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Prophylactic nasogastric decompression after abdominal surgery.

R Nelson¹, S Edwards, B Tse

¹Northern General Hospital, Department of General Surgery, Herries Road, Sheffield, UK, S5 7AU. rick.nelson@sth.nhs.uk

The Cochrane Database of Systematic Reviews

|July 20, 2007

Summary

This summary is machine-generated.

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Routine nasogastric tubes after abdominal surgery do not improve outcomes and should be selectively used. Early bowel function return and fewer pulmonary complications were observed without routine tube use.

Area of Science:

Gastroenterology and Surgical Outcomes
Clinical Trial Analysis
Postoperative Care Research

Background:

Nasogastric tubes are commonly used post-abdominal surgery to improve recovery.
Intended benefits include faster bowel function return, reduced complications, and shorter hospital stays.

Purpose of the Study:

To evaluate the effectiveness of routine nasogastric decompression after abdominal surgery.
Assessed impact on bowel function, pulmonary issues, anastomotic leaks, patient comfort, and hospital stay.

Main Methods:

Systematic review of 33 randomized controlled trials (5240 patients) from 1966-2006.
Compared routine nasogastric tube use versus selective or no tube use.
Analyzed outcomes including time to flatus, pulmonary complications, anastomotic leaks, and length of stay.

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Main Results:

Selective or no nasogastric tube use led to earlier return of bowel function (p<0.00001).
Fewer pulmonary complications (p=0.01) and a trend towards shorter hospital stays were noted with selective/no tube use.
No significant difference in anastomotic leak rates; increased vomiting and discomfort with routine use.

Conclusions:

Routine nasogastric decompression offers no significant benefits for the intended goals.
Selective use of nasogastric tubes is recommended over routine application post-abdominal surgery.