Does nasogastric tube decompression get used less often with laparoscopic and hand-assisted compared with open colectomy?

Shussman, Noam; Brown, Maria R.; Johnson, Matthew T.; Silva, Giovanna da; Wexner, Steven D.; Weiss, Eric G.

doi:10.1007/s00464-013-3124-z

Cited by 7 publications

(5 citation statements)

References 13 publications

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“…In this study, experts agreed that PONV can occur at any time during the postoperative period and is exacerbated by opioid analgesics, intraperitoneal surgery, bowel manipulation and hypokalemia. Gentle tissue handling by laparoscopic surgery is a valid preventive measure for POI, but has not been shown effective in PONV [22,23]. Hypochloremic, hypokalemic, metabolic alkalosis on presentation was proved to correlate to the number of episodes of postoperative emesis only in infants diagnosed with pyloric stenosis [24].…”

Section: Definition Of Postoperative Vomiting and Nauseamentioning

confidence: 99%

Postoperative ileus: in search of an international consensus on definition, diagnosis, and treatment

Gerö

Gié

Hübner

et al. 2016

Langenbecks Arch Surg

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Section: Definition Of Postoperative Vomiting and Nauseamentioning

confidence: 99%

Postoperative ileus: in search of an international consensus on definition, diagnosis, and treatment

Gerö

Gié

Hübner

et al. 2016

Langenbecks Arch Surg

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“…Ті ж результати отримані і при дослідженні раннього проти пізнього видалення назогастрального зонда після колектомії [21]. Коли після великих планових операцій зонд встановлювали не рутинно, а за показаннями, то необхідність у цьому виникала рідко -7 % після панкреатодуоденальної резекції, близько 4 % при лапароскопічній та 18 % при відкритій резекції товстого кишечника [22,23]. У наведених вище та низці інших досліджень автори також доходять висновку про те, що післяопераційне встановлення зонда за необхідністю та за чіткими показаннями більш ефективне і безпечне порівняно з рутинним встановленням зонда.…”

Section: корекція провідних патофізіологічних порушеньunclassified

Intensive care in severe acute bowel obstruction (clinical lecture)

Pylypenko,

Bondar,

Khomenko

et al. 2023

ЕМ

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Most patients with severe acute small bowel obstruction in the early postoperative period require treatment in the intensive care unit. The main principles of intensive care are identifying major vital function disorders, their rapid correction, as well as supporting the functions of the affected organs and systems. The leading pathophysiological disorders that require intensive correction during small bowel obstruction are impaired intestinal barrier function (for bacteria and toxins), hypovolemia, hypotension and microcirculation disorders, primarily in the abdominal organs, fluid and electrolyte and acid-base disorders. Such disorders, in turn, could cause repeated development of intra-abdominal hypertension with impaired perfusion of the abdominal organs. Thus, the efficiency of intensive care for dynamic acute bowel obstruction primarily depends on the speed of correction of fluid and electrolyte disorders and restoration of intestinal blood flow, normalization of gut parietal digestion rather than on the quantity of the drugs that stimulate bowel movement. The primary method of gut microcirculation restoration is the ROSE approach to fluid resuscitation. The main criteria of the intensive care efficiency should be control of intra-abdominal pressure and timely treatment of intra-abdominal hypertension.

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“…Recently, laparoscopic methods have been shown to be associated with less POI [4][5]. However, part of patients underwent laparoscopic surgery still have functional intestinal obstruction with incidence of >10%.…”

Section: Introductionmentioning

confidence: 99%

Machine learning models for prediction of postoperative ileus in patients underwent laparoscopic colorectal surgery

Qian

et al. 2020

Preprint

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Background: We aimed to assess the performance of machine learning algorithms for the prediction of risk factors of postoperative ileus (POI) in patients underwent laparoscopic colorectal surgery for malignant lesions. Methods: We conducted analyses in a retrospective observational study with a total of 637 patients at Suzhou Hospital of Nanjing Medical University. Four machine learning algorithms (logistic regression, decision tree, random forest, gradient boosting decision tree) were considered to predict risk factors of POI. The total cases were randomly divided into training and testing data sets, with a ratio of 8:2. The performance of each model was evaluated by area under receiver operator characteristic curve (AUC), precision, recall and F1-score. Results: The morbidity of POI in this study was 19.15% (122/637). Gradient boosting decision tree reached the highest AUC (0.76) and was the best model for POI risk prediction. In addition, the results of the importance matrix of gradient boosting decision tree showed that the five most important variables were time to first passage of flatus, opioids during POD3, duration of surgery, height and weight. Conclusions: The gradient boosting decision tree was the optimal model to predict the risk of POI in patients underwent laparoscopic colorectal surgery for malignant lesions. And the results of our study could be useful for clinical guidelines in POI risk prediction.

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Does nasogastric tube decompression get used less often with laparoscopic and hand-assisted compared with open colectomy?

Abstract: Like laparoscopy, HALS is associated with less postoperative ileus and necessitates less NGT decompression than does open surgery.

Cited by 7 publications

References 13 publications

Postoperative ileus: in search of an international consensus on definition, diagnosis, and treatment

Postoperative ileus: in search of an international consensus on definition, diagnosis, and treatment

Intensive care in severe acute bowel obstruction (clinical lecture)

Machine learning models for prediction of postoperative ileus in patients underwent laparoscopic colorectal surgery

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