Department of Pediatric Surgery, Shizuoka Children's Hospital, 860 Urushiyama, Aoi-ku, Shizuoka, 420-8660, Shizuoka, Japan.
World J Pediatr. 2019 Dec;15(6):615-619. doi: 10.1007/s12519-019-00280-0. Epub 2019 Jun 26.
This study assessed the necessity of postoperative nasogastric tube (NGT) use in acute pediatric cases of perforated appendicitis.
All cases of acute pediatric perforated appendicitis managed with transumbilical laparoscopic-assisted appendectomy at our hospital from 2011 to 2017 were retrospectively reviewed. Sixty-two cases were selected and divided into two groups based on NGT placement.
There were no significant differences between the two groups in most parameters of patient demographics, or surgical data. Notably, the mean time to first oral intake and to regular diet was significantly shorter in no-NGT group (1 day vs 3 days, P < 0.0001; and 4 days vs 7 days, P = 0.003, respectively). Postoperative length of stay was significantly shorter in no-NGT group (7 days vs 9 days, P < 0.0001).
Considering the results of our analysis, we believe that routine NGT placement is not always necessary in these situations.
本研究评估了急性穿孔性阑尾炎患儿术后使用鼻胃管（NGT）的必要性。
回顾性分析 2011 年至 2017 年我院行经脐腹腔镜辅助阑尾切除术治疗的急性穿孔性阑尾炎患儿。选择 62 例患儿，根据是否放置 NGT 将其分为两组。
两组患儿的人口统计学和手术数据的大多数参数均无显著差异。值得注意的是，无 NGT 组患儿首次口服摄入和常规饮食的时间明显短于 NGT 组（1 天 vs. 3 天，P<0.0001；4 天 vs. 7 天，P=0.003）。无 NGT 组患儿的术后住院时间明显短于 NGT 组（7 天 vs. 9 天，P<0.0001）。
鉴于我们的分析结果，我们认为在这些情况下，常规放置 NGT 并非总是必要。
