Nasogastric tube utilization after esophagectomy: An unnecessary gesture?
| Autor: | E. García-Granero, Fernando Mingol, Javier Vaqué, M. Menéndez-Jiménez, E. Álvarez-Sarrado, M. Bruna-Esteban, L. Hurtado-Pardo, David Hervás, M. Navasquillo-Tamarit |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Gastroplasty medicine.medical_treatment Comorbidity Dehiscence Anastomosis Perioperative Care Esophagus Postoperative Complications Diabetes mellitus Surgical Wound Dehiscence Epidemiology medicine Humans Postoperative Period Intubation Gastrointestinal Aged Retrospective Studies business.industry Anastomosis Surgical General Engineering Length of Stay Middle Aged medicine.disease Enhanced recovery after surgery Esofaguectomía Esophagectomy Nasogastric tube Rehabilitación multimodal Sonda nasogástrica Surgery Esophagectomy Lung disease Perioperative care Female Enhanced Recovery After Surgery Multimodal rehabilitation business |
| Zdroj: | CIRUGIA ESPANOLA r-IIS La Fe. Repositorio Institucional de Producción Científica del Instituto de Investigación Sanitaria La Fe instname |
| ISSN: | 2173-5077 0009-739X |
| DOI: | 10.1016/j.cireng.2020.11.011 |
| Popis: | Introduction Nasogastric decompressive tube utilization has been accepted as one of the basic perioperative care measures after esophageal resection surgery. However, with the development of multimodal rehabilitation programs and without clear evidence to support their use, the systematic indication of this measure may be controversial. Material and methods Retrospective, descriptive and comparative study of patients who had undergone Ivor-Lewis esophagectomy in our center – from January 2015 to December 2018 – with placement (Group S), or without placement (Group N) of a decompressive tube in gastroplasty during postoperative period. Epidemiological variables and differences between groups in post-surgical morbidity and mortality, hospital stay, onset of oral tolerance and the need for nasogastric tube placement were evaluated. Results A total of 43 patients were included in this study, with a median age of 61 years, being 86% male. 46.5% were hypertensive, 25.5% had lung disease and 16.3% had diabetes mellitus. The median length of hospital stay was 9 days in group S versus 11.5 days in group N, with no differences in the onset of oral tolerance. Anastomotic dehiscence rate was 5% and 0% respectively. The overall mortality was 2.3% in the first 90 days, without differences between the groups. Placement of nasogastric tube during postoperative period was required only in 1 patient (4.3%) of the group N. Conclusions Non-use of nasogastric tube during postoperative period of an Ivor-Lewis esophagectomy is a safe measure, as it is not associated with a higher rate of complications or hospital stay. This fact may be able to improve patients’ comfort and postoperative recovery. |
| Databáze: | OpenAIRE |
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