Nasogastric Decompression is not Necessary in Operations for Gastric Cancer: Prospective Randomised Trial

Yoo, Chai H.; Son, Byung Ho; Han, Won Kon; Pae, Won Kil

doi:10.1080/110241502320789041

Cited by 69 publications

(63 citation statements)

References 15 publications

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“…Prolonged perioperative fasting, preoperative bowel preparation, and nasogastric tube intubation are likely to induce nausea and delay bowel-function recovery. Previous studies have reported that the patients without a postoperative nasogastric tube recovered postoperative bowel movement earlier than the patients with one, and that routine postoperative nasogastric tube intubation is unnecessary after an elective operation [16,17]. On the other hand, complications potentially caused by a short fasting period, such as aspiration pneumonia or anastomotic leakage, did not increase in our ERAS group, and accomplishment of the clinical pathway did not differ between our groups.…”

Section: Discussionmentioning

confidence: 55%

Usefulness of enhanced recovery after surgery protocol as compared with conventional perioperative care in gastric surgery

et al. 2011

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Background Radical gastrectomy for gastric cancer is among the most invasive procedures in gastrointestinal surgery. Several studies have found that an enhanced recovery after surgery (ERAS) protocol is useful in patients who undergo colorectal surgery, but its value in gastric surgery remains uncertain. The aim of this study was to assess the usefulness of an ERAS protocol for gastric surgery. Methods We studied the clinical characteristics, oncological factors, surgical factors, and outcomes in patients who underwent elective radical gastrectomy for gastric cancer before and after the introduction of an ERAS protocol.Results The first days of oral intake, oral intake recovery, flatus, and defecation were significantly earlier in the ERAS group (n = 91) than in the conventional care (CONV) group (n = 100). Maximum pain evaluated on a visual analog scale and the number of additional analgesics on demand were significantly less in the ERAS group than in the CONV group. The ratio of the postoperative body weight at 1 week to the preoperative body weight was significantly higher in the ERAS group than in the CONV group (0.95 vs. 0.94, respectively, P = 0.01). Conclusion Our results suggest that the ERAS protocol is useful in patients who undergo elective radical gastrectomy.

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Section: Discussionmentioning

confidence: 55%

Usefulness of enhanced recovery after surgery protocol as compared with conventional perioperative care in gastric surgery

et al. 2011

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“…Some investigators have noted that routine postoperative decompression with a nasogastric or nasojejunal tube is not necessary [24][25][26][27][28][29][30]. They reported that nasogastric or nasojejunal decompression did not reduce the incidence of postoperative gastrointestinal complications, and Akbaba et al [25] reported that postoperative decompression with a nasogastric tube increased pulmonary complications.…”

Section: Discussionmentioning

confidence: 99%

Early postoperative anastomotic hemorrhage after gastrectomy for gastric cancer

et al. 2010

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“…Five prospective studies from Taiwan [8,9], Korea [10,11] and France [12] have suggested that there is no need for decompression of the gastric remnant after PDG for gastric Data are given as number of patients unless otherwise indicated NG/NJT nasogastric/nasojejunal tube Data are given as number of cases unless otherwise indicated NG/NJT nasogastric/nasojejunal tube a The total number of patients affected is less than the sum of the patients listed as having individual complications because many patients had more than one complication Naso-gastric os naso-jejunal decompression 729…”

Section: Discussionmentioning

confidence: 99%

Naso-gastric or naso-jejunal decompression after partial distal gastrectomy for gastric cancer. Final results of a multicenter prospective randomized trial

et al. 2013

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Background Only a few, small, monocentric randomized controlled trials (RCTs) have compared routine vs. no placement of a nasogastric or nasojejunal tube decompression (NG/NJT) in patients undergoing partial distal gastrectomy (PDG) for gastric cancer. However, to our knowledge, no multicenter prospective RCT has analyzed the role of decompression after both the Billroth II (BII) procedure and Roux-en-Y (RY) gastrojejunostomy.The aim of this study was to determine whether NG/NJT prevents the consequences of postoperative ileus after PDG for gastric cancer after both BII reconstruction and RY. Methods Two hundred seventy patients undergoing PDG for gastric cancer were randomly assigned NG/NJT placement (NG/NJT group) or not (no-NG/NJT group) with either Billroth II gastrojejunostomy or Roux-en-Y gastrojejunostomy. The patients were monitored for postoperative complications, mortality, and postoperative course. Results By January 2010 to June 2012, among 270 patients undergoing PDG for gastric cancer, 134 were randomly assigned to NG/NJT placement (NG/NJT group) and 136 to no decompression (no-NG/NJT group). Time to passage of flatus was significantly shorter in the NG/NJT group than in the no-NG/NJT group, but only after RY reconstruction (3.3 ± 1.5 vs. 4.3 ± 1.6 days, P \ 0.001, respectively).

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Nasogastric Decompression is not Necessary in Operations for Gastric Cancer: Prospective Randomised Trial

Abstract: Routine nasogastric decompression is not necessary in elective operations for gastric cancer.

Cited by 69 publications

References 15 publications

Usefulness of enhanced recovery after surgery protocol as compared with conventional perioperative care in gastric surgery

Usefulness of enhanced recovery after surgery protocol as compared with conventional perioperative care in gastric surgery

Early postoperative anastomotic hemorrhage after gastrectomy for gastric cancer

Naso-gastric or naso-jejunal decompression after partial distal gastrectomy for gastric cancer. Final results of a multicenter prospective randomized trial

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