Wu C C, Hwang C R, Liu T J
Department of Surgery, Taichung Veterans General Hospital, Taiwan.
Eur J Surg. 1994 Jun-Jul;160(6-7):369-73.
To find out if routine nasogastric tube decompression is necessary after radical gastrectomy with systematic extensive lymphadenectomy in patients with gastric cancer.
Prospective randomised trial.
Surgical Department, Taichung Veterans General Hospital, Taiwan.
74 patients with gastric cancer including 11 with gastric outlet obstruction who underwent radical distal gastrectomy.
After operation, 37 patients were randomised to receive nasogastric intubation and 37 not to have it.
Morbidity, mortality, and speed of recovery.
No patient died after operation. The groups were comparable for the day of starting oral diet, rate of reinsertion of nasogastric tube and morbidity. Patients who were not intubated mobilised more quickly, and spent less time in hospital. Only one of seven patients with gastric outlet obstruction who had not been intubated needed to be so.
Routine postoperative nasogastric decompression is unnecessary after radical gastrectomy even in the presence of gastric outlet obstruction.
探讨胃癌患者行根治性胃切除及系统性广泛淋巴结清扫术后常规鼻胃管减压是否必要。
前瞻性随机试验。
台湾台中荣民总医院外科。
74例胃癌患者，其中11例伴有胃出口梗阻，均接受了根治性远端胃切除术。
术后，37例患者随机接受鼻胃管插管，37例不插管。
发病率、死亡率及恢复速度。
术后无患者死亡。两组在开始经口进食时间、鼻胃管重新插入率及发病率方面具有可比性。未插管患者活动更快，住院时间更短。7例未插管的胃出口梗阻患者中只有1例需要插管。
即使存在胃出口梗阻，根治性胃切除术后常规鼻胃管减压也无必要。
