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A Clinical Trial Assessing the Safety, Efficacy, and Delivery of Olive-Oil-Based Three-Chamber Bags for Parenteral Nutrition
Published on: September 20, 2019
Randomized clinical trial evaluating the need for routine nasogastric decompression after elective hepatic resection
P Pessaux1, J-M Regimbeau, F Dondéro
1Department of Hepatobiliary Surgery and Liver Transplantation, Beaujon Hospital, Assistance Publique-Hôpitaux de Paris, University of Paris VII, Clichy, France.
The British Journal of Surgery
|February 23, 2007
Summary
Routine nasogastric tube decompression after elective liver surgery offers no benefits and increases the risk of pulmonary complications like pneumonia and atelectasis.
Area of Science:
- Hepatobiliary Surgery
- Surgical Oncology
- Gastroenterology
Background:
- The utility of routine nasogastric tube (NGT) decompression following elective hepatic resection remains unexamined.
- Elective hepatic resection is a complex procedure with potential postoperative complications.
Purpose of the Study:
- To investigate the value of routine nasogastric tube decompression after elective hepatic resection.
- To compare outcomes between patients undergoing elective hepatic resection with and without routine NGT decompression.
Main Methods:
- A randomized controlled trial involving 200 patients undergoing elective hepatic resection.
- Patients were allocated to either NGT decompression (left in place postoperatively) or no decompression (NGT removed intraoperatively).
- Outcomes assessed included surgical complications, medical morbidity, mortality, duration of ileus, and length of hospital stay.
Main Results:
- No significant differences were observed in overall surgical complications, medical morbidity, mortality, duration of ileus, or hospital stay between the two groups.
- Patients in the NGT decompression group had a significantly higher incidence of pneumonia (13.0% vs 5.0%) and atelectasis (81% vs 67%).
- Discomfort was more frequent in the NGT group, with 19 patients requiring premature tube removal.
Conclusions:
- Routine nasogastric tube decompression following elective hepatectomy provides no discernible advantages.
- The use of routine NGT decompression is associated with an increased risk of pulmonary complications.
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