Nasogastric Intubation After Abdominal Surgery

Abstract

To determine whether refraining from nasogastric intubation (NGI) in patients after abdominal surgery will result in the same therapeutic effectiveness as using NGI.

Chewing gum reduces postoperative ileus following abdominal surgery: A meta‐analysis of 17 randomized controlled trials

“…Moreover, a meta‐analysis by Vermeulen et al . suggested that routine nasogastric tube placement serves no benefit on gastrointestinal functions and may even be harmful in patients after modern abdominal surgery . Also, it is uncomfortable.…”

Advantages of fast-track recovery after laparoscopic right hemicolectomy for colon cancer

“…Laparoscopic (LAP) colectomy is clearly associated with many advantages over open techniques, including reduced postoperative pain, earlier recovery of bowel function with earlier resumption of diet, and shorter LOS [5,6]. Many of the elements of FT protocols, such as avoidance of NG tubes and bowel preps, have already been integrated into the recovery regimens of LAP patients [7,8]. These changes in recovery raise the question as to whether FT recovery protocols will be of any added value in recovery after LAP colectomy.…”

Review: routine NG decompression after abdominal surgery delays return of bowel function and increases pulmonary complicationsCommentary

“…However, increasing evidence suggests that routine use of NG decompression does not speed recovery of GI function and may increase pulmonary complications 1 2. The review by Nelson et al confirms previous findings and strengthens the evidence against routine NG decompression.…”