Pediatric Surgery, Hospital Infantil de Mexico Federico Gomez, Dr. Márquez No. 162, Col. Doctores, Delegación Cuauhtemoc, Mexico, DF, CP 06720, Mexico.
World J Surg. 2010 May;34(5):947-53. doi: 10.1007/s00268-010-0442-3.
The goal of this study was to investigate the role of nasogastric drainage in preventing postoperative complications in children with distal elective bowel anastomosis. Nasogastric drainage has been used as a routine measure after gastrointestinal surgery in children and adults to hasten bowel function, prevent postoperative complications, and shorten hospital stay. However, there has been no study that shows in a scientific manner the benefit of nasogastric drainage in children.
We performed a clinical, controlled, randomized trial comprising 60 children who underwent distal elective bowel anastomoses and compared postoperative complications between a group with nasogastric tube in place (n = 29) and one without it (n = 31).
Demographic data and diagnoses were comparable in both groups (P = NS). No anastomotic leaks or enterocutaneous fistulae were found in any patient. There were no significant differences between the two groups with respect to abdominal distension, infection, or hospital stay. Only one patient in the experimental group required placement of the nasogastric tube due to persistent abdominal distension (3.2%).
The routine use of nasogastric drainage after distal elective intestinal surgery in children can be eliminated. Its use should depend on the individual patient's situation.
本研究旨在探讨鼻胃管引流在预防儿童选择性远端肠吻合术后并发症中的作用。鼻胃管引流已被用作儿童和成人胃肠手术后的常规措施，以加速肠道功能，预防术后并发症，并缩短住院时间。然而，目前尚无研究以科学的方式证明鼻胃管引流对儿童的益处。
我们进行了一项临床对照随机试验，纳入 60 例行远端选择性肠吻合术的儿童，并比较了放置鼻胃管组（n = 29）和未放置组（n = 31）之间的术后并发症。
两组的人口统计学数据和诊断均无差异（P = NS）。任何患者均未发现吻合口漏或肠皮肤瘘。两组在腹胀、感染或住院时间方面无显著差异。仅实验组 1 例患者因持续腹胀（3.2%）需要放置鼻胃管。
儿童选择性远端肠手术后常规使用鼻胃管引流可以消除。其使用应取决于患者的具体情况。
