Postoperative Gaseous Distention of the Intestines.

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

doi:10.1213/00000539-192801000-00041

Cited by 14 publications

(3 citation statements)

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“…Nasogastric tube intolerance was common complaint noted by Michele Tanguy 8 which is also the chief complaint in control group in our study. The mean ± SD for passage of first flatus after reversal of stroma was low in study group as compare to control group, as well as 3 therewas a mean difference of 19.7 hours in control and study groups. This was in fact delay in return of bowel motility in control group.…”

Section: Discussionmentioning

confidence: 71%

Post Operative Bowel Movement;

Iqbal

Ali

Uzma³

et al. 2018

TPMJ

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Section: Discussionmentioning

confidence: 71%

Post Operative Bowel Movement;

Iqbal

Ali

Uzma³

et al. 2018

TPMJ

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“…7 This practice continued as there were subsequent supportive scientific researches which supported that post operative illeus is decreased by using naso gastric intubation. 8 Practiced continued for years, by the time people noticed that some time after major abdominal surgeries, naso gastric tube remained in the throat and esophagus only but post operative stay went uneventful, than they started questioning role of naso gastric intubation, than in 1963 Gerber refuted the idea of routinely using naso gastric intubation. 2,9 Post operative illeus after abdominal surgery is unavoidable and transient phenomenon, the exact etiology is unknown, but there are multiple factors which aggravates or play role in illeus for example intra operative bowel manipulation, anesthetic drug interaction, peri-operative narcotics usages and post operative sympathetic over activity.…”

Section: Discussionmentioning

confidence: 99%

Early removal of nasogastric tube with early feeding versus conventional removal of nasogastric tube with delayed feeding after bowel anastomosis: a prospective randomized controlled trial

et al. 2019

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Background: Nasogastric (NG) decompression and delayed oral feeding after bowel anastomosis is conventional and years old practice. The aim of the present study was to evaluate the advantages and disadvantages of early removal of naso gastric tube (<24 hrs) and delayed feeding, compared with delayed removal and delayed enteral feeding in patients undergoing bowel anastomosis.Methods: It is a single blind, prospective randomized study involving patients with bowel anastomosis from December 2016- November 2018 at a tertiary care hospital. In study group naso gastric tube was removed within 24 hours. After 12 hours of surgery patients were allowed sips of water, then free liquids followed by semisolid and normal diet in calculated way. In control group naso gastric tube was retained till passage of flatus and orally allowed only after passage of stool.Results: A total of 241 patients were enrolled. In study group bowel sound returned after 30.57±31.19 hours of surgery and in control group 46.90±48.65 hours and this difference was significant (p<0.002). In study group first free liquid was allowed on 38.14±38.50 hours in post operative period, as compared to the control group where free liquids were allowed after 50.09±51.80 hours this difference was significant (p<0.04). Total hospital stay in the study group was significant (p<0.02).Conclusions: Early removal of naso gastric tube and early feeding is better than the conventional practice.

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“…2 Postoperative abdominal distension prevented by nasogastric tube decompression was demonstrated by Iver et al, is result from swallowed air and could be prevented by the NG tube. 3 Nasogastric tube decompression became the part of surgical management at the early 20 th century with the advancement of aseptic technique, general anesthesia and encouraging success in major abdominal surgeries and along with that, to avoid postoperative ileus, nausea, vomiting and wound complications. 4 These rules remained same for gastrointestinal decompression following resection and anastomosis of digestive tract.…”

Section: Introductionmentioning

confidence: 99%

Post Operative Bowel Movement

Iqbal

Ali

Uzma³

et al. 2018

TPMJ

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Objectives: To compare early return of bowel movements in patients withelective stoma closure with or without nasogastric tube. Place and Duration: Single surgicalunit, Civil Hospital, Karachi, from January 2015-August 2016. Methods: This prospective doubleblind randomized control trial of 114 patients for elective stoma (Ileostomy, colostomy) closurein which lottery method was used to divide the patients into control group (with nasogastrictube) and study group (without nasogastric tube). Post operatively total duration from thesurgery till the patient passed first flatus was recorded in hours between the control and studygroups. Result: Comparison between two groups, the passage of first flatus after reversal ofstoma a mean difference of 19.7 was observed in hours between the control and study groups.Conclusion: Prophylactic nasogastric decompression in stoma closure patients can be omittedfrom routine postoperative period without any management problem.

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Postoperative Gaseous Distention of the Intestines.

Cited by 14 publications

References 0 publications

Post Operative Bowel Movement;

Post Operative Bowel Movement;

Early removal of nasogastric tube with early feeding versus conventional removal of nasogastric tube with delayed feeding after bowel anastomosis: a prospective randomized controlled trial

Post Operative Bowel Movement

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