IS NASOGASTRIC DECOMPRESSION NECESSARY IN ELECTIVE ENTERIC ANASTOMOSIS?
Abstract
Background: Placement of nasogastric tube is common surgical practice after bowel anastomosis.What is to be achieved by this prophylaxis is gastric decompression, a decreased likelihood of nauseaand vomiting, decreased distension, less chance of pulmonary aspiration and pneumonia, less risk ofwound separation and infection, less chance of fascial dehiscence and hernia, earlier return of bowelfunction and earlier discharge from hospital. We conducted a prospective observational study inSurgical Ward 2, Jinnah Postgraduate Medical Centre, Karachi from January 2008 to December 2009to assess whether routine use of nasogastric decompression in elective enteric anastomosis can be safelyomitted. Method: Patients who underwent elective enteric anastomosis were included in this study.These patients were managed prospectively without nasogastric decompression. Outcome weremeasured in terms of time of passing flatus, nausea, vomiting, abdominal distension, pulmonarycomplications, wound infection, wound dehiscence, anastomotic leak, length of hospital stay andmortality. Results: Except for incidence of minor symptoms like nausea or vomiting, omission of NGtube did not lead to any serious complication like anastomotic leak, pulmonary complications wounddehiscence or death. Conclusion: Nasogastric decompression can safely be omitted from a routine partof postoperative care after elective enteric anastomosis.Keywords: Nasogastric, Decompression, Elective, Enteric, AnastomosisReferences
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