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Nasogastric decompression following elective colorectal surgery: a prospective randomized study
N J Petrelli1, J P Stulc, M Rodriguez-Bigas
1Department of Surgical Oncology, Roswell Park Cancer Institute, Buffalo, New York 14263.
The American Surgeon
|October 1, 1993
Summary
Nasogastric decompression is not necessary after elective colorectal surgery for malignant and premalignant lesions. Early removal of nasogastric tubes does not increase nausea, vomiting, or abdominal distention.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Clinical Trials
Background:
- Nasogastric decompression is a common practice after colorectal surgery.
- Its necessity in elective procedures for malignant and premalignant lesions is debated.
Purpose of the Study:
- To determine if nasogastric decompression is required following elective colorectal surgery.
- To compare outcomes between patients with and without postoperative nasogastric decompression.
Main Methods:
- Prospective, randomized study of 77 patients undergoing elective colorectal surgery.
- Group 1: maintained nasogastric decompression postoperatively. Group 2: nasogastric tube removed in recovery.
Main Results:
- No significant difference in nausea, vomiting, or abdominal distention between groups.
- Higher incidence of postoperative fever and atelectasis in the nasogastric decompression group (P=0.03 for atelectasis).
Conclusions:
- Nasogastric decompression is not necessary following elective colorectal surgery for malignant and premalignant lesions.
- Early removal of nasogastric tubes is safe and potentially reduces complications like atelectasis.