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Nasogastric intubation and elective abdominal surgery
P M Sagar1, G Kruegener, J MacFie
1Department of Surgery, Scarborough Hospital, Scarborough, North Yorkshire, UK.
The British Journal of Surgery
|November 1, 1992
Summary
Routine nasogastric intubation after abdominal surgery causes discomfort and complications. Evidence suggests its routine use is not supported, questioning its standard practice for patient well-being.
Area of Science:
- Gastroenterology
- Surgical Procedures
- Patient Outcomes
Background:
- Nasogastric tubes are commonly used post-abdominal surgery.
- Their use is associated with patient discomfort and morbidity.
Purpose of the Study:
- To review evidence for and against routine nasogastric intubation.
- To evaluate the necessity of nasogastric tubes in elective abdominal surgery.
Main Methods:
- Literature review of studies on nasogastric intubation.
- Analysis of arguments supporting and opposing routine use.
Main Results:
- Limited evidence supports the routine use of nasogastric tubes.
- Significant patient discomfort and morbidity are linked to nasogastric intubation.
Conclusions:
- Routine nasogastric intubation is not consistently supported by evidence.
- Alternative approaches should be considered to minimize patient harm.