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Tanguy, M.; Séguin, Philippe; Mallédant, Yannick

doi:10.1186/cc5118

Cited by 25 publications

(11 citation statements)

References 51 publications

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“…has concluded routine gastric decompression neither hastens the return of bowel function nor diminishes the incidence of postoperative nausea and vomiting. [ 9 ] Wolff et al ., though reported an increase in the incidence of nausea and vomiting in their patients, concluded that routine nasogastric decompression is not warranted. [ 10 ] The duration of hospital stay was less in our study group (15.26 days) compared to control group (17.04 days).…”

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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“…Routine postoperative nasogastric tube is associated with patients´ discomfort, anxiety, depression and delirium; increased swallow reflex, which lead to pharyngeal lesions, aerophagia and hydro-electrolytic loss; rhinitis, pharyngitis and sinusitis causing pain, fiver and secondary pneumonia; infective and non-infective pulmonary complications with the need of oxygen and ventilatory support; prolonged postoperative ileus producing discomfort, delayed enteral nutrition and risk of aspiration. On the other hand, the beneficial effects of nasogastric tube concerning gastric distension and PNV are limited 20 .…”

Section: Discussionmentioning

confidence: 99%

Program of Intestinal Rehabilitation and Early Postoperative Enteral Nutrition: A Prospective Cohort Study

Martos-Benítez

Gutiérrez-Noyola

García

et al. 2018

ABCD, arq. bras. cir. dig.

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Background: Some factors can act on nutritional status of patients operated for a gastrointestinal cancer. A timely and appropriate nutritional intervention could have a positive effect on postoperative outcomes. Aim: To determine the effect of a program of intestinal rehabilitation and early postoperative enteral nutrition on complications and clinical outcomes of patients underwent gastrointestinal surgery for cancer. Methods: This is a prospective study of 465 patients underwent gastrointestinal surgery for cancer consecutively admitted in an oncological intensive care unit. The program of intestinal rehabilitation and early postoperative enteral nutrition consisted in: 1) general rules, and 2) gastrointestinal rules. Results: The mean age of analysed patients was 63.7±9.1 years. The most frequent operation sites were colon-rectum (44.9%), gynaecological with intestinal suture (15.7%) and oesophagus-gastric (11.0%). Emergency intervention was performed in 12.7% of patients. The program of intestinal rehabilitation and early postoperative enteral nutrition reduced major complication (19.2% vs. 10.2%; p=0.030), respiratory complications (p=0.040), delirium (p=0.032), infectious complications (p=0.047) and gastrointestinal complications (p<0.001), mainly anastomotic leakage (p=0.033). The oncological intensive care unit mortality (p=0.018), length of oncological intensive care unit (p<0.001) and hospital (p<0.001) stay were reduced as well. Conclusions: Implementing a program of intestinal rehabilitation and early postoperative enteral nutrition is associated with reduction in postoperative complications and improvement of clinical outcomes in patients undergoing gastrointestinal surgery for cancer.

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“…Despite it is suggested that NGT use may result in gastric decompression and alleviation of postoperative ileus, in their study, Tanguy and colleagues have shown that NGT use was ineffective and may even promote ileus [19]. Furthermore, NGT use was associated with irritation to the patient, which in turn may promote air swallowing and worsening of gastric distension [22,44].…”

Section: Gastrointestinal Complicationsmentioning

confidence: 99%

“…Additionally, severe PONV can result in significant complications such as electrolyte disturbance, dehydration, aspiration, and myocardial ischemia due to increased myocardial oxygen consumption [16,17,18]. Similarly, gastric distention caused by increased swallowing post-operatively increases intragastric pressure which may make patients more susceptible to PONV [19]. This is further exacerbated if the gas mixture in the stomach contains elements of volatile anesthetics introduced into the stomach during manual ventilation [20].…”

mentioning

confidence: 99%

Does Nasogastric Tube Use During Cardiac Surgery Affect Postoperative Outcomes? A Narrative Review

Paleczny

Fatima

Amador-Gody

et al. 2022

Preprint

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Nasogastric tube (NGT) use has been common in the immediate postoperative period in surgical patients for decades. Potential advantages include the decompression of gastric contents and the early administration of time-sensitive medications. However, its routine use after cardiac surgery has not been established as a gold standard yet. The NGT use for prevention of post-operative nausea and vomiting has been a matter of debate in literature. Also, NGT use has also been associated with the incidence of some respiratory and gastrointestinal complications and it may be a source of significant pain and discomfort to patients. In this article, we review the current available literature regarding the use of NGT during and immediately after cardiac surgery, with particular emphasis on its potential role in enhanced postoperative recovery.

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Cited by 25 publications

References 51 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

Program of Intestinal Rehabilitation and Early Postoperative Enteral Nutrition: A Prospective Cohort Study

Does Nasogastric Tube Use During Cardiac Surgery Affect Postoperative Outcomes? A Narrative Review

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