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Enteral Nutrition I: Orogastric and Nasogastric Feeding01:26

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Updated: Apr 6, 2026

Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer
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Prophylactic Nasogastric Decompression for Routine Gastrectomy.

Ming-Hui Pang1, Jia Xu2, Yu-Fen Wu3

  • 1Department of Gastrointestinal Surgery, Sichuan Provincial Peoples' Hospital, Chengdu, Sichuan Province, China.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|July 26, 2015
PubMed
Summary
This summary is machine-generated.

Routine nasogastric intubation is unnecessary for patients undergoing elective gastrectomy. Omitting this procedure can lead to earlier oral diet resumption and faster passage of flatus, improving patient outcomes.

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Clinical Trials

Background:

  • Nasogastric tubes are commonly used after gastrectomy to manage postoperative recovery.
  • The necessity and impact of routine nasogastric intubation in gastrectomy patients remain debated.

Purpose of the Study:

  • To evaluate the necessity of nasogastric intubation in patients undergoing elective gastrectomy.
  • To compare clinical outcomes between patients with and without nasogastric tubes post-gastrectomy.

Main Methods:

  • A non-randomized controlled trial involving 121 patients undergoing gastrectomy.
  • Patients were assigned to either a nasogastric intubation group or a control group.
  • Key outcomes included operation time, bleeding, time to flatus, complications, and length of stay.

Main Results:

  • No significant differences were observed in patient characteristics, surgery duration, bleeding volume, or postoperative complications between the groups.
  • Patients without nasogastric tubes resumed oral diet significantly earlier (18.4 ± 2.0 hours vs. 52.5 ± 14.1 hours).
  • The time to the first passage of flatus was also shorter in the group without nasogastric tubes (43.8 ± 11.2 hours vs. 49.0 ± 13.3 hours).

Conclusions:

  • Routine nasogastric intubation is not necessary for patients undergoing elective gastrectomy.
  • Discontinuing nasogastric intubation appears safe and may enhance patient recovery, including earlier oral intake and bowel function restoration.