Postoperative Nasogastric Suction Is Not Mandatory

Autor:	Farid Shehadeh, Mahmoud A.E. Wahby
Rok vydání:	1996
Předmět:	medicine.medical_specialty Normal diet business.industry Decompression Incidence (epidemiology) Significant difference Nasogastric suction General Medicine medicine.disease Surgery Duodenal ulcer Postoperative fever Anesthesia medicine Statistical analysis business
Zdroj:	Medical Principles and Practice. 5:212-217
ISSN:	1423-0151 1011-7571
DOI:	10.1159/000157408
Popis:	The design of this study is to question the value of postoperative nasogastric tube (NGT) decompression following duodenal ulcer surgery, and to show the advantages of avoiding it. Fifty patients undergoing surgery for duodenal ulcer were designated for surgery either without (group 1 = 24 patients), or with the use of postoperative nasogastric tube decompression (group 2 = 26 patients). Group 1 suffered fewer symptoms and signs, and lesser morbidity. Group 2 findings included abnormal pulmonary signs. Group 1 had an earlier return of postoperative gut function and reinstitution of oral feeding. Additionally, group 1 had shorter hospital stays. Statistical analysis shows that avoiding the nasogastric suction can improve patient outcome. There is a very highly significant difference between the two groups in the incidence of postoperative fever, time to resume oral fluids and normal diet (p& %lt;0.001). Additionally, there is a highly significant difference between the two groups in the average length of hospital stay (p& %lt; 0.01). Also notable is a very highly significant difference in the number of patients who did not have any symptoms after surgery (p& %lt; 0.001), and a significant difference in the incidence of cough after surgery (p
Databáze:	OpenAIRE
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