Roux-en-Y reconstruction does not require gastric decompression after radical distal gastrectomy

Cheng-Jueng Chen, Tsang-Pai Liu, Jyh-Cherng Yu, Sheng-Der Hsua, Tsai-Yuan Hsieh, Heng-Cheng Chu, Chung-Bao Hsieh, Teng-Wei Chen, De-Chuan Chan

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8 引文 斯高帕斯(Scopus)


AIM: To determine whether routine nasogastric (NG) decompression benefitted patients undergoing radical gastric surgery. METHODS: Between January 1998 and December 2008, 519 patients who underwent distal gastrectomy for gastric cancer were retrospectively divided into 2 time-period cohorts; those treated with Billroth II (B II) reconstruction in the first 6 years and those with Roux-en-Y (RY) reconstruction in the last 5 years. In the latter group, the patients were further divided into 2 subgroups; with and without nasogastric decompression. RESULTS: Postoperatively, there were no significant differences in the number of anastomotic leaks between the 3 groups. In the tubeless RY group, time to semi-liquid diet wzas significantly shorter than in the other 2 groups (4.4 d ± 1.4 d vs 7.2 d ± 1.3 d and 5.9 d ± 1.2 d, P = 0.005). The length of postoperative stay was significantly increased in patients with B II reconstruction compared with patients with RY reconstruction with/without NG decompression (15.4 d ± 4.3 d in B II group vs 12.6 d ± 3.1 d in decompressed RY and 11.4 d ± 3.4 d in the tubeless RY group, P = 0.035). The postoperative pneumonia rate was lowest in the tubeless group and highest in the B II group (1.4% vs 4.6%, P = 0.01). Severe sore throat was noted in 59 (20.7%) members of the B II group, 18 (17.4%) members of the decompressed RY group and 6 (4.2%) members of the tubeless RY group. Fewer patients in the tubeless group complained of severe sore throat (P = 0.001). CONCLUSION: This study provides support for abandoning routine NG decompression in patients undergoing subtotal gastrectomy with Roux-en-Y gastrojejunostomy. © 2012 Baishideng. All rights reserved.
頁(從 - 到)251-256
期刊World Journal of Gastroenterology
出版狀態已發佈 - 2012


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