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01-12-2020 | Nausea

Intraoperative nasogastric tube during colorectal surgery may not be mandatory: a propensity score analysis of a prospective database

Authors: Aurélien Venara, Jean-Francois Hamel, Eddy Cotte, Hélène Meillat, Pierre-Yves Sage, Karem Slim, the GRACE Group*

Published in: Surgical Endoscopy | Issue 12/2020

Abstract

Background

Avoiding the use of nasogastric tubes (NGTs) is recommended after colorectal surgery but there is no consensus on intraoperative gastric decompression using NGTs during colorectal surgery. The objective was to assess the effect of avoiding insertion of NGTs during colorectal surgery for the recovery of gastrointestinal (GI) functions.

Method

1561 patients undergoing colorectal surgery, for whom information on NGT use was available, were included in this retrospective analysis and propensity score analysis of the prospective GRACE Audit database. Patients who did and did not have an NGT during surgery were compared.

Results

Among the study population of 1561 patients, 696 patients were matched to correct baseline differences between groups. The no-NGT group significantly improved GI motility impairment (e.g., less postoperative nausea [OR = 0.59; CI 95%: 0.42–0.84] and a better tolerance of early feeding [OR = 2.07; CI 95%: 1.33–3.22]). Such an association was also highlighted for reduced postoperative morbidity [OR = 0.60; CI 95%: 0.43–0.83], and especially pulmonary complications [OR = 0.08; CI 95%: 0.01–0.59], or parietal complications [OR = 0.29; CI 95%: 0.09–0.87]. The risk of postoperative ileus was not significantly reduced in the no-NGT group [OR = 0.67; CI 95%: 0.43–1.06].

Conclusion

No NGT insertion during colorectal surgery is safe and could improve postoperative GI function recovery.

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Title: Intraoperative nasogastric tube during colorectal surgery may not be mandatory: a propensity score analysis of a prospective database
Authors: Aurélien Venara
Jean-Francois Hamel
Eddy Cotte
Hélène Meillat
Pierre-Yves Sage
Karem Slim
the GRACE Group*
Publication date: 01-12-2020
Publisher: Springer US
Keywords: Nausea
Ileus
Colectomy
Colectomy
Postoperative Nausea and Vomiting
Published in: Surgical Endoscopy / Issue 12/2020
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-019-07359-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Intraoperative nasogastric tube during colorectal surgery may not be mandatory: a propensity score analysis of a prospective database

Abstract

Background

Method

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Method

Results

Conclusion

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