Gastrointestinal decompression after excision and anastomosis of lower digestive tract

World Journal of Gastroenterology : WJG
Wen-zhang LeiZong-Guang Zhou

Abstract

To discuss the clinical significance of postoperative gastrointestinal decompression in operation on lower digestive tract. Three hundred and sixty-eight patients with excision and anastomosis of lower digestive tract were divided into two groups, i.e. the group with postoperative gastrointestinal decompression and the group without postoperative gastrointestinal decompression. Clinical therapeutic outcome and incidence of complication were compared between two groups. Furthermore, an investigation on application of gastrointestinal decompression was carried out among 200 general surgeons. The volume of gastric juice in decompression group was about 200 mL every day after operation. Both groups had a lower girth before operation than every day after operation. No difference in length of the first passage of gas by anus and defecation after operation was found between two groups. The overall incidence of complications was obviously higher in decompression group than in non-decompression group (28% vs 8.2%, P<0.001). The incidence of pharyngolaryngitis was up to 23.1%. There was also no difference between two groups regarding the length of hospitalization after operation. The majority (97.5%) of general surgeons held that gastroi...Continue Reading

References

Dec 1, 1987·American Journal of Surgery·D L RacetteG J Farha
May 1, 1986·Diseases of the Colon and Rectum·D B ColvinE P Salvati
Jul 1, 1997·Journal of Pediatric Surgery·J E DinsmoreS D Smith

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Citations

Oct 18, 2011·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·William E FisherF Charles Brunicardi
Dec 26, 2015·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Elles Steenhagen
Jul 20, 2007·The Cochrane Database of Systematic Reviews·R NelsonB Tse
Jan 7, 2020·International Journal of Colorectal Disease·Sarah B JochumJoanne Favuzza

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