Bench-to-bedside review: Routine postoperative use of the nasogastric tube - utility or futility?
This article provides a summary of current information on rational postoperative use of the nasogastric tube, based on a review of literature related to postoperative gastrointestinal discomfort and management with the nasogastric tube. Routine gastric decompression after major surgery neither haste...
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| Veröffentlicht in: | Critical care (London, England) England), 2007-01, Vol.11 (1), p.201-201 |
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| creator | Tanguy, Michèle Seguin, Philippe Mallédant, Yannick |
| description | This article provides a summary of current information on rational postoperative use of the nasogastric tube, based on a review of literature related to postoperative gastrointestinal discomfort and management with the nasogastric tube. Routine gastric decompression after major surgery neither hastens the return of bowel function nor diminishes the incidence of postoperative nausea and vomiting. The multimodal postoperative rehabilitation programme is a modern and more efficient approach. Omission of nasogastric tube decompression does not increase the incidence of anastomotic leakage or wound dehiscence. Conversely, early enteral feeding is feasible and safe, favours local immunity and gut integrity, and improves nutritional status. With the objective to feeding, nasogastric tube could be used in selected patients. To conclude, use of the nasogastric tube to prevent or limit postoperative gastrointestinal discomfort must be challenged. In contrast to gastric decompression, early gastric feeding must be considered within the new concept of fast track surgery. |
| doi_str_mv | 10.1186/cc5118 |
| format | Article |
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Routine gastric decompression after major surgery neither hastens the return of bowel function nor diminishes the incidence of postoperative nausea and vomiting. The multimodal postoperative rehabilitation programme is a modern and more efficient approach. Omission of nasogastric tube decompression does not increase the incidence of anastomotic leakage or wound dehiscence. Conversely, early enteral feeding is feasible and safe, favours local immunity and gut integrity, and improves nutritional status. With the objective to feeding, nasogastric tube could be used in selected patients. To conclude, use of the nasogastric tube to prevent or limit postoperative gastrointestinal discomfort must be challenged. 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Routine gastric decompression after major surgery neither hastens the return of bowel function nor diminishes the incidence of postoperative nausea and vomiting. The multimodal postoperative rehabilitation programme is a modern and more efficient approach. Omission of nasogastric tube decompression does not increase the incidence of anastomotic leakage or wound dehiscence. Conversely, early enteral feeding is feasible and safe, favours local immunity and gut integrity, and improves nutritional status. With the objective to feeding, nasogastric tube could be used in selected patients. To conclude, use of the nasogastric tube to prevent or limit postoperative gastrointestinal discomfort must be challenged. In contrast to gastric decompression, early gastric feeding must be considered within the new concept of fast track surgery.</description><subject>Colonic Diseases - prevention & control</subject><subject>Gastric Dilatation - prevention & control</subject><subject>Humans</subject><subject>Ileus - prevention & control</subject><subject>Intubation, Gastrointestinal</subject><subject>Postoperative Care - methods</subject><subject>Postoperative Complications - prevention & control</subject><subject>Postoperative Nausea and Vomiting - prevention & control</subject><subject>Review</subject><issn>1364-8535</issn><issn>1466-609X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1r3DAQhkVoyKb5-AlF9JCbW8mSZamHlCb0CxYKIYfchCyPdxVsy5HkLfvvq7CbkBRyegdm5pl3ZhA6p-QTpVJ8trbKeoCOKReiEETdvcsxE7yQFasW6H2M94TQWgp2hBa0LilXRB0jcwWjXRfJFw200bWAA2wc_P2Cb_yc3Ah48jH5CYJJbgN4joB9h9Ma8GiiX5mYgrM4zQ3gAueO3qUt9gF3-_jrKTrsTB_hbK8n6PbH99vrX8Xyz8_f19-WRcMpSUWX59clo7JuSwBRWalKULLpeGutrAhvS1Y3FZVK8cqAIEwq2REiWc2NYewEXe6w09wM0FoYUzC9noIbTNhqb5x-nRndWq_8Rpc0Q0WZAWoHaJx_A_A6Y_2gd2fPvRf74cE_zBCTHly00PdmBD9HXT-6VULlwo__Fd77OYz5LpqqiouSk0cnH16u8mzh6WvsH3Vqmtg</recordid><startdate>20070101</startdate><enddate>20070101</enddate><creator>Tanguy, Michèle</creator><creator>Seguin, Philippe</creator><creator>Mallédant, Yannick</creator><general>National Library of Medicine - MEDLINE Abstracts</general><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20070101</creationdate><title>Bench-to-bedside review: Routine postoperative use of the nasogastric tube - utility or futility?</title><author>Tanguy, Michèle ; Seguin, Philippe ; Mallédant, Yannick</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b410t-fbed723187d2ee65c892e98bf4dcc8504d237b5189945ae603898f008374aa33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Colonic Diseases - prevention & control</topic><topic>Gastric Dilatation - prevention & control</topic><topic>Humans</topic><topic>Ileus - prevention & control</topic><topic>Intubation, Gastrointestinal</topic><topic>Postoperative Care - methods</topic><topic>Postoperative Complications - prevention & control</topic><topic>Postoperative Nausea and Vomiting - prevention & control</topic><topic>Review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tanguy, Michèle</creatorcontrib><creatorcontrib>Seguin, Philippe</creatorcontrib><creatorcontrib>Mallédant, Yannick</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Critical care (London, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tanguy, Michèle</au><au>Seguin, Philippe</au><au>Mallédant, Yannick</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bench-to-bedside review: Routine postoperative use of the nasogastric tube - utility or futility?</atitle><jtitle>Critical care (London, England)</jtitle><addtitle>Crit Care</addtitle><date>2007-01-01</date><risdate>2007</risdate><volume>11</volume><issue>1</issue><spage>201</spage><epage>201</epage><pages>201-201</pages><issn>1364-8535</issn><eissn>1466-609X</eissn><abstract>This article provides a summary of current information on rational postoperative use of the nasogastric tube, based on a review of literature related to postoperative gastrointestinal discomfort and management with the nasogastric tube. Routine gastric decompression after major surgery neither hastens the return of bowel function nor diminishes the incidence of postoperative nausea and vomiting. The multimodal postoperative rehabilitation programme is a modern and more efficient approach. Omission of nasogastric tube decompression does not increase the incidence of anastomotic leakage or wound dehiscence. Conversely, early enteral feeding is feasible and safe, favours local immunity and gut integrity, and improves nutritional status. With the objective to feeding, nasogastric tube could be used in selected patients. To conclude, use of the nasogastric tube to prevent or limit postoperative gastrointestinal discomfort must be challenged. 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| ispartof | Critical care (London, England), 2007-01, Vol.11 (1), p.201-201 |
| issn | 1364-8535 1466-609X |
| language | eng |
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| source | SpringerOpen; MEDLINE; DOAJ Directory of Open Access Journals; PubMed Central; Alma/SFX Local Collection; EZB Electronic Journals Library; SpringerLink Journals - AutoHoldings |
| subjects | Colonic Diseases - prevention & control Gastric Dilatation - prevention & control Humans Ileus - prevention & control Intubation, Gastrointestinal Postoperative Care - methods Postoperative Complications - prevention & control Postoperative Nausea and Vomiting - prevention & control Review |
| title | Bench-to-bedside review: Routine postoperative use of the nasogastric tube - utility or futility? |
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