Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Oncology Letters
      • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Biomedical Reports
      • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • Information for Authors
    • Information for Reviewers
    • Information for Librarians
    • Information for Advertisers
    • Conferences
  • Language Editing
Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • For Authors
    • For Reviewers
    • For Librarians
    • For Advertisers
    • Conferences
  • Language Editing
Login Register Submit
  • This site uses cookies
  • You can change your cookie settings at any time by following the instructions in our Cookie Policy. To find out more, you may read our Privacy Policy.

    I agree
Search articles by DOI, keyword, author or affiliation
Search
Advanced Search
presentation
Molecular and Clinical Oncology
Join Editorial Board Propose a Special Issue
Print ISSN: 2049-9450 Online ISSN: 2049-9469
Journal Cover
September-2017 Volume 7 Issue 3

Full Size Image

Sign up for eToc alerts
Recommend to Library

Journals

International Journal of Molecular Medicine

International Journal of Molecular Medicine

International Journal of Molecular Medicine is an international journal devoted to molecular mechanisms of human disease.

International Journal of Oncology

International Journal of Oncology

International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

Molecular Medicine Reports

Molecular Medicine Reports

Covers molecular medicine topics such as pharmacology, pathology, genetics, neuroscience, infectious diseases, molecular cardiology, and molecular surgery.

Oncology Reports

Oncology Reports

Oncology Reports is an international journal devoted to fundamental and applied research in Oncology.

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

Oncology Letters

Oncology Letters

Oncology Letters is an international journal devoted to Experimental and Clinical Oncology.

Biomedical Reports

Biomedical Reports

Explores a wide range of biological and medical fields, including pharmacology, genetics, microbiology, neuroscience, and molecular cardiology.

Molecular and Clinical Oncology

Molecular and Clinical Oncology

International journal addressing all aspects of oncology research, from tumorigenesis and oncogenes to chemotherapy and metastasis.

World Academy of Sciences Journal

World Academy of Sciences Journal

Multidisciplinary open-access journal spanning biochemistry, genetics, neuroscience, environmental health, and synthetic biology.

International Journal of Functional Nutrition

International Journal of Functional Nutrition

Open-access journal combining biochemistry, pharmacology, immunology, and genetics to advance health through functional nutrition.

International Journal of Epigenetics

International Journal of Epigenetics

Publishes open-access research on using epigenetics to advance understanding and treatment of human disease.

Medicine International

Medicine International

An International Open Access Journal Devoted to General Medicine.

Journal Cover
September-2017 Volume 7 Issue 3

Full Size Image

Sign up for eToc alerts
Recommend to Library

  • Article
  • Citations
    • Cite This Article
    • Download Citation
    • Create Citation Alert
    • Remove Citation Alert
    • Cited By
  • Similar Articles
    • Related Articles (in Spandidos Publications)
    • Similar Articles (Google Scholar)
    • Similar Articles (PubMed)
  • Download PDF
  • Download XML
  • View XML
Article

Safety of total gastrectomy without nasogastric and nutritional intubation

  • Authors:
    • Hong‑Wei Zhang
    • Li Sun
    • Xue‑Wen Yang
    • Fan Feng
    • Guo‑Cai Li
  • View Affiliations / Copyright

    Affiliations: First Department of Digestive Surgery, Xijing Hospital of Digestive Diseases, Fourth Military Medical University, Xi'an, Shaanxi 710032, P.R. China
  • Pages: 421-426
    |
    Published online on: July 19, 2017
       https://doi.org/10.3892/mco.2017.1331
  • Expand metrics +
Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )
Cited By (CrossRef): 0 citations Loading Articles...

This article is mentioned in:



Abstract

The aim of the present study was to evaluate the safety of gastrectomy without nasogastric and nutritional intubations. Between January 2010 and August 2015, 74 patients with gastric cancer received total gastric resection and esophagogastric anastomosis without nasogastric and nutritional intubations at the First Department of Digestive Surgery of the XiJing Hospital of Digestive Diseases (Xi'an, China), of whom 42 were also received earlier oral feeding within 48 h. The data were retrospectively analyzed. An additional 301 cases who underwent traditional postoperative intubation were used for comparison. In patients without intubation compared with those managed traditionally with intubation, the mean operative time was decreased (190.97±38.18 vs. 216.12±59.52 min, respectively; P=0.026). In addition, the postoperative activity was resumed earlier (1.16±0.47 vs. 1.36±0.84 days, respectively; P=0.009), oral food intake was started earlier (4.28±1.79 vs. 5.71±2.66 days, respectively; P=0.009), the incidence of fever was lower (12.16 vs. 29.23%, respectively; P=0.003), and the incidence of total complications was not statistically significantly different between the two groups (9.41 vs. 6.31%, respectively; P=0.317). There were no significant differences regarding complications of the anastomotic port (1.37 vs. 1.69%, respectively; P=0.849). Compared with traditional postoperative management, earlier oral feeding did not increase the incidence of complications (7.21 vs. 4.76%, respectively; P=0.557). Our results suggest that total gastric resection without nasogastric and nutritional intubation is a safe and feasible option for patients undergoing total gastrectomy.
View Figures

