Pooled Analysis of the Routine Nasogastric Decompression Necessity for Elective Gastrectomy

Background: Nasogastric decompression is routinely used for intestinal drainage or decompression after gastrectomy. However,nowadays its efficacy is under debate.Objectives: The purpose of this study was to investigate the efficacy and necessity of nasogastric decompression in radical gastrectomyfor...

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Autores principales:	Ping Yang, Xiu-Feng Lin, Chen-Fei Xie, Fan Luo, Hai-Ying Liang, Wei Li
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2019
Materias:	nasogastric decompression gastrectomy meta-analysis Medicine R
Acceso en línea:	https://doaj.org/article/a2046b867daf4bae9ab28a7640d91280
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spelling	oai:doaj.org-article:a2046b867daf4bae9ab28a7640d912802021-11-14T08:42:12ZPooled Analysis of the Routine Nasogastric Decompression Necessity for Elective Gastrectomy2783-2430https://doaj.org/article/a2046b867daf4bae9ab28a7640d912802019-03-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_47192_38330e4cd0e7a45833a43c1726ba1d68.pdfhttps://doaj.org/toc/2783-2430Background: Nasogastric decompression is routinely used for intestinal drainage or decompression after gastrectomy. However,nowadays its efficacy is under debate.Objectives: The purpose of this study was to investigate the efficacy and necessity of nasogastric decompression in radical gastrectomyfor gastric cancer.Methods: Two PubMed and EMBASE electronic databases were retrieved by November 2018. A prospective randomized controlledtrial (RCT) and comparison of nasogastric decompression with and without nasogastric decompression after gastrectomy are requiredfor eligible studies.Results: A total of 1,885 cases were included in 13 randomized controlled studies. There were 941 cases in nasogastric decompressiongroup and 944 cases in non-nasogastric decompression group after gastrectomy. The patients in non-nasogastric decompressiongroup had significantly shorter time of bowel sound return (WMD = -0.20, 95% CIs = -0.38 - 0.02, P = 0.03), shorter time of first oralintake (WMD = -0.58, 95% CIs = -0.92 - 0.24, P = 0.0007), faster tolerance to semi-solid diet (WMD = -0.65, 95% CIs = -0.96 - 0.34, P <0.0001), and shorter time of postoperative hospital stay (WMD = -0.99, 95% CIs = -1.70 - 0.27, P = 0.007). No statistically significantdifferences were observed in the first time to passage of flatus, vomiting, mortality rates, total complications, gastrointestinal complications,wound complications, respiratory complications, anastomosis or duodenal stump fistula, and general complications.Conclusions: The routine nasogastric decompression was not recommended for patients after elective gastrectomy.Ping YangXiu-Feng LinChen-Fei XieFan LuoHai-Ying LiangWei LiShiraz University of Medical Sciencesarticlenasogastric decompressiongastrectomymeta-analysisMedicineRENIranian Journal of Colorectal Research, Vol 7, Iss 1 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	nasogastric decompression gastrectomy meta-analysis Medicine R
spellingShingle	nasogastric decompression gastrectomy meta-analysis Medicine R Ping Yang Xiu-Feng Lin Chen-Fei Xie Fan Luo Hai-Ying Liang Wei Li Pooled Analysis of the Routine Nasogastric Decompression Necessity for Elective Gastrectomy
description	Background: Nasogastric decompression is routinely used for intestinal drainage or decompression after gastrectomy. However,nowadays its efficacy is under debate.Objectives: The purpose of this study was to investigate the efficacy and necessity of nasogastric decompression in radical gastrectomyfor gastric cancer.Methods: Two PubMed and EMBASE electronic databases were retrieved by November 2018. A prospective randomized controlledtrial (RCT) and comparison of nasogastric decompression with and without nasogastric decompression after gastrectomy are requiredfor eligible studies.Results: A total of 1,885 cases were included in 13 randomized controlled studies. There were 941 cases in nasogastric decompressiongroup and 944 cases in non-nasogastric decompression group after gastrectomy. The patients in non-nasogastric decompressiongroup had significantly shorter time of bowel sound return (WMD = -0.20, 95% CIs = -0.38 - 0.02, P = 0.03), shorter time of first oralintake (WMD = -0.58, 95% CIs = -0.92 - 0.24, P = 0.0007), faster tolerance to semi-solid diet (WMD = -0.65, 95% CIs = -0.96 - 0.34, P <0.0001), and shorter time of postoperative hospital stay (WMD = -0.99, 95% CIs = -1.70 - 0.27, P = 0.007). No statistically significantdifferences were observed in the first time to passage of flatus, vomiting, mortality rates, total complications, gastrointestinal complications,wound complications, respiratory complications, anastomosis or duodenal stump fistula, and general complications.Conclusions: The routine nasogastric decompression was not recommended for patients after elective gastrectomy.
format	article
author	Ping Yang Xiu-Feng Lin Chen-Fei Xie Fan Luo Hai-Ying Liang Wei Li
author_facet	Ping Yang Xiu-Feng Lin Chen-Fei Xie Fan Luo Hai-Ying Liang Wei Li
author_sort	Ping Yang
title	Pooled Analysis of the Routine Nasogastric Decompression Necessity for Elective Gastrectomy
title_short	Pooled Analysis of the Routine Nasogastric Decompression Necessity for Elective Gastrectomy
title_full	Pooled Analysis of the Routine Nasogastric Decompression Necessity for Elective Gastrectomy
title_fullStr	Pooled Analysis of the Routine Nasogastric Decompression Necessity for Elective Gastrectomy
title_full_unstemmed	Pooled Analysis of the Routine Nasogastric Decompression Necessity for Elective Gastrectomy
title_sort	pooled analysis of the routine nasogastric decompression necessity for elective gastrectomy
publisher	Shiraz University of Medical Sciences
publishDate	2019
url	https://doaj.org/article/a2046b867daf4bae9ab28a7640d91280
work_keys_str_mv	AT pingyang pooledanalysisoftheroutinenasogastricdecompressionnecessityforelectivegastrectomy AT xiufenglin pooledanalysisoftheroutinenasogastricdecompressionnecessityforelectivegastrectomy AT chenfeixie pooledanalysisoftheroutinenasogastricdecompressionnecessityforelectivegastrectomy AT fanluo pooledanalysisoftheroutinenasogastricdecompressionnecessityforelectivegastrectomy AT haiyingliang pooledanalysisoftheroutinenasogastricdecompressionnecessityforelectivegastrectomy AT weili pooledanalysisoftheroutinenasogastricdecompressionnecessityforelectivegastrectomy
_version_	1718429795161735168

Pooled Analysis of the Routine Nasogastric Decompression Necessity for Elective Gastrectomy

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