Intraoperative nasogastric tube during colorectal surgery may not be mandatory: a propensity score analysis of a prospective database
Background Avoiding the use of nasogastric tubes (NGTs) is recommended after colorectal surgery but there is no consensus on intraoperative gastric decompression using NGTs during colorectal surgery. The objective was to assess the effect of avoiding insertion of NGTs during colorectal surgery for t...
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| Veröffentlicht in: | Surgical endoscopy 2020-12, Vol.34 (12), p.5583-5592 |
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| creator | Venara, Aurélien Hamel, Jean-Francois Cotte, Eddy Meillat, Hélène Sage, Pierre-Yves Slim, Karem |
| description | Background
Avoiding the use of nasogastric tubes (NGTs) is recommended after colorectal surgery but there is no consensus on intraoperative gastric decompression using NGTs during colorectal surgery. The objective was to assess the effect of avoiding insertion of NGTs during colorectal surgery for the recovery of gastrointestinal (GI) functions.
Method
1561 patients undergoing colorectal surgery, for whom information on NGT use was available, were included in this retrospective analysis and propensity score analysis of the prospective GRACE Audit database. Patients who did and did not have an NGT during surgery were compared.
Results
Among the study population of 1561 patients, 696 patients were matched to correct baseline differences between groups. The no-NGT group significantly improved GI motility impairment (e.g., less postoperative nausea [OR = 0.59; CI 95%: 0.42–0.84] and a better tolerance of early feeding [OR = 2.07; CI 95%: 1.33–3.22]). Such an association was also highlighted for reduced postoperative morbidity [OR = 0.60; CI 95%: 0.43–0.83], and especially pulmonary complications [OR = 0.08; CI 95%: 0.01–0.59], or parietal complications [OR = 0.29; CI 95%: 0.09–0.87]. The risk of postoperative ileus was not significantly reduced in the no-NGT group [OR = 0.67; CI 95%: 0.43–1.06].
Conclusion
No NGT insertion during colorectal surgery is safe and could improve postoperative GI function recovery. |
| doi_str_mv | 10.1007/s00464-019-07359-9 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_hal_p</sourceid><recordid>TN_cdi_hal_primary_oai_HAL_hal_03619024v1</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2338088060</sourcerecordid><originalsourceid>FETCH-LOGICAL-c409t-62fdf1445ed6a7bc634bd1e0a8ea0880b24f946fb2cd201d004aa7210ec556273</originalsourceid><addsrcrecordid>eNp9kc1u1TAQha0KRC-FF2CBLLEpi9DxT37cXVUBrXQlNnRtTRznNlUSp7ZTKQ_Ae9chpZW6YGXJ_s45Mz6EfGLwjQGUZwFAFjIDpjIoRa4ydUR2TAqecc6qN2QHSkDGSyWPyfsQ7iDxiuXvyLFgSnAlYUf-XI_Ro5usx9g9WDpicAcM0XeGxrm2tJl9Nx6ocb3z1kTsaZj9wfqFDrjQ0UWaoAHHBqPzyzlFOvlkN4YuLjSYJKI4Yr-ELlDXbs9hSk5rWhJhjcF-IG9b7IP9-HSekJsf339fXmX7Xz-vLy_2mZGgYlbwtmmZlLltCixrUwhZN8wCVhahqqDmslWyaGtuGg6sSfsilpyBNXle8FKckK-b7y32evLdgH7RDjt9dbHX6x2Iging8oEl9nRj08D3sw1RD10wtu9xtG4OmgtRraEFJPTLK_TOzT5tnShZslwwwVeKb5RJPxC8bZ8nYKDXQvVWqE6F6r-FapVEn5-s53qwzbPkX4MJEBsQprUo61-y_2P7CEZErNE</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2471531320</pqid></control><display><type>article</type><title>Intraoperative nasogastric tube during colorectal surgery may not be mandatory: a propensity score analysis of a prospective database</title><source>SpringerLink Journals - AutoHoldings</source><creator>Venara, Aurélien ; Hamel, Jean-Francois ; Cotte, Eddy ; Meillat, Hélène ; Sage, Pierre-Yves ; Slim, Karem</creator><creatorcontrib>Venara, Aurélien ; Hamel, Jean-Francois ; Cotte, Eddy ; Meillat, Hélène ; Sage, Pierre-Yves ; Slim, Karem ; GRACE Group ; the GRACE Group</creatorcontrib><description>Background
Avoiding the use of nasogastric tubes (NGTs) is recommended after colorectal surgery but there is no consensus on intraoperative gastric decompression using NGTs during colorectal surgery. The objective was to assess the effect of avoiding insertion of NGTs during colorectal surgery for the recovery of gastrointestinal (GI) functions.
Method
1561 patients undergoing colorectal surgery, for whom information on NGT use was available, were included in this retrospective analysis and propensity score analysis of the prospective GRACE Audit database. Patients who did and did not have an NGT during surgery were compared.
