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19.05.2016 | Original Article | Ausgabe 7/2016

Journal of Gastrointestinal Surgery 7/2016

Randomized Controlled Trial for Evaluation of the Routine Use of Nasogastric Tube Decompression After Elective Liver Surgery

Zeitschrift:
Journal of Gastrointestinal Surgery > Ausgabe 7/2016
Autoren:
Hirofumi Ichida, Hiroshi Imamura, Jiro Yoshimoto, Hiroyuki Sugo, Yoichi Ishizaki, Seiji Kawasaki

Abstract

Background

The value of routine nasogastric tube (NGT) decompression after elective hepatetctomy is not yet established. Previous studies in the setting of non-liver abdominal surgery suggested that the use of NGT decreased the incidence of nausea or vomiting, while increasing the frequency of pulmonary complications.

Study Design

Out of a total of 284 consecutive patients undergoing hepatectomy, 210 patients were included in this study. The patients were randomized to a group that received NGT decompression (NGT group; n = 108), in which a NGT was left in place after surgery until the patient passed flatus or stool, or a group that did not receive NGT decompression (no-NGT group; n = 102), in which the NGT was removed at the end of surgery.

Results

There were no differences between the NGT group and no-NGT group in terms of the overall morbidity (34.3 vs 35.3 %; P = 0.99), incidence of pulmonary complications (18.5 vs 19.5 %; P = 0.84), frequency of postoperative vomiting (6.5 vs 7.8 %; P = 0.70), time to start of oral intake (median (range) 3 (2–6) vs 3 (2–6) days; P = 0.69), or postoperative duration of hospital stay (19 (7–74) vs 18 (9–186) days; P = 0.37). In the no-NGT group, three patients required reinsertion of the tube 0 (0–3) days after surgery. In the NGT group, severe discomfort was recorded in five patients.

Conclusions

Routine NGT decompression after elective hepatectomy does not appear to have any advantages.

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