Role of Routine Nasogastric Decompression After Subtotal Gastrectomy
Anahtar kelimeler
Öz
Açıklama
Nasogastric decompression is an intra-operative routine in most of the time to facilitate exposure of operative field during elective subtotal gastrectomy, but whether it should be retained post-operatively is controversial. Nasogastric decompression helps to drain the gastric remnant in case there is edema around the gastrojejunostomy, ileus and delayed gastric emptying, which can theoretically relieve nausea and abdominal distension. Besides, it may help decrease diaphragmatic splintage and hence decrease chance of chest infection if ileus occurs. However, nasogastric intubation could cause patient discomfort; also it has been shown that it would cause gastroesophageal reflux which may be associated with chest complication. There have been studies showing that routine post-operative nasogastric decompression is not necessary for gastrectomy in general, but the role in subtotal gastrectomy for stomach cancer is not well defined.
Tarih
Son Doğrulandı: | 08/31/2005 |
İlk Gönderilen: | 09/11/2005 |
Tahmini Kayıt Gönderildi: | 09/11/2005 |
İlk Gönderilen: | 09/13/2005 |
Son Güncelleme Gönderildi: | 09/11/2005 |
Son Güncelleme Gönderildi: | 09/13/2005 |
Fiili Çalışma Başlangıç Tarihi: | 08/31/2004 |
Durum veya hastalık
Müdahale / tedavi
Device: nasogastric tube
Evre
Uygunluk kriterleri
Çalışmaya Uygun Yaşlar | 18 Weeks İçin 18 Weeks |
Çalışmaya Uygun Cinsiyetler | All |
Sağlıklı Gönüllüleri Kabul Ediyor | Evet |
Kriterler | Inclusion Criteria:All patients suffering from carcinoma of stomach, decided for operation - subtotal, D1/D2 dissection - palliative resection Exclusion Criteria: - actively bleeding tumor - perforation of tumor - patient present with gastric outlet obstruction - combine organ excision - known diabetes with nephropathy |
Sonuç
Birincil Sonuç Ölçütleri
1. Bowel function and related symptoms early post-op [undefined]