogastric tube) and Group II (Those without nasogastric tube) and in both groups patients were divided into elective and emergency cases. RESULTS The distribution of duration of hospital stay differs significantly across two study groups (P value < 0.001). Significantly higher proportion of cases from Group 1 had higher length of hospital stay compared to Group 2 cases (P value < 0.001). The distribution of duration of hospital stay differs significantly across two study groups (P value < 0.001). Significantly, higher proportion of cases from Group 1 had higher length of hospital stay compared to Group 2 cases (P value < 0.001). The distribution of duration of postoperative return of bowel sound differs significantly across two study groups (P value < 0.001). Significantly, higher proportion of cases from Group 1 had higher duration of postoperative return of bowel sound compared to Group 2 cases (P value < 0.001). The distribution of incidence of pulmonary complications did not differ significantly across two study groups (P value > 0.05). CONCLUSION The study recommends that routine use of NGT in patients undergoing abdominal surgery is unnecessary and unjustified. It should only be used in specific cases as a therapeutic measure, especially in those who present with gross abdominal distension and excessive vomiting. Postoperatively, nasogastric decompression should be continued in surgeries of upper gastrointestinal tract like intestinal perforation primary closure, resection and anastomosis of upper gastrointestinal tract, biliary tract surgeries where upper gastrointestinal tract has been used for anastomosis and adhesiolysis surgeries, where patient usually remains in postoperative ileus. In these cases, nasogastric tubes should be used as a therapeutic rather than a prophylactic tool.

show abstract

A Randomized Controlled Trial of Postoperative Nasogastric Tube Decompression in Gynecologic Oncology Patients Undergoing Intra-Abdominal Surgery

Cited by 3 publications

References 0 publications

Systematic review of prophylactic nasogastric decompression after abdominal operations

Systematic review of prophylactic nasogastric decompression after abdominal operations

Nasogastric Intubation After Abdominal Surgery

Study of Practices of Use of Nasogastric Tube Decompression in Gastrointestinal Tract Surgery

Contact Info

Product

Resources

About