Liao Foqiang, Shao Danting, Yao Shuman, Pan Xiaolin, Long Shunhua, Zhou Xiaojiang, Li Guohua, Zhu Yin, Chen Youxiang, Zhu Zhenhua, Shu Xu
Department of Gastroenterology, The First Affiliated Hospital of Nanchang University, 17 Yongwaizheng, Street, Nanchang, 330006, Jiangxi, China.
Fuzhou Medical College of Nanchang University, Fuzhou, 344000, Jiangxi, China.
Surg Endosc. 2023 Feb;37(2):932-940. doi: 10.1007/s00464-022-09560-9. Epub 2022 Sep 1.
Endoscopic full-thickness resection is a common endoscopic procedure for treating gastrointestinal submucosal tumors. Nasogastric tube placement is frequently performed after abdominal surgery, but the routine use of this approach remains controversial. The aim of this research was to explore whether nasogastric tube placement after gastric endoscopic full-thickness resection is necessary.
A retrospective study enrolled patients who underwent gastric endoscopic full-thickness resection in our hospital between January 2014 and January 2019, and all the patients had a tumor size ≤ 2 cm. The patients were divided into two groups according to whether a nasogastric tube was placed. Postprocedural adverse events and hospital stay duration were compared between the two groups using 1:1 propensity score matching.
A total of 461 patients were enrolled in this study, including 385 patients in the nasogastric tube group (NGT group) and 76 patients in the non-nasogastric tube group (non-NGT group). After matching, the baseline characteristics of 73 patients in the NGT group and 73 patients in the non-NGT group were balanced (p > 0.05). The postprocedural fever rate in the NGT group was significantly higher than that in the non-NGT group (23.3% vs. 9.6%, p = 0.044). 6.9% (5/73) of patients experienced severe nasogastric tube-related throat discomfort. However, the duration of hospitalization stay was not different between the two groups.
For patients with tumor size ≤ 2 cm, routine nasogastric tube placement after gastric endoscopic full-thickness resection may be unnecessary.
内镜全层切除术是治疗胃肠道黏膜下肿瘤的常见内镜手术。腹部手术后常放置鼻胃管，但这种方法的常规使用仍存在争议。本研究的目的是探讨胃内镜全层切除术后放置鼻胃管是否必要。
一项回顾性研究纳入了2014年1月至2019年1月在我院接受胃内镜全层切除术的患者，所有患者肿瘤大小≤2 cm。根据是否放置鼻胃管将患者分为两组。采用1:1倾向评分匹配法比较两组术后不良事件和住院时间。
本研究共纳入461例患者，其中鼻胃管组（NGT组）385例，非鼻胃管组（非NGT组）76例。匹配后，NGT组73例患者和非NGT组73例患者的基线特征均衡（p>0.05）。NGT组术后发热率显著高于非NGT组（23.3%对9.6%，p = 0.044）。6.9%（5/73）的患者出现严重的鼻胃管相关咽喉不适。然而，两组的住院时间没有差异。
对于肿瘤大小≤2 cm的患者，胃内镜全层切除术后常规放置鼻胃管可能没有必要。
