One-day nasogastric tube decompression after distal gastrectomy: a prospective randomized study
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Many surgeons in Japan use 1-day nasogastric tube (NGT) decompression after gastrectomy as a standard procedure. This prospective randomized study aimed to define whether 1-day NGT decompression is necessary after distal gastrectomy.
The subjects were 233 patients with gastric cancer, randomized into two groups immediately after distal gastrectomy: one group received 1-day NGT decompression (NGT group, n = 119) and the other did not (no-NGT group, n = 114). The primary outcome measure was postoperative surgery-related and respiratory complications, whereas secondary measures were the postoperative course to recovery and patient complaints.
The incidence of surgery-related complications did not differ significantly between the NGT and no-NGT groups (21.0 and 19.2%, respectively; p = 0.87). The rate of respiratory complications was 6.7% in the NGT group and 7.0% in the no-NGT group (p > 0.99). The time to passage of first flatus and the postoperative hospital stay did not differ between the groups. Twenty-five patients in the NGT group and none in the no-NGT group complained of nasopharyngeal discomfort (p < 0.0001).
Considering the physical discomfort caused by the NGT, we believe that routine 1-day NGT decompression is unnecessary after distal gastrectomy.
KeywordsNasogastric tube Distal gastrectomy Randomized trial
We thank Ms Yaeko Naitoh at the NTT West Osaka Hospital for her excellent secretarial assistance.
Compliance with ethical standards
Conflict of interest
Yutaka Kimura, Hiroshi Yano, Takashi Iwazawa, Hirokazu Taniguchi, Junya Fujita, Shoichiro Fujita, Kazuyoshi Yamamoto and Takushi Yasuda have no conflicts of interest to declare with regard to any part of this study.
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