Does the nasogastric tube has a role in elective colo- rectal surgery?

被引:1
作者
Palmieri, R. Macarone [1 ]
Amodio, P. M. [1 ]
Rizzello, M. [1 ]
Goglia, A. [1 ]
Piciollo, M. [1 ]
Piccioni, E. [1 ]
Guglielmelli, P. [1 ]
Rubino, F. [1 ]
机构
[1] Belcolla Hosp, Gen Surg, Viterbo, Italy
来源
GIORNALE DI CHIRURGIA | 2012年 / 33卷 / 03期
关键词
Nasogastric decompression; Colo-rectal surgery; Postoperative nausea and vomiting; Perioperative management;
D O I
暂无
中图分类号
R61 [外科手术学];
学科分类号
摘要
Introduction. Routine use of nasogastric tubes (NGT) after abdominal operations is intended to hasten the return of bowel function, diminish the risk of anastomotic leakage and prevent pulmonary complications. The aim of our study was to prospectively assess the tolerability and the safety of the non use of NGT after elective colorectal open operations. Patients and methods. Between March 2009 and December 2010, 110 consecutive patients underwent colo-rectal elective open surgery for neoplasm without nasogastric decompression. We analyzed the incidence of nausea and vomiting, the pulmonary complications, the return of bowel function the deep wound breakdown (fascial dehiscence) and the anastomotic leakage. Results. Only 15 patients (13,6%) reported nausea without vomiting immediately after surgery and 9 cases of vomiting were observed (8%), requiring the insertion of the NGT (nasogastric tube) in 5 (4,5%). A total of 105 patients (96,3%) were NGT free. No deep wound dehiscence was observed and only one real pneumonia occurred. Anastomotic dehiscence occured in 4 patients (3,6%) and a second surgical procedure was needed in three cases. The return of bowel function, except in the last four patients, occurred in 3,8 days average (range 2-7 days). Conclusion. We confirm the uselessness of the NGT in the framework of fast track program adopted in elective open colo-rectal surgery.
引用
收藏
页码:58 / 61
页数:4
相关论文
共 22 条
  • [1] Functional recovery after open versus laparoscopic colonic resection - A randomized, blinded study
    Basse, L
    Jakobsen, DH
    Bardram, L
    Billesbolle, P
    Lund, C
    Mogensen, T
    Rosenberg, J
    Kehlet, H
    [J]. ANNALS OF SURGERY, 2005, 241 (03) : 416 - 423
  • [2] Is nasogastric or nasojejunal decompression necessary after gastrectomy?: A prospective randomized trial
    Carrere, Nicolas
    Seulin, Patrick
    Julio, Charles Henri
    Bloom, Eric
    Gouzi, Jean-Luc
    Pradere, Bernard
    [J]. WORLD JOURNAL OF SURGERY, 2007, 31 (01) : 122 - 127
  • [3] A METAANALYSIS OF SELECTIVE VERSUS ROUTINE NASOGASTRIC DECOMPRESSION AFTER ELECTIVE LAPAROTOMY
    CHEATHAM, ML
    CHAPMAN, WC
    KEY, SP
    SAWYERS, JL
    [J]. ANNALS OF SURGERY, 1995, 221 (05) : 469 - 478
  • [4] THE ROLE OF NASOINTESTINAL INTUBATION IN ELECTIVE COLONIC SURGERY
    COLVIN, DB
    LEE, W
    EISENSTAT, TE
    RUBIN, RJ
    SALVATI, EP
    [J]. DISEASES OF THE COLON & RECTUM, 1986, 29 (05) : 295 - 299
  • [5] CONDON RE, 1982, CLIN GASTROENTEROL, V11, P609
  • [6] CUNNINGHAM J, 1992, CAN J SURG, V35, P629
  • [7] Nasojejunal tube placement after total gastrectomy - A multicenter prospective randomized trial
    Doglietto, GB
    Papa, V
    Tortorelli, AP
    Bossola, M
    Covino, M
    Pacelli, F
    [J]. ARCHIVES OF SURGERY, 2004, 139 (12) : 1309 - 1313
  • [8] GERBER A, 1963, SURG GYNECOL OBSTET, V117, P294
  • [9] Comparison of gastric cancer surgery with versus without nasogastric decompression
    Lee, JH
    Hyung, WJ
    Noh, SH
    [J]. YONSEI MEDICAL JOURNAL, 2002, 43 (04) : 451 - 456
  • [10] Lei WZ, 2004, WORLD J GASTROENTERO, V10, P1998