【Abstract】Objective To discuss the clinical significance of postoperative application of gastrointestinal decompression after anastomosis of lower digestive tract.
Methods Three hundred and sixty-eight patients undergoing excision and anastomosis of lower digestive tract were divided into two groups: the group with postoperative gastrointestinal decompression and the group without it. The clinical therapeutic outcomes and incidences of complications were compared between the two groups.
Results The volume of gastric juice in the decompression group was about 200 ml every day after operation. Both groups had a smaller abdomenal circumference before operation than after operation （P＜0.001）. No difference in the time of first passage of gas from anus and defecation after operation was found between the two groups. The incidence of complications in the decompression group was obviously higher than that of non-decompression group (28.0% vs. 8.2%, P＜0.001); the incidence of pharyngolaryngitis of the former was up to 23.1%. There was also no difference found between these two groups regarding the hospital stay after operation.
Conclusion The present study shows that application of gastrointestinal decompression after excision and anastomosis of lower digestive tract cannot effectively reduce the gastrointestinal tract pressure and has no obvious effect on prevention from postoperative complications. On the contrary, it may increase the incidence of pharyngolaryngitis and other complications. Therefore, it is more beneficial for the recovery of patients without gastrointestinal decompression.
Citation：
ZHAO Gaoping,LEIWenzhang,LI Ka,CHENG Zhong,WANG Tiancai.. Clinical Study of Gastrointestinal Decompression after Excision and Anastomosis of Lower Digestive Tract. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2004, 11(6): 512-514. doi:
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Copyright © the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved
| 1. |
Clevers GJ, Smout AJ. The natural course of postoperative ileus following abdominal surgery [Ｊ]. Neth J Surg, 1989; 41(5)∶ 97.
|
| 2. |
黎介寿，吴孟超，黄志强主编. 手术学全集·普通外科卷 [M]. 第1版. 北京： 人民军医出版社， 1996∶344～548.
|
| 3. |
应福明. 无鼻胃管减压胆道手术112例报告 [Ｊ]. 临床外科杂志， 1999； 7（2）∶104.
|
| 4. |
唐元生，张秀珍，韩殿承主编. 人体医学参数与概念 [M]. 第1版. 济南： 济南出版社， 1995∶80～115.
|
| 5. |
Argov S, Goldstein I, Barzilai A. Is routine use of the nasogastric tube justified in upper abdominal surgery? [Ｊ]. Am J Surg, 1980; 139(6)∶849.
|
| 6. |
Nathan BN, Pain JA. Nasogastric suction after elective abdominal surgery: a randomised study [Ｊ]. Ann R Coll Surg Engl, 1991; 73(5)∶291.
|
| 7. |
Michowitz M, Chen J, Waizbard E, et al. Abdominal operations without nasogastric tube decompression of the gastrointestinal tract [Ｊ]. Am Surg, 1988; 54(11)∶672.
|
| 8. |
Koukouras D, Mastronikolis NS, Tzoracoleftherakis E, et al. The role of nasogastric tube after elective abdominal surgery [Ｊ]. Clin Ter, 2001; 152(4)∶241.
|
| 9. |
Hoffmann S, Koller M, Plaul U, et al. Nasogastric tube versus gastrostomy tube for gastric decompression in abdominal surgery: a prospective, randomized trial comparing patients’ tuberelated inconvenience [Ｊ]. Langenbecks Arch Surg, 2001; 386(6)∶402.
|
| 10. |
Gouzi JL, Moran B. Nasogastric tubes after elective abdominal surgery is not justified [Ｊ]. J Chir (Paris), 1998; 135(6)∶273.
|
- 1. Clevers GJ, Smout AJ. The natural course of postoperative ileus following abdominal surgery [Ｊ]. Neth J Surg, 1989; 41(5)∶ 97.
- 2. 黎介寿，吴孟超，黄志强主编. 手术学全集·普通外科卷 [M]. 第1版. 北京： 人民军医出版社， 1996∶344～548.
- 3. 应福明. 无鼻胃管减压胆道手术112例报告 [Ｊ]. 临床外科杂志， 1999； 7（2）∶104.
- 4. 唐元生，张秀珍，韩殿承主编. 人体医学参数与概念 [M]. 第1版. 济南： 济南出版社， 1995∶80～115.
- 5. Argov S, Goldstein I, Barzilai A. Is routine use of the nasogastric tube justified in upper abdominal surgery? [Ｊ]. Am J Surg, 1980; 139(6)∶849.
- 6. Nathan BN, Pain JA. Nasogastric suction after elective abdominal surgery: a randomised study [Ｊ]. Ann R Coll Surg Engl, 1991; 73(5)∶291.
- 7. Michowitz M, Chen J, Waizbard E, et al. Abdominal operations without nasogastric tube decompression of the gastrointestinal tract [Ｊ]. Am Surg, 1988; 54(11)∶672.
- 8. Koukouras D, Mastronikolis NS, Tzoracoleftherakis E, et al. The role of nasogastric tube after elective abdominal surgery [Ｊ]. Clin Ter, 2001; 152(4)∶241.
- 9. Hoffmann S, Koller M, Plaul U, et al. Nasogastric tube versus gastrostomy tube for gastric decompression in abdominal surgery: a prospective, randomized trial comparing patients’ tuberelated inconvenience [Ｊ]. Langenbecks Arch Surg, 2001; 386(6)∶402.
- 10. Gouzi JL, Moran B. Nasogastric tubes after elective abdominal surgery is not justified [Ｊ]. J Chir (Paris), 1998; 135(6)∶273.
