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Routine nasogastric tube placement after gastric endoscopic full-thickness resection of tumor size ≤ 2 cm may be unnecessary: a propensity score-matching analysis

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Abstract

Background

Endoscopic full-thickness resection is a common endoscopic procedure for treating gastrointestinal submucosal tumors. Nasogastric tube placement is frequently performed after abdominal surgery, but the routine use of this approach remains controversial. The aim of this research was to explore whether nasogastric tube placement after gastric endoscopic full-thickness resection is necessary.

Methods

A retrospective study enrolled patients who underwent gastric endoscopic full-thickness resection in our hospital between January 2014 and January 2019, and all the patients had a tumor size ≤ 2 cm. The patients were divided into two groups according to whether a nasogastric tube was placed. Postprocedural adverse events and hospital stay duration were compared between the two groups using 1:1 propensity score matching.

Results

A total of 461 patients were enrolled in this study, including 385 patients in the nasogastric tube group (NGT group) and 76 patients in the non-nasogastric tube group (non-NGT group). After matching, the baseline characteristics of 73 patients in the NGT group and 73 patients in the non-NGT group were balanced (p > 0.05). The postprocedural fever rate in the NGT group was significantly higher than that in the non-NGT group (23.3% vs. 9.6%, p = 0.044). 6.9% (5/73) of patients experienced severe nasogastric tube-related throat discomfort. However, the duration of hospitalization stay was not different between the two groups.

Conclusions

For patients with tumor size ≤ 2 cm, routine nasogastric tube placement after gastric endoscopic full-thickness resection may be unnecessary.

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Acknowledgements

We are grateful to the support of Jiangxi Clinical Research Center for Gastroenterology (20201ZDG02007).

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Author notes

  1. Foqiang Liao and Danting Shao are equal primary authors.

Authors and Affiliations

  1. Department of Gastroenterology, The First Affiliated Hospital of Nanchang University, 17 Yongwaizheng, Street, Nanchang, 330006, Jiangxi, China

    Foqiang Liao, Danting Shao, Xiaolin Pan, Shunhua Long, Xiaojiang Zhou, Guohua Li, Yin Zhu, Youxiang Chen, Zhenhua Zhu & Xu Shu

  2. Jiangxi Clinical Research Center for Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang, 330006, Jiangxi, China

    Xu Shu

  3. Fuzhou Medical College of Nanchang University, Fuzhou, 344000, Jiangxi, China

    Shuman Yao

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  1. Foqiang Liao
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  4. Xiaolin Pan
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  11. Xu Shu
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Contributions

FL collected data, analyzed relevant information, and drafted the manuscript, DS collected data and wrote the manuscript. SY collected data. XP, SL, XZ, GL, YZ, and YC clinically managed the patient. ZZ and XS designed the article, approved the final submission, and clinically managed the patient.

Corresponding authors

Correspondence to Zhenhua Zhu or Xu Shu.

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Disclosures

Foqiang Liao, Danting Shao, Shuman Yao, Xiaolin Pan, Shunhua Long, Xiaojiang Zhou, Guohua Li, Yin Zhu, Youxiang Chen, Zhenhua Zhu and Xu Shu have no conflicts of interest or financial ties to disclose.

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Liao, F., Shao, D., Yao, S. et al. Routine nasogastric tube placement after gastric endoscopic full-thickness resection of tumor size ≤ 2 cm may be unnecessary: a propensity score-matching analysis. Surg Endosc 37, 932–940 (2023). https://doi.org/10.1007/s00464-022-09560-9

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