Routine nasogastric decompression is unnecessary after pancreatic resections.
Routine nasogastric decompression is unnecessary after pancreatic resections.
复制标题
胰腺切除术后无需常规鼻胃减压。
DOI：
10.1001/archsurg.2011.1260
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发表时间：
2012
影响因子：
--
通讯作者：
R. Schwarz
中科院分区：
文献类型：
--
作者：
C. Roland;J. Mansour;R. Schwarz
关于在接受胰腺切除术的患者中使用鼻胃管（NGT）的数据有限。我们分析了231例连续胰腺切除术后的结果。我们在整个研究间隔的第一部分中常规术中放置NGT;在研究的第二部分中，尽可能在气管内拔管前术中移除口胃管（OGT）（n = 75 [32%]）。中位术后NGT持续时间为1天（OGT组，0天; NGT组，2天[P < .001]）。43例患者（19%）需要重新插入NGT，常规NGT或OGT使用后患者之间无差异（19% vs 19%）。在74%的严重并发症和29%的轻微并发症后重新插入鼻胃管（P <0.001）。我们的经验表明，在接受胰腺切除术的患者中可以安全地避免使用NGTs。
Data regarding the use of nasogastric tubes (NGTs) in patients who are undergoing pancreatic resections are limited. We analyzed outcomes after 231 consecutive pancreatectomy procedures in an academic surgical oncology practice. We routinely placed NGTs intraoperatively throughout the first part of the study interval; orogastric tubes (OGTs) were removed intraoperatively before endotracheal extubation whenever possible in the second part of the study (n = 75 [32%]). The median postoperative NGT duration was 1 day (OGT group, 0 days; NGT group, 2 days [P < .001]). Reinsertion of the NGT was necessary in 43 patients (19%) and did not differ between patients after routine NGT or OGT use (19% vs 19%). Nasogastric tubes were reinserted after 74% of major complications compared with 29% of minor complications (P < .001). Our experience demonstrates that the use of NGTs can be safely avoided in patients who are undergoing pancreatectomies.