Skip to main content

Advertisement

SpringerLink
Log in

Naso-intestinal tube is more effective in treating postoperative ileus than naso-gastric tube in elderly colorectal cancer patients

  • Short Communication
  • Published:
International Journal of Colorectal Disease Aims and scope Submit manuscript

Abstract

Objective

The objective of this study was to compare the effect of naso-intestinal tube and naso-gastric tube in relieving postoperative ileus in elderly patients with colorectal cancer.

Methods

Patients (n = 46) with ileus symptom following radical surgery for treating colorectal cancer were placed with either naso-intestinal tube at duodenum or conventional naso-gastric tube. Then, their waist perimeter, intra abdominal pressure, maximum diameter in bowls, length of time to pass flatus or passage of bowel movement or to return to diet, length of hospital stay, daily drainage, serum levels of lactic acid, hemoglobin, and creatinine as well were compared.

Results

Naso-intestinal tube placement is more effective than naso-gastric tube in relieving intra abdominal pressures, reducing maximum bowl diameter and waist circumference, correcting serum lactic acid levels, alleviating analgesia dependence, regaining serum albumin level, increasing drainage and shortening the time of length of hospital stay, passing flatus or faces, and time to return to diet.

Conclusion

Naso-intestinal tube is effective in treating POI and shows advantage over conventional naso-gastric tube insertion.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

References

  1. Delaney CP, Kehlet H, Senagore AJ, Bauer AJ, Beart R, Billingham R, Coleman RL, Dozois EJ, Leslie JB, Marks J, Megibow AJ, Michelassi F, Steinbrook RA (2006) Clinical consensus update in general surgery: postoperative ileus: profiles, risk factors, and definitions—a framework for optimizing surgical outcomes in patients undergoing major abdominal and colorectal surgery. Clinical Consensus Update in General Surgery [Consensus statement cited 12-01-2009]. Available from: URL: http://www.clinicalwebcasts.com

  2. ter Beek ML, Bennink RJ, Tytgat GN, Buijs RM, Reitsma PH, van Deventer SJ, Boeckxstaens GE (2003) Postoperative ileus is maintained by intestinal immune infiltrates that activate inhibitory neural pathways in mice. Gastroenterology 125:1137–1147

    Article  PubMed  Google Scholar 

  3. Dudley HA, Dadcliffe AG, McGeehan D et al (1980) Intraoperative irrigation of the colon to permit primary anastomosis. Br J Surg 67:80–81

    Article  CAS  PubMed  Google Scholar 

  4. Zhang N, Zhou ZL, Xie JL (2015) Application of transanal ileus tube in acute obstructive left-sided colorectal cancer. Int J Clin Exp Med 8(8):14024–14029

    PubMed  PubMed Central  Google Scholar 

  5. Yokohata K, Sumiyoshi K, Hirakawa K (2006) Merits and faults of transanal ileus tube for obstructing colorectal cancer. Asian J Surg 29(3):125–127

    Article  PubMed  Google Scholar 

  6. Balogh Z, Jones F, D'Amours S, Parr M, Sugrue M (2004) Continuous intra-abdominal pressure measurement technique. Am J Surg 188(6):679–684

    Article  PubMed  Google Scholar 

  7. Hennessey TA, Backman SB, Meterissian SH, Schricker T (2007) Nail-patella syndrome: a case report and anesthetic implications. Can J Anaesth 54(10):835–839

    Article  PubMed  Google Scholar 

  8. Jansen TC, Jasper VB, Roger W et al (2009) Association between blood lactate levels, sequential organ failure assessment subscores, and 28-day mortality during early and late intensive care unit stay: a retrospective observational study. Crit Care Med 37(8):2369–2374

    Article  CAS  PubMed  Google Scholar 

  9. Poziomyck AK, Weston AC, Lameu EB, Cassol OS, Coelho LJ, Moreira LF (2012) Preoperative nutritional assessment and prognosis in patients with foregut tumors. Nutr Cancer 64:1174–1181

    Article  PubMed  Google Scholar 

  10. Fang XY, Chen H, Liu ML. Application of nasointestinal tube in treating post operative ilues. A 64 cases of analysis

  11. Ho KS, Quah HM, Lim JF, Tang CL, Eu KW (2012) Endoscopic stenting and elective surgery versus emergency surgery for left-sided malignant colonic obstruction: a prospective randomized trial. Int J Color Dis 27:355–362

    Article  Google Scholar 

  12. Araki Y, Isomoto H, Matsumoto A et al (2000) Endoscopic decompression procedure in acute obstructing colorectal cancer. Endoscopy 32:641–643

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Colon and Rectal Surgery, Tian Jin Union Medical Center, 190, Jie Yuan Road, Hong Qiao District, Tian Jin, People’s Republic of China

    Yang Shi, Xi Peng Zhang, Hai Qin & Yong Jun Yu

Authors
  1. Yang Shi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Xi Peng Zhang
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Hai Qin
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Yong Jun Yu
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Yang Shi.

Ethics declarations

Funding

Tian Jin Health and Family Planning Commission key research project (No.14KG108): construction and management of colorectal cancer sample library.

Additional information

Yang Shi and Xi Peng Zhang contribute equally so list as co-first authors apart from the role of Yang Shi as the author of correspondence.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Shi, Y., Zhang, X.P., Qin, H. et al. Naso-intestinal tube is more effective in treating postoperative ileus than naso-gastric tube in elderly colorectal cancer patients. Int J Colorectal Dis 32, 1047–1050 (2017). https://doi.org/10.1007/s00384-017-2760-5

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00384-017-2760-5

Keywords

Search

Navigation