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Surgery Today
Published in: Surgery Today 9/2017

01-09-2017 | Original Article

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

Authors: Yutaka Kimura, Hiroshi Yano, Takashi Iwazawa, Junya Fujita, Shoichiro Fujita, Kazuyoshi Yamamoto, Takushi Yasuda

Published in: Surgery Today | Issue 9/2017

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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.
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Metadata
Title
One-day nasogastric tube decompression after distal gastrectomy: a prospective randomized study
Authors
Yutaka Kimura
Hiroshi Yano
Takashi Iwazawa
Junya Fujita
Shoichiro Fujita
Kazuyoshi Yamamoto
Takushi Yasuda
Publication date
01-09-2017
Publisher
Springer Japan
Published in
Surgery Today / Issue 9/2017
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-017-1475-0

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