2013
DOI: 10.1016/j.jamcollsurg.2013.04.031
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Nasogastric Drainage May Be Unnecessary after Pancreaticoduodenectomy: A Comparison of Routine vs Selective Decompression

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Cited by 44 publications
(29 citation statements)
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References 31 publications
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“…8,11,12,16 Furthermore, there has been a report that nasogastric drainage may be unnecessary after pylorus preserving pancreaticoduodenectomy. 17 Our data indicate that pylorus-preservation did not cause delayed gastric emptying. This might support postoperative management without nasogastric drainage.…”
Section: Discussionsupporting
confidence: 47%
“…8,11,12,16 Furthermore, there has been a report that nasogastric drainage may be unnecessary after pylorus preserving pancreaticoduodenectomy. 17 Our data indicate that pylorus-preservation did not cause delayed gastric emptying. This might support postoperative management without nasogastric drainage.…”
Section: Discussionsupporting
confidence: 47%
“…The aetiology of DGE remains unclear. The point at issue is whether or not pylorus preservation, route of enteric reconstruction (antecolic versus retrocolic) or preoperative condition of patient affects DGE …”
Section: Discussionmentioning
confidence: 99%
“…After discarding duplicates an unrelated study according to the exclusion criteria, seven full-text articles were reviewed to assess further eligibility. In addition, one study was excluded because some patients in the NGD group underwent nasogastric tube insertion (NGT) [20]. Finally, six studies were included in the systematic review and meta-analysis [5,15,16,[21][22][23].…”
Section: Resultsmentioning
confidence: 99%
“…Third, because NG tube has been used following gastrointestinal anastomoses for several decades, it is difficult to change the clinical habit and radically stop using routine gastric decompression [32,33]. Instead of absolutely prohibiting RGD after pancreatic surgery, some surgeons preferred a more conservative method, namely selective NGT usage, such as when they unable to extubate the patient postoperatively [20]. In their retrospective study with 250 patients, Kunstman et al found that patients in the selective use of RGD had decreased incidence of delayed gastric emptying, length of stay, and time to dietary tolerance [20].…”
Section: Comparison With Previous Studiesmentioning
confidence: 99%