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Surg Today. 2017 Sep;47(9):1080-1085. doi: 10.1007/s00595-017-1475-0. Epub 2017 Feb 21.

One-day nasogastric tube decompression after distal gastrectomy: a prospective randomized study.

Author information

1
Department of Surgery, Kindai University Faculty of Medicine, 377-2 Ohno-higashi, Osaka-Sayama, 589-8511, Japan. you-kimura@surg.med.kindai.ac.jp.
2
Department of Surgery, Kano General Hospital, Osaka, Japan.
3
Department of Surgery, Toyonaka Municipal Hospital, Toyonaka, Japan.
4
Department of Surgery, Sakai City Medical Center, Sakai, Japan.
5
Department of Surgery, NTT West Osaka Hospital, Osaka, Japan.
6
Department of Surgery, Kindai University Faculty of Medicine, 377-2 Ohno-higashi, Osaka-Sayama, 589-8511, Japan.

Abstract

PURPOSE:

Many surgeons in Japan use 1-day nasogastric tube (NGT) decompression after gastrectomy as a standard procedure. This prospective randomized study aimed to define whether 1-day NGT decompression is necessary after distal gastrectomy.

METHODS:

The subjects were 233 patients with gastric cancer, randomized into two groups immediately after distal gastrectomy: one group received 1-day NGT decompression (NGT group, n = 119) and the other did not (no-NGT group, n = 114). The primary outcome measure was postoperative surgery-related and respiratory complications, whereas secondary measures were the postoperative course to recovery and patient complaints.

RESULTS:

The incidence of surgery-related complications did not differ significantly between the NGT and no-NGT groups (21.0 and 19.2%, respectively; p = 0.87). The rate of respiratory complications was 6.7% in the NGT group and 7.0% in the no-NGT group (p > 0.99). The time to passage of first flatus and the postoperative hospital stay did not differ between the groups. Twenty-five patients in the NGT group and none in the no-NGT group complained of nasopharyngeal discomfort (p < 0.0001).

CONCLUSION:

Considering the physical discomfort caused by the NGT, we believe that routine 1-day NGT decompression is unnecessary after distal gastrectomy.

KEYWORDS:

Distal gastrectomy; Nasogastric tube; Randomized trial

PMID:
28224234
DOI:
10.1007/s00595-017-1475-0
[Indexed for MEDLINE]

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