Prophylactic nasogastric decompression after abdominal surgery

Enhanced Recovery Pathway for Right and Left Colectomy: Comparison of Functional Recovery

“…Detailed analysis of compliance with the intended ERAS protocol showed significant differences between the two groups for three items only; we found a higher rate of epidurals and prophylactic nasogastric tubes in the right colectomy group but a lower tolerance of oral supplements on POD 1. In line with the findings of Nelson et al [35], our results confirm that prophylactic nasogastric drainage-nasogastric tube inserted in operating room and left in place in the postoperative phase-does not prevent ileus. The use of epidurals for colorectal surgery remains controversial, especially for laparoscopic resections.…”

Enhanced Recovery Pathway for Right and Left Colectomy: Comparison of Functional Recovery

“…Detailed analysis of compliance with the intended ERAS protocol showed significant differences between the two groups for three items only; we found a higher rate of epidurals and prophylactic nasogastric tubes in the right colectomy group but a lower tolerance of oral supplements on POD 1. In line with the findings of Nelson et al [35], our results confirm that prophylactic nasogastric drainage-nasogastric tube inserted in operating room and left in place in the postoperative phase-does not prevent ileus. The use of epidurals for colorectal surgery remains controversial, especially for laparoscopic resections.…”

The 2024 Korean Enhanced Recovery After Surgery guidelines for colorectal cancer

“…The necessity of nasogastric tube insertion during surgery has been widely researched in abdominal surgeries over the years. A Cochrane review published in 2007 concluded that routine insertion of nasogastric tubes for decompression purposes in all patients undergoing abdominal surgery is unnecessary [109]. Our meta-analysis also revealed results consistent with those of similar studies.…”

Analysis of the Effect of Early Versus Conventional Nasogastric Tube Removal on Postoperative Complications After Transthoracic Esophagectomy: A Single‐Center, Randomized Controlled Trial

“…Some surgeons have concerns pertaining to whether, in the absence of NG tube decompression, the degree of aspiration pneumonia, anastomotic leakage, or the delayed detection of postoperative gastrointestinal bleeding may be exacerbated. However, recent studies have suggested that NG tube decompression is not necessary in some gastrointestinal surgeries, as well as that NG tube intubation may increase the morbidity of postoperative complications [14][15][16][17][18]. Although we could not detect a reduction in the rate of postoperative complications, we also did not observe the exacerbation of complications with early NG tube removal.…”

Enhanced Recovery Pathway for Right and Left Colectomy: Comparison of Functional Recovery

“…Detailed analysis of compliance with the intended ERAS protocol showed significant differences between the two groups for three items only; we found a higher rate of epidurals and prophylactic nasogastric tubes in the right colectomy group but a lower tolerance of oral supplements on POD 1. In line with the findings of Nelson et al [35], our results confirm that prophylactic nasogastric drainage-nasogastric tube inserted in operating room and left in place in the postoperative phase-does not prevent ileus. The use of epidurals for colorectal surgery remains controversial, especially for laparoscopic resections.…”

The 2024 Korean Enhanced Recovery After Surgery guidelines for colorectal cancer

“…The necessity of nasogastric tube insertion during surgery has been widely researched in abdominal surgeries over the years. A Cochrane review published in 2007 concluded that routine insertion of nasogastric tubes for decompression purposes in all patients undergoing abdominal surgery is unnecessary [109]. Our meta-analysis also revealed results consistent with those of similar studies.…”

Analysis of the Effect of Early Versus Conventional Nasogastric Tube Removal on Postoperative Complications After Transthoracic Esophagectomy: A Single‐Center, Randomized Controlled Trial

“…Some surgeons have concerns pertaining to whether, in the absence of NG tube decompression, the degree of aspiration pneumonia, anastomotic leakage, or the delayed detection of postoperative gastrointestinal bleeding may be exacerbated. However, recent studies have suggested that NG tube decompression is not necessary in some gastrointestinal surgeries, as well as that NG tube intubation may increase the morbidity of postoperative complications [14][15][16][17][18]. Although we could not detect a reduction in the rate of postoperative complications, we also did not observe the exacerbation of complications with early NG tube removal.…”

Enhanced Recovery Pathway for Right and Left Colectomy: Comparison of Functional Recovery

“…Detailed analysis of compliance with the intended ERAS protocol showed significant differences between the two groups for three items only; we found a higher rate of epidurals and prophylactic nasogastric tubes in the right colectomy group but a lower tolerance of oral supplements on POD 1. In line with the findings of Nelson et al [35], our results confirm that prophylactic nasogastric drainage-nasogastric tube inserted in operating room and left in place in the postoperative phase-does not prevent ileus. The use of epidurals for colorectal surgery remains controversial, especially for laparoscopic resections.…”

The 2024 Korean Enhanced Recovery After Surgery guidelines for colorectal cancer

“…The necessity of nasogastric tube insertion during surgery has been widely researched in abdominal surgeries over the years. A Cochrane review published in 2007 concluded that routine insertion of nasogastric tubes for decompression purposes in all patients undergoing abdominal surgery is unnecessary [109]. Our meta-analysis also revealed results consistent with those of similar studies.…”

Analysis of the Effect of Early Versus Conventional Nasogastric Tube Removal on Postoperative Complications After Transthoracic Esophagectomy: A Single‐Center, Randomized Controlled Trial

“…Some surgeons have concerns pertaining to whether, in the absence of NG tube decompression, the degree of aspiration pneumonia, anastomotic leakage, or the delayed detection of postoperative gastrointestinal bleeding may be exacerbated. However, recent studies have suggested that NG tube decompression is not necessary in some gastrointestinal surgeries, as well as that NG tube intubation may increase the morbidity of postoperative complications [14][15][16][17][18]. Although we could not detect a reduction in the rate of postoperative complications, we also did not observe the exacerbation of complications with early NG tube removal.…”