Pooled Analysis of the Routine Nasogastric Decompression Necessity for Elective Gastrectomy

Autor:	Wei Li, Xiu-Feng Lin, Ping Yang, Fan Luo, Chen-Fei Xie, Hai-Ying Liang
Rok vydání:	2019
Předmět:	musculoskeletal diseases medicine.medical_specialty business.industry medicine.medical_treatment General Medicine Nasogastric Decompression gastrectomy Surgery meta-analysis Pooled analysis nasogastric decompression Medicine Gastrectomy business
Zdroj:	Iranian Journal of Colorectal Research, Vol 7, Iss 1 (2019)
ISSN:	2322-5289 2322-5262
Popis:	Background: Nasogastric decompression is routinely used for intestinal drainage or decompression after gastrectomy. However,nowadays its efficacy is under debate.Objectives: The purpose of this study was to investigate the efficacy and necessity of nasogastric decompression in radical gastrectomyfor gastric cancer.Methods: Two PubMed and EMBASE electronic databases were retrieved by November 2018. A prospective randomized controlledtrial (RCT) and comparison of nasogastric decompression with and without nasogastric decompression after gastrectomy are requiredfor eligible studies.Results: A total of 1,885 cases were included in 13 randomized controlled studies. There were 941 cases in nasogastric decompressiongroup and 944 cases in non-nasogastric decompression group after gastrectomy. The patients in non-nasogastric decompressiongroup had significantly shorter time of bowel sound return (WMD = -0.20, 95% CIs = -0.38 - 0.02, P = 0.03), shorter time of first oralintake (WMD = -0.58, 95% CIs = -0.92 - 0.24, P = 0.0007), faster tolerance to semi-solid diet (WMD = -0.65, 95% CIs = -0.96 - 0.34, P
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::be58d4a3669adf4859b33910bd28b7f5 https://doi.org/10.5812/acr.88990 Zobrazit plný text záznamu