Postoperative Gaseous Distention of the Intestine

McIver, Monroe A.; Benedict, Edward B.; Cline, John W.

doi:10.1001/archsurg.1926.01130100132009

Cited by 43 publications

(3 citation statements)

References 7 publications

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“…demonstrated that postoperative distension of abdomen is a result of swallowed air and could be prevented by NT. [ 4 ] Wangesten and Paine in the 1930's popularized the use of NT after gastric as well as other forms of intra-abdominal operations. [ 5 ] The dictum remained essentially unchanged until 1963 when Garber stated that routine use of nasogastric decompression after surgery was not only unnecessary but also accompanied with complications, specifically related to its use.…”

Section: Discussionmentioning

confidence: 99%

Elective bowel surgery with or without prophylactic nasogastric decompression: A prospective, randomized trial

Vinay

Raza

Siddesh

2015

J Surg Tech Case Report

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Introduction:Routinely postoperative nasogastric decompression was done until the nasogastric drainage is minimal, reoccurrence of bowel sounds and passing flatus. But prolonged nasogastric intubation is associated with complications like basal atelectasis due to poor cough reflux, loss of electrolytes and increased patient morbidity.Aims and Objectives:To study the need for routine use of nasogastric tube post operatively in bowel surgeries with reference to (1) Return of bowel movements (2) Compare the incidence of complications (3) Duration of hospital stay.Methodology:100 patients who underwent elective bowel surgery were randomized into two groups: Study group (50): Nasogastric tube was removed immediately after operation or in the recovery room. Control group (50): Underwent nasogastric tube removal postoperatively after the patient passed flatus and audible bowel sounds on auscultation.Results:Incidence of complications were less in the study group i.e., only three patients had vomiting, and two patients had abdominal distension which lead to postponement of oral feeds. Most of our control group patients complained of discomfort and difficulty in coughing and in bringing out sputum, which was the probable cause for high incidence of pulmonary complications.Conclusion:Routine use of the nasogastric tube adjunct to patient care following bowel surgery may be safely eliminated.

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Section: Discussionmentioning

confidence: 99%

Elective bowel surgery with or without prophylactic nasogastric decompression: A prospective, randomized trial

Vinay

Raza

Siddesh

2015

J Surg Tech Case Report

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“…The greatest incidences were found in patients who had undergone surgery to the biliary tract or uterus and adnexa. In the majority of the cases, distension was apparent after 24 hours and the usual duration was 48 to 72 hours [ 2 ]. Decompression relieves gastric discomfort, but the irritating presence of the tube promotes swallowing.…”

Section: Postoperative Gastrointestinal Discomfortmentioning

confidence: 99%

Untitled

2006

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This article provides a summary of current information on rational postoperative use of the nasogastric tube, based on a review of literature related to postoperative gastrointestinal discomfort and management with the nasogastric tube. Routine gastric decompression after major surgery neither hastens the return of bowel function nor diminishes the incidence of postoperative nausea and vomiting. The multimodal postoperative rehabilitation programme is a modern and more efficient approach. Omission of nasogastric tube decompression does not increase the incidence of anastomotic leakage or wound dehiscence. Conversely, early enteral feeding is feasible and safe, favours local immunity and gut integrity, and improves nutritional status. With the objective to feeding, nasogastric tube could be used in selected patients. To conclude, use of the nasogastric tube to prevent or limit postoperative gastrointestinal discomfort must be challenged. In contrast to gastric decompression, early gastric feeding must be considered within the new concept of fast track surgery.

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“…In 1926, McIver et al [2] demonstrated that postoperative distention is a result of swallowed air and could be prevented by the nasogastric tube. Wangenstein and Paine [3], in the 1930s, popularized the use of the nasogastric tube after gastric as well as other forms of intrabdominal operations.…”

Section: Introductionmentioning

confidence: 99%

Role of Nasogastric Tube Insertion after Gastrectomy

Hsu

Chen

et al. 2007

Visc Med

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Nasogastric decompression has been routinely used in most abdominal operations to prevent the consequences of postoperative ileus. Most surgeons traditionally continue to use nasogastric decompression, believing that its use facilitates better surgical field and reduces complications such as nausea, vomiting, aspiration, and anastomotic leakage caused by postoperative ileus. The aim of the study was to evaluate whether gastric cancer surgery could be performed safely without nasogastric decompression. Patients and Methods: We enrolled 151 patients who had been surgically treated for gastric adenocarcinoma at the Tri-Service General Hospital from January 2005 to December 2005. The mean age was 55.4 years (range 25-72 years). 76 patients (Group A) were randomized into the intubated group and the other 75 patients (Group B) were randomized into the tubeless group. All patients received epidural pain control. Postoperative complications, preoperative serum albumin levels, mean time to first orally feeding, passage of stools, hospital stay and cost of hospitalization were recorded. Results: Between the two groups, there were no significant differences in preoperative clinical characteristics, age, stage and operative parameters. The complication rate, length of hospital stay, and time to pass flatus were not different in the two groups. Only the postoperative complication rate in those patients of Group A with low serum albumin level was significantly lower than that of patients without nasogastric tube. Conclusion: There were no significant differences with respect to improvement of postoperative complications when comparing gastric cancer patients who underwent gastrectomy with or without nasogastric tube insertion.

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Postoperative Gaseous Distention of the Intestine

Cited by 43 publications

References 7 publications

Elective bowel surgery with or without prophylactic nasogastric decompression: A prospective, randomized trial

Elective bowel surgery with or without prophylactic nasogastric decompression: A prospective, randomized trial

Untitled

Role of Nasogastric Tube Insertion after Gastrectomy

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