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Comparison of Gastric Cancer Surgery with Versus without Nasogastric Decompression

Authors
 Jun Ho Lee  ;  Woo Jin Hyung  ;  Sung Hoon Noh 
Citation
 YONSEI MEDICAL JOURNAL, Vol.43(4) : 451-456, 2002 
Journal Title
 YONSEI MEDICAL JOURNAL 
ISSN
 0513-5796 
Issue Date
2002
MeSH
Adult ; Aged ; Female ; Humans ; Intubation, Gastrointestinal* ; Male ; Middle Aged ; Postoperative Complications/etiology ; Prospective Studies ; Stomach Neoplasms/surgery*
Keywords
Gastric cancer ; surgery ; nasogastric decompression
Abstract
There is a widespread belief that nasogastric decompression in gastric cancer surgery allows better surgical field and leads to the reduction of postoperative complications. The aim of this study was to evaluate whether gastric cancer surgery can be safely performed without nasogastric decompression. From March to June 2000, 119 patients with gastric adenocarcinoma were randomized into either a tubeless group (n=56) or an intubated group (n=63). Exclusion criteria included a history of upper gastrointestinal bleeding and pyloric obstruction. No remarkable difference was found in the incidence of complications in the tubeless and intubated groups (mean 10.9%, p=0.945). The incidence of nasogastric tube insertion in the tubeless group was similar to the incidence of nasogastric tube reinsertion in the intubated group (p=0.747). Time to pass flatus was not different in the two groups (p=0.054), nor was the length of hospital stay (p=0.148). These results suggest that gastric cancer surgery can be performed safely without nasogastric decompression.
Files in This Item:
T200207832.pdf Download
DOI
10.3349/ymj.2002.43.4.451
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Noh, Sung Hoon(노성훈) ORCID logo https://orcid.org/0000-0003-4386-6886
Hyung, Woo Jin(형우진) ORCID logo https://orcid.org/0000-0002-8593-9214
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/144180
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