Early removing gastrointestinal decompression and early oral feeding improve patients' rehabilitation after colorectostomy

Abstract

The present study shows that application of gastrointestinal decompression after colorectostomy can not effectively reduce postoperative complications. On the contrary, it may increase the incidence rate of fever, pharyngolaryngitis and pulmonary infection. These strategies of early removing gastrointestinal decompression and early oral feeding in the patients undergoing colorectostomy are feasible and safe and associated with reduced postoperative discomfort and can accelerate the return of bowel function and improve rehabilitation.

The Role of Nasogastric Intubation on Postoperative Gastrointestinal Function in Patients with Obstructive Jaundice

“…This is in agreement with Zhou et al's conclusion [8]. According to Cutillo et al [5], patients without the nasogastric tube tolerated a regular diet significantly earlier than did the patients with the nasogastric tube (P value <0.01).…”

“…The time to first passage of flatus after surgery was shorter in the experimental group than in the control group, which confirms the earlier studies by Cutillo et al and Zhou et al [5,8]. These data show that the nasogastric tube postpones return of bowel movements.…”

“…Cutillo et al and Zhou et al [5,8] in different studies concluded that the first defecation occurred earlier in the experimental group (P value <0.01), while according to our data, there was no significant difference between two groups. This discrepancy probably comes from different protocols in starting oral diet.…”

“…Many surgeons refuse abdominal operations without the nasogastric tube because they worry about the risk of aspiration pneumonia, anastomotic leakage, and latent bleeding, but this study and some previous studies such as those by Zhou et al and Lee et al have shown that there is no significant difference in the incidence of postoperative complications between patients with and without the nasogastric tube [8,9].…”

Comparing early oral feeding with traditional oral feeding in upper gastrointestinal surgery

“…Zhou et al (15) showed that when the NGT was not inserted routinely, patients experienced an earlier return of bowel function, a marginal decrease in pulmonary complications, and a marginal increase in wound infection and ventral hernia. Anastomotic leakage was similar in the two groups.…”