Figure 1

Figure 2

Figure 3

View References

1 

Bardram L, Funch-Jensen P, Jensen P, Crawford ME and Kehlet H: Recovery after laparoscopic colonic surgery with epidural analgesia, and early oral nutrition and mobilisation. Lancet. 345:763–764. 1995. View Article : Google Scholar : PubMed/NCBI

2 

Nygren J, Thacker J, Carli F, Fearon KC, Norderval S, Lobo DN, Ljungqvist O, Soop M and Ramirez J: Enhanced Recovery After Surgery Society: Guidelines for perioperative care in elective rectal/pelvic surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations. Clin Nutr. 31:801–816. 2012. View Article : Google Scholar : PubMed/NCBI

3 

Gustafsson UO, Scott MJ, Schwenk W, Demartines N, Roulin D, Francis N, McNaught CE, Macfie J, Liberman AS, Soop M, et al: Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery (ERAS (®)) Society recommendations. World J Surg. 37:259–284. 2013. View Article : Google Scholar : PubMed/NCBI

4 

Lassen K, Coolsen MM, Slim K, Carli F, de Aguilar-Nascimento JE, Schäfer M, Parks RW, Fearon KC, Lobo DN, Demartines N, et al: Guidelines for perioperative care for pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS®) Society recommendations. World J Surg. 37:240–258. 2013. View Article : Google Scholar : PubMed/NCBI

5 

Holte K, Nielsen KG, Madsen JL and Kehlet H: Physiologic effects of bowel preparation. Dis Colon Rectum. 47:1397–1402. 2004. View Article : Google Scholar : PubMed/NCBI

6 

Jung B, Lannerstad O, Påhlman L, Arodell M, Unosson M and Nilsson E: Preoperative mechanical preparation of the colon: The patient's experience. BMC Surg. 7:52007. View Article : Google Scholar : PubMed/NCBI

7 

Ljungqvist O and Søreide E: Preoperative fasting. Br J Surg. 90:400–406. 2003. View Article : Google Scholar : PubMed/NCBI

8 

Li YJ, Huo TT, Xing J, An JZ, Han ZY, Liu XN and Zhao QC: Meta-analysis of efficacy and safety of fast-track surgery in gastrectomy for gastric cancer. World J Surg. 38:3142–3151. 2014. View Article : Google Scholar : PubMed/NCBI

9 

Feng F, Ji G, Li JP, Li XH, Shi H, Zhao ZW, Wu GS, Liu XN and Zhao QC: Fast-track surgery could improve postoperative recovery in radical total gastrectomy patients. World J Gastroenterol. 19:3642–3648. 2013. View Article : Google Scholar : PubMed/NCBI

10 

Cheatham ML, Chapman WC, Key SP and Sawyers JL: A meta-analysis of selective versus routine nasogastric decompression after elective laparotomy. Ann Surg. 221:469–478. 1995. View Article : Google Scholar : PubMed/NCBI

11 

Manning BJ, Winter DC, McGreal G, Kirwan WO and Redmond HP: Nasogastric intubation causes gastroesophageal reflux in patients undergoing elective laparotomy. Surgery. 130:788–791. 2001. View Article : Google Scholar : PubMed/NCBI

12 

Fisher WE, Hodges SE, Cruz G, Artinyan A, Silberfein EJ, Ahern CH, Jo E and Brunicardi FC: Routine nasogastric suction may be unnecessary after a pancreatic resection. HPB (Oxford). 13:792–796. 2011. View Article : Google Scholar : PubMed/NCBI

13 

Roland CL, Mansour JC and Schwarz RE: Routine nasogastric decompression is unnecessary after pancreatic resections. Arch Surg. 147:287–289. 2012. View Article : Google Scholar : PubMed/NCBI

14 

Gustafsson UO, Thorell A, Soop M, Ljungqvist O and Nygren J: Haemoglobin A1c as a predictor of postoperative hyperglycaemia and complications after major colorectal surgery. Br J Surg. 96:1358–1364. 2009. View Article : Google Scholar : PubMed/NCBI

15 

Hendry PO, Hausel J, Nygren J, Lassen K, Dejong CH, Ljungqvist O and Faron KC: Enhanced Recovery After Surgery Study Group: Determinants of outcome after colorectal resection within an enhanced recovery programme. Br J Surg. 96:197–205. 2009. View Article : Google Scholar : PubMed/NCBI

16 

Nygren J, Soop M, Thorell A, Hausel J and Ljungqvist O: ERAS Group: An enhanced-recovery protocol improves outcome after colorectal resection already during the first year: A single-center experience in 168 consecutive patients. Dis Colon Rectum. 52:978–985. 2009. View Article : Google Scholar : PubMed/NCBI

17 

Lassen K, Kjaeve J, Fetveit T, Tranø G, Sigurdsson HK, Horn A and Revhaug A: Allowing normal food at will after major upper gastrointestinal surgery does not increase morbidity: A randomized multicenter trial. Ann Surg. 247:721–729. 2008. View Article : Google Scholar : PubMed/NCBI

