지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.10
- 수록면
- 257 - 262 (6page)
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초록· 키워드
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Purpose: The necessity of nasogastric decompression after abdominal surgical procedures has been increasingly questioned for several years. Traditionally, nasogastric decompression is a mandatory procedure after classical pancreaticoduodenectomy (PD); however, we still do not know whether or not it is necessary for PD. The present study was designed to assess the clinical benefit of nasogastric decompression after PD. Methods: Between July 2004 and May 2007, 41 consecutive patients who underwent PD were enrolled in this study. Eighteen patients were enrolled in the nasogastric tube (NGT) group and 23 patients were enrolled in the no NGT group. Results: There were no differences in the demographics, pathology, co-morbid medical conditions, and pre-operative laboratory values between the two groups. In addition, the passage of flatus (P = 0.963) and starting time of oral intake (P = 0.951) were similar in both groups. In the NGT group, 61% of the patients complained of discomfort related to the NGT. Pleural effusions were frequent in the NGT group (P = 0.037); however, other post-operative complications, such as wound dehiscence and anastomotic leakage, occurred similarly in both groups. There was one case of NGT re-insertion in the NGT group. Conclusion: Routine nasogastric decompression in patients undergoing PD is not mandatory because it has no clinical advantages and increases patient discomfort.
목차
Purpose
INTRODUCTION
METHODS
RESULTS
DISCUSSION
CONFLICTS OF INTEREST
REFERENCES
참고문헌 (17)
참고문헌 신청
1. [학술지(정기간행물)] - Sagar PM / 1992 / Nasogastric intubation and elective abdominal surgery / Br J Surg 79 : 1127 ~ 1131
2. [학술지(정기간행물)] - Doglietto GB / 2004 / Nasojejunal tube placement after total gastrectomy: a multicenter prospective randomized trial / Arch Surg 139 : 1309 ~ 1313
3. [학술지(정기간행물)] - Yoo CH / 2002 / Nasogastric decompression is not necessary in operations for gastric cancer: prospective randomised trial / Eur J Surg 168 : 379 ~ 383
4. [학술지(정기간행물)] - Pessaux P / 2007 / Randomized clinical trial evaluating the need for routine nasogastric decompression after elective hepatic resection / Br J Surg 94 : 297 ~ 303
5. [학술지(정기간행물)] - Cheatham ML / 1995 / A meta-analysis of selective versus routine nasogastric decompression after elective laparotomy / Ann Surg 221 : 469 ~ 476
2. [학술지(정기간행물)] - Doglietto GB / 2004 / Nasojejunal tube placement after total gastrectomy: a multicenter prospective randomized trial / Arch Surg 139 : 1309 ~ 1313
3. [학술지(정기간행물)] - Yoo CH / 2002 / Nasogastric decompression is not necessary in operations for gastric cancer: prospective randomised trial / Eur J Surg 168 : 379 ~ 383
4. [학술지(정기간행물)] - Pessaux P / 2007 / Randomized clinical trial evaluating the need for routine nasogastric decompression after elective hepatic resection / Br J Surg 94 : 297 ~ 303
5. [학술지(정기간행물)] - Cheatham ML / 1995 / A meta-analysis of selective versus routine nasogastric decompression after elective laparotomy / Ann Surg 221 : 469 ~ 476
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UCI(KEPA) : I410-ECN-0101-2013-514-002683734