Results
Among the study population of 1561 patients, 696 patients were matched to correct baseline differences between groups. The no-NGT group significantly improved GI motility impairment (e.g., less postoperative nausea [OR = 0.59; CI 95%: 0.42–0.84] and a better tolerance of early feeding [OR = 2.07; CI 95%: 1.33–3.22]). Such an association was also highlighted for reduced postoperative morbidity [OR = 0.60; CI 95%: 0.43–0.83], and especially pulmonary complications [OR = 0.08; CI 95%: 0.01–0.59], or parietal complications [OR = 0.29; CI 95%: 0.09–0.87]. The risk of postoperative ileus was not significantly reduced in the no-NGT group [OR = 0.67; CI 95%: 0.43–1.06].
Conclusion
No NGT insertion during colorectal surgery is safe and could improve postoperative GI function recovery.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-019-07359-9</identifier><identifier>PMID: 31932940</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Abdominal Surgery ; Colorectal surgery ; Endoscopy ; Gastroenterology ; Gynecology ; Hepatology ; Human health and pathology ; Life Sciences ; Medicine ; Medicine & Public Health ; Morbidity ; Motility ; Nausea ; Patients ; Proctology ; Recovery (Medical) ; Surgery ; Surgical outcomes ; Vomiting</subject><ispartof>Surgical endoscopy, 2020-12, Vol.34 (12), p.5583-5592</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020</rights><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c409t-62fdf1445ed6a7bc634bd1e0a8ea0880b24f946fb2cd201d004aa7210ec556273</citedby><cites>FETCH-LOGICAL-c409t-62fdf1445ed6a7bc634bd1e0a8ea0880b24f946fb2cd201d004aa7210ec556273</cites><orcidid>0000-0003-1539-4797 ; 0000-0003-0877-5655</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-019-07359-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-019-07359-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31932940$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-03619024$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Venara, Aurélien</creatorcontrib><creatorcontrib>Hamel, Jean-Francois</creatorcontrib><creatorcontrib>Cotte, Eddy</creatorcontrib><creatorcontrib>Meillat, Hélène</creatorcontrib><creatorcontrib>Sage, Pierre-Yves</creatorcontrib><creatorcontrib>Slim, Karem</creatorcontrib><creatorcontrib>GRACE Group</creatorcontrib><creatorcontrib>the GRACE Group</creatorcontrib><title>Intraoperative nasogastric tube during colorectal surgery may not be mandatory: a propensity score analysis of a prospective database</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Background
Avoiding the use of nasogastric tubes (NGTs) is recommended after colorectal surgery but there is no consensus on intraoperative gastric decompression using NGTs during colorectal surgery. The objective was to assess the effect of avoiding insertion of NGTs during colorectal surgery for the recovery of gastrointestinal (GI) functions.
Method
1561 patients undergoing colorectal surgery, for whom information on NGT use was available, were included in this retrospective analysis and propensity score analysis of the prospective GRACE Audit database. Patients who did and did not have an NGT during surgery were compared.
Results
Among the study population of 1561 patients, 696 patients were matched to correct baseline differences between groups. The no-NGT group significantly improved GI motility impairment (e.g., less postoperative nausea [OR = 0.59; CI 95%: 0.42–0.84] and a better tolerance of early feeding [OR = 2.07; CI 95%: 1.33–3.22]). Such an association was also highlighted for reduced postoperative morbidity [OR = 0.60; CI 95%: 0.43–0.83], and especially pulmonary complications [OR = 0.08; CI 95%: 0.01–0.59], or parietal complications [OR = 0.29; CI 95%: 0.09–0.87]. The risk of postoperative ileus was not significantly reduced in the no-NGT group [OR = 0.67; CI 95%: 0.43–1.06].
