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

Jangjoo, Ali; Mohammadipoor, Fatemeh; Fazel, Alireza; Bahar, Mostafa Mehrabi; Aliakbarian, Mohsen; Nooghabi, Mehdi Jabbari

doi:10.1007/s12262-011-0391-6

Cited by 6 publications

(6 citation statements)

References 11 publications

(17 reference statements)

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“…Recently, several studies on nasogastric intubation questioned its efficacy in upper gastrointestinal surgery. 30,31,32 The insertion of a nasogastric tube could postpone the return of bowel sounds and increase the incidence of nausea and patient discomfort, but it does not affect the incidence of postoperative ileus. 30 The fluid lost by intubation is predominantly alkaline and this leads to acidosis.…”

Section: Postoperative Ileusmentioning

confidence: 99%

“…30,31,32 The insertion of a nasogastric tube could postpone the return of bowel sounds and increase the incidence of nausea and patient discomfort, but it does not affect the incidence of postoperative ileus. 30 The fluid lost by intubation is predominantly alkaline and this leads to acidosis. Parenteral infusion of normal saline should thus be supplemented by lactate or carbonate or by a balanced salt solution (Ringer's or Hartmann's solution).…”

Section: Postoperative Ileusmentioning

confidence: 99%

“…Conservative treatment often succeeds in postoperative ileus and contractility could return, particularly if electrolyte and fluid balance can be restored. Recently, several studies on nasogastric intubation questioned its efficacy in upper gastrointestinal surgery 30,31,32 . The insertion of a nasogastric tube could postpone the return of bowel sounds and increase the incidence of nausea and patient discomfort, but it does not affect the incidence of postoperative ileus 30 .…”

Section: Treatment Of Paralytic Ileusmentioning

confidence: 99%

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Perspectives on paralytic ileus

Weledji

2020

Acute Medicine & Surgery

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Paralytic ileus is the condition where the motor activity of the bowel is impaired, usually not associated with a mechanical cause. Although the condition may be self‐limiting, it is serious and if prolonged and untreated will result in death in much the same way as in acute mechanical obstruction. Management of paralytic ileus depends on the knowledge of the most likely cause and the perceived chance of resolution without operation. Postoperative ileus is the single largest factor influencing length of hospital stay after bowel resection, and has great implications for patients and resource utilization. Early diagnosis and correct management is essential in reducing complications. This article briefly outlined the plausible pathophysiological mechanisms and clinical implications of paralytic ileus.

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Section: Postoperative Ileusmentioning

confidence: 99%

Section: Postoperative Ileusmentioning

confidence: 99%

Section: Treatment Of Paralytic Ileusmentioning

confidence: 99%

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Perspectives on paralytic ileus

Weledji

2020

Acute Medicine & Surgery

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“…It has been shown that NGT insertion during or after surgery increases the esophageal-gastric reflux recurrence, and even, its duration (6,7). Mandal showed that reverse Sellick's maneuver with neck flexion, lateral neck pressure, and guided-wire techniques were better options than the conventional method in intubated patients (8).…”

Section: Introductionmentioning

confidence: 99%

Feasibility of Nasogastric Tube Insertion in Conscious Patients: Conventional Method vs. SORT Method

et al. 2020

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Background: Nasogastric tube (NGT) insertion is one of the most common procedures in the Emergency Department (EDs). Objectives: This study aimed to evaluate the ease of NGT installation using the conventional method and the SORT method. Methods: We conducted a randomized clinical trial in a university hospital on 200 patients who required NGT insertion during Mar-Sep, 2019. The patients were randomly divided into two groups of 100 patients each, receiving the SORT and conventional methods. Finally, the feasibility of NGT insertion was examined in the two groups using the frequency of NGT insertion attempts, pain during insertion (based on the VAS score of 1 - 10), patient satisfaction with the procedure (rating of 1 - 10), and incidence of complications. Results: There was no significant difference between the two groups in terms of age, body mass index, sex, and history of NGT use. However, the mean patient satisfaction score was higher (P < 0.05), whereas the mean pain score was lower (P < 0.05) in the group receiving the conventional method compared to the other group. Moreover, there was no statistically significant difference in complications (P > 0.05). Conclusions: The study showed that using the conventional method in comparison with the SORT method was significantly better for NGT insertion in conscious patients in terms of patient satisfaction and pain relief. Therefore, it is recommended not to use the SORT method in conscious patients.

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“…Recovery is accelerated by correcting any fluid or electrolyte deficiencies by infusion of fluids and nutrients through the gastrointestinal tract, and by means of "degrading" of the small intestine by how to decompress the stomach. Hypokalemia requires special attention [20].…”

Section: Managementmentioning

confidence: 99%

Prevalence and Updated Management of Paralytic Ileus: A Simple Review

Alahmari

Alsuayri

Alsadi

et al. 2021

JPRI

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The study aims to summarize the updated evidence regards, epidemiology, causes, clinical manifestations, and management of paralytic ileus. Lower abdominal surgical procedure, particularly big open cuts and increased bowel operations, is linked with an increased hazard of bowel obstruction. Though, numerous risk issues have been revealed to upsurge the probability and resistance of intestinal obstruction, such as prolonged abdominal / pelvic surgery, lower gastrointestinal (GI) surgery, open surgery, retroperitoneal spine surgery, opioid use, cancer peritoneal, intra-abdominal inflammation (sepsis / peritonitis), delayed enteral nutrition or nasogastric (NG) tube placement, and hypokalemia. Signs of intestinal obstruction are tachycardia caused by any interruption of movement, absence of abdominal pain, abdominal distention and tenderness, shortness of breath, and hypovolemia. Bowel sounds disappear and flatulence is not discharged, leading to gastric stasis, which can cause hiccups, discomfort, and easy vomiting. Preventive measures include avoiding unnecessary exposure and over-processing of the intestine or traction of the mesentery. Treatment is conservative, as this condition is mostly self-limited. Pharmacologic Therapy have little place, but there are some exceptions of adequate values.

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

Cited by 6 publications

References 11 publications

Perspectives on paralytic ileus

Perspectives on paralytic ileus

Feasibility of Nasogastric Tube Insertion in Conscious Patients: Conventional Method vs. SORT Method

Prevalence and Updated Management of Paralytic Ileus: A Simple Review

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