Document Detail


Assessment of routine elimination of postoperative nasogastric decompression after Roux-en-Y gastric bypass.
MedLine Citation:
PMID:  12464869     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Anastomotic disruption after surgical intervention is an infrequent complication, but may lead to severe morbidity and mortality when it occurs. Of the various gastric procedures, the Roux-en-Y gastric bypass (RYGB) has one of the highest risks for anastomotic leakage. Consequently, a nasogastric tube (NGT) is frequently placed when these operations are performed. Most studies examining the outcomes for patients without postoperative NGTs have been relatively small with groups of patients undergoing a variety of operations. Assessing the incidence of anastomotic leaks by routine elimination of postoperative NGTs requires a large number of patients. In this study, we assessed the safety and efficacy of routine elimination of NGTs in a large cohort of patients undergoing a single operation. METHODS: We reviewed our experience with 1067 patients who underwent RYGB at the UCLA medical center. Fifty-six patients had NGTs routinely placed before the implementation of a standard protocol, which eliminated postoperative NGT decompression. The complication rate for the RYGB patient cohort with and without postoperative NGT was compared. RESULTS:We found no difference in the complication rates between the 2 groups (Fisher exact test; P =.21). CONCLUSIONS: Our findings suggest that routine placement of an NGT after RYGB is unnecessary.
Authors:
Sergio Huerta; James R Arteaga; Mark P Sawicki; Carson D Liu; Edward H Livingston
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Surgery     Volume:  132     ISSN:  0039-6060     ISO Abbreviation:  Surgery     Publication Date:  2002 Nov 
Date Detail:
Created Date:  2002-12-04     Completed Date:  2003-01-03     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0417347     Medline TA:  Surgery     Country:  United States    
Other Details:
Languages:  eng     Pagination:  844-8     Citation Subset:  AIM; IM    
Affiliation:
VAMC Greater Los Angeles Health Care System, the UCLA Bariatric Surgery Program, and the UCLA Center for Human Nutrition, Los Angeles, CA 90095, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Anastomosis, Roux-en-Y / adverse effects
Cohort Studies
Female
Gastric Bypass / adverse effects,  methods*
Humans
Intubation, Gastrointestinal*
Male
Safety

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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