Nasogastric- vs. percutaneous gastrostomy tube for prophylactic gastric decompression after cytoreductive surgery with hyperthermic intraperitoneal chemotherapy
| Autor: | Job P. van Kooten, Nadine L. de Boer, Cornelis Verhoef, Eva V. E. Madsen, Alexandra R. M. Brandt-Kerkhof, Jacobus W. A. Burger, Marjolein Diepeveen |
|---|---|
| Přispěvatelé: | Surgery |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
postoperative outcomes Ileus Colorectal cancer Decompression 030230 surgery length of stay (LOS) 03 medical and health sciences 0302 clinical medicine Percutaneous gastrostomy SDG 3 - Good Health and Well-being hyperthermic intraperitoneal chemotherapy (HIPEC) Internal Medicine medicine Gastroparesis percutaneous gastrostomy business.industry medicine.disease Surgery Pneumonia cytoreductive surgery (CRS) 030220 oncology & carcinogenesis Hyperthermic intraperitoneal chemotherapy business Cytoreductive surgery nasogastric tube Research Article gastric decompression |
| Zdroj: | Pleura and Peritoneum Pleura and Peritoneum, 6(2), 57-65. De Gruyter |
| ISSN: | 2364-768X 2364-7671 |
| Popis: | Objectives Cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) is associated with postoperative gastroparesis and ileus. In 2015, our practice shifted from using percutaneous gastrostomy tubes (PGT), to nasogastric tubes (NGT) for prophylactic gastric decompression after CRS-HIPEC. This study aimed to compare these methods for length of stay (LOS) and associated complications. Methods Patients that underwent CRS-HIPEC for peritoneal metastases from colorectal cancer between 2014 and 2019 were included. Cases were grouped based on receiving NGT or PGT postoperatively. Multivariable linear regression determined the independent effect of decompression method on LOS, thereby adjusting for confounders. Results In total, 179 patients were included in the analyses. Median age was 64 years [IQR:54–71]. Altogether, 135 (75.4%) received a NGT and 44 (24.6%) received a PGT. Gastroparesis occurred significantly more often in the PGT group (18.2 vs. 7.4%, p=0.039). Median LOS was significantly shorter for patients with a NGT (15 [IQR:12–19] vs. 18.5 [IQR:17–25.5], p Conclusions NGT should be preferred over PGT for gastric decompression after CRS-HIPEC as it is associated with fewer gastroparesis and shorter LOS. |
| Databáze: | OpenAIRE |
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