Conclusion
No NGT insertion during colorectal surgery is safe and could improve postoperative GI function recovery.</description><subject>Abdominal Surgery</subject><subject>Colorectal surgery</subject><subject>Endoscopy</subject><subject>Gastroenterology</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Human health and pathology</subject><subject>Life Sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Morbidity</subject><subject>Motility</subject><subject>Nausea</subject><subject>Patients</subject><subject>Proctology</subject><subject>Recovery (Medical)</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Vomiting</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp9kc1u1TAQha0KRC-FF2CBLLEpi9DxT37cXVUBrXQlNnRtTRznNlUSp7ZTKQ_Ae9chpZW6YGXJ_s45Mz6EfGLwjQGUZwFAFjIDpjIoRa4ydUR2TAqecc6qN2QHSkDGSyWPyfsQ7iDxiuXvyLFgSnAlYUf-XI_Ro5usx9g9WDpicAcM0XeGxrm2tJl9Nx6ocb3z1kTsaZj9wfqFDrjQ0UWaoAHHBqPzyzlFOvlkN4YuLjSYJKI4Yr-ELlDXbs9hSk5rWhJhjcF-IG9b7IP9-HSekJsf339fXmX7Xz-vLy_2mZGgYlbwtmmZlLltCixrUwhZN8wCVhahqqDmslWyaGtuGg6sSfsilpyBNXle8FKckK-b7y32evLdgH7RDjt9dbHX6x2Iging8oEl9nRj08D3sw1RD10wtu9xtG4OmgtRraEFJPTLK_TOzT5tnShZslwwwVeKb5RJPxC8bZ8nYKDXQvVWqE6F6r-FapVEn5-s53qwzbPkX4MJEBsQprUo61-y_2P7CEZErNE</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>Venara, Aurélien</creator><creator>Hamel, Jean-Francois</creator><creator>Cotte, Eddy</creator><creator>Meillat, Hélène</creator><creator>Sage, Pierre-Yves</creator><creator>Slim, Karem</creator><general>Springer US</general><general>Springer Nature B.V</general><general>Springer Verlag (Germany)</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>1XC</scope><orcidid>https://orcid.org/0000-0003-1539-4797</orcidid><orcidid>https://orcid.org/0000-0003-0877-5655</orcidid></search><sort><creationdate>20201201</creationdate><title>Intraoperative nasogastric tube during colorectal surgery may not be mandatory: a propensity score analysis of a prospective database</title><author>Venara, Aurélien ; Hamel, Jean-Francois ; Cotte, Eddy ; Meillat, Hélène ; Sage, Pierre-Yves ; Slim, Karem</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c409t-62fdf1445ed6a7bc634bd1e0a8ea0880b24f946fb2cd201d004aa7210ec556273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Abdominal Surgery</topic><topic>Colorectal surgery</topic><topic>Endoscopy</topic><topic>Gastroenterology</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Human health and pathology</topic><topic>Life Sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Morbidity</topic><topic>Motility</topic><topic>Nausea</topic><topic>Patients</topic><topic>Proctology</topic><topic>Recovery (Medical)</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><topic>Vomiting</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Venara, Aurélien</creatorcontrib><creatorcontrib>Hamel, Jean-Francois</creatorcontrib><creatorcontrib>Cotte, Eddy</creatorcontrib><creatorcontrib>Meillat, Hélène</creatorcontrib><creatorcontrib>Sage, Pierre-Yves</creatorcontrib><creatorcontrib>Slim, Karem</creatorcontrib><creatorcontrib>GRACE Group</creatorcontrib><creatorcontrib>the GRACE Group</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Venara, Aurélien</au><au>Hamel, Jean-Francois</au><au>Cotte, Eddy</au><au>Meillat, Hélène</au><au>Sage, Pierre-Yves</au><au>Slim, Karem</au><aucorp>GRACE Group</aucorp><aucorp>the GRACE Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intraoperative nasogastric tube during colorectal surgery may not be mandatory: a propensity score analysis of a prospective database</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2020-12-01</date><risdate>2020</risdate><volume>34</volume><issue>12</issue><spage>5583</spage><epage>5592</epage><pages>5583-5592</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><abstract>Background
Avoiding the use of nasogastric tubes (NGTs) is recommended after colorectal surgery but there is no consensus on intraoperative gastric decompression using NGTs during colorectal surgery. The objective was to assess the effect of avoiding insertion of NGTs during colorectal surgery for the recovery of gastrointestinal (GI) functions.
Method
1561 patients undergoing colorectal surgery, for whom information on NGT use was available, were included in this retrospective analysis and propensity score analysis of the prospective GRACE Audit database. Patients who did and did not have an NGT during surgery were compared.
Results
Among the study population of 1561 patients, 696 patients were matched to correct baseline differences between groups. The no-NGT group significantly improved GI motility impairment (e.g., less postoperative nausea [OR = 0.59; CI 95%: 0.42–0.84] and a better tolerance of early feeding [OR = 2.07; CI 95%: 1.33–3.22]). Such an association was also highlighted for reduced postoperative morbidity [OR = 0.60; CI 95%: 0.43–0.83], and especially pulmonary complications [OR = 0.08; CI 95%: 0.01–0.59], or parietal complications [OR = 0.29; CI 95%: 0.09–0.87]. The risk of postoperative ileus was not significantly reduced in the no-NGT group [OR = 0.67; CI 95%: 0.43–1.06].
Conclusion
No NGT insertion during colorectal surgery is safe and could improve postoperative GI function recovery.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>31932940</pmid><doi>10.1007/s00464-019-07359-9</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-1539-4797</orcidid><orcidid>https://orcid.org/0000-0003-0877-5655</orcidid></addata></record> |
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| language | eng |
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| source | SpringerLink Journals - AutoHoldings |
| subjects | Abdominal Surgery Colorectal surgery Endoscopy Gastroenterology Gynecology Hepatology Human health and pathology Life Sciences Medicine Medicine & Public Health Morbidity Motility Nausea Patients Proctology Recovery (Medical) Surgery Surgical outcomes Vomiting |
| title | Intraoperative nasogastric tube during colorectal surgery may not be mandatory: a propensity score analysis of a prospective database |
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