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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

514
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
514

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Related Experiment Video

Updated: Jan 8, 2026

Laparoscopy-endoscopy Cooperative Surgery for the Treatment of Gastric Gastrointestinal Stromal Tumors
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Safe Without Suction: Double-Blind Randomized Controlled Trial Challenges Routine Gastric Decompression in

Kristina Karlson1, Annie Gauf2, Petra Voigt3

  • 1Gynecologic Surgery and Obstetrics, Walter Reed National Military Medical Center, Bethesda, Maryland (Dr. Karlson); Obstetrics and Gynecology, Keesler Medical Center, Keesler Air Force Base, Biloxi, Mississippi (Dr. Karlson).

Journal of Minimally Invasive Gynecology
|December 15, 2025
PubMed
Summary
This summary is machine-generated.

Routine gastric decompression is not necessary during gynecologic laparoscopy with umbilical entry. This randomized trial found no significant difference in stomach decompression or gastric injury risk between groups, supporting its omission in low-risk patients.

Keywords:
Enhanced recovery after surgeryGastric decompressionLaparoscopy

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Area of Science:

  • Gynecologic Surgery
  • Minimally Invasive Procedures
  • Patient Safety

Background:

  • Intraoperative gastric distension can complicate gynecologic laparoscopy.
  • Gastric decompression via orogastric (OG) tube is a common preventative measure.
  • The necessity of routine gastric decompression in low-risk patients remains debated.

Purpose of the Study:

  • To evaluate the necessity of routine intraoperative gastric decompression during gynecologic laparoscopy with umbilical entry.
  • To determine if omitting the orogastric tube impacts surgical safety or patient outcomes.

Main Methods:

  • A double-blind randomized controlled trial involving 146 participants undergoing benign gynecologic laparoscopy with umbilical entry.
  • Participants were randomized (1:1) to receive either gastric decompression (OG tube) or no decompression.
  • Surgeons assessed stomach decompression, gastric injury risk, and distance between umbilicus and gastric margin post-intubation.

Main Results:

  • Stomach was well decompressed in 97.2% of the no-OG tube group vs. 98.5% in the OG tube group (P=0.01 for noninferiority).
  • No cases of gastric injury were reported in either group.
  • No significant differences in age, BMI, or procedure type between groups.

Conclusions:

  • Routine intraoperative gastric decompression is not necessary for low-risk participants undergoing gynecologic laparoscopy with umbilical entry.
  • Omitting the orogastric tube does not compromise stomach decompression or increase gastric injury risk.
  • This practice can potentially streamline procedures and improve patient experience.