18 

Lewis SJ, Egger M, Sylvester PA and Thomas S: Early enteral feeding versus ‘nil by mouth’ after gastrointestinal surgery: Systematic review and meta-analysis of controlled trials. BMJ. 323:773–776. 2001. View Article : Google Scholar : PubMed/NCBI

19 

Han-Geurts IJ, Hop WC, Kok NF, Lim A, Brouwer KJ and Jeekel J: Randomized clinical trial of the impact of early enteral feeding on postoperative ileus and recovery. Br J Surg. 94:555–561. 2007. View Article : Google Scholar : PubMed/NCBI

20 

Nelson R, Tse B and Edwards S: Systematic review of prophylactic nasogastric decompression after abdominal operations. Br J Surg. 92:673–680. 2005. View Article : Google Scholar : PubMed/NCBI

21 

Rao W, Zhang X, Zhang J, Yan R, Hu Z and Wang Q: The role of nasogastric tube in decompression after elective colon and rectum surgery: A meta-analysis. Int J Colorectal Dis. 26:423–429. 2011. View Article : Google Scholar : PubMed/NCBI

22 

Mack LA, Kaklamanos IG, Livingstone AS, Levi JU, Robinson C, Sleeman D, Franceschi D and Bathe OF: Gastric decompression and enteral feeding through a double-lumen gastrojejunostomy tube improves outcomes after pancreaticoduodenectomy. Ann Surg. 240:845–851. 2004. View Article : Google Scholar : PubMed/NCBI

23 

Chung RS: Blood flow in colonic anastomoses. Effect of stapling and suturing. Ann Surg. 206:335–339. 1987. View Article : Google Scholar : PubMed/NCBI

24 

Fawcett A, Shembekar M, Church JS, Vashisht R, Springall RG and Nott DM: Smoking, hypertension and colonic anastomotic healing; A combined clinical and histopathological study. Gut. 38:714–718. 1996. View Article : Google Scholar : PubMed/NCBI

25 

Markar SR, Karthikesalingam A, Vyas S, Hashemi M and Winslet M: Hand-sewn versus stapled oesophago-gastric anastomosis: Systematic review and meta-analysis. J Gastrointest Surg. 15:876–884. 2011. View Article : Google Scholar : PubMed/NCBI

26 

Martens MF and Hendriks T: Postoperative changes in collagen synthesis in intestinal anastomoses of the rat: Differences between small and large bowel. Gut. 32:1482–1487. 1991. View Article : Google Scholar : PubMed/NCBI

27 

Högström H and Haglund U: Postoperative decrease in suture holding capacity in laparotomy wounds and anastomoses. Acta Chir Scand. 151:533–535. 1985.PubMed/NCBI

28 

de Waard JW, Wobbes T, de Man BM, van der Linden CJ and Hendriks T: Post-operative levamisole may compromise early healing of experimental intestinal anastomoses. Br J Cancer. 72:456–460. 1995. View Article : Google Scholar : PubMed/NCBI

29 

Borgstrom S and Lundh B: Healing of esophageal anastomosis; Animal experiments. Ann Surg. 150:142–148. 1959. View Article : Google Scholar : PubMed/NCBI

30 

Halaszynski TM, Juda R and Silverman DG: Optimizing postoperative outcomes with efficient preoperative assessment and management. Crit Care Med. 32 4 Suppl:S76–S86. 2004. View Article : Google Scholar : PubMed/NCBI

31 

Forster AJ, Clark HD, Menard A, Dupuis N, Chernish R, Chandok N, Khan A, Letourneau M and van Walraven C: Effect of a nurse team coordinator on outcomes for hospitalized medicine patients. Am J Med. 118:1148–1153. 2005. View Article : Google Scholar : PubMed/NCBI

32 

Berberat PO, Ingold H, Gulbinas A, Kleeff J, Müller MW, Gutt C, Weigand M, Friess H and Büchler MW: Fast track-different implications in pancreatic surgery. J Gastrointest Surg. 11:880–887. 2007. View Article : Google Scholar : PubMed/NCBI

33 

White H, Sosnowski K, Tran K, Reeves A and Jones M: A randomised controlled comparison of early post-pyloric versus early gastric feeding to meet nutritional targets in ventilated intensive care patients. Crit Care. 13:R1872009. View Article : Google Scholar : PubMed/NCBI

34 

Balzano G, Zerbi A, Braga M, Rocchetti S, Beneduce AA and Di Carlo V: Fast-track recovery programme after pancreatico-duodenectomy reduces delayed gastric emptying. Br J Surg. 95:1387–1393. 2008. View Article : Google Scholar : PubMed/NCBI

35 

di Sebastiano P, Festa L, De Bonis A, Ciuffreda A, Valvano MR, Andriulli A and di Mola FF: A modified fast-track program for pancreatic surgery: A prospective single-center experience. Langenbecks Arch Surg. 396:345–351. 2011. View Article : Google Scholar : PubMed/NCBI

Related Articles

  • Abstract
  • View
  • Download
  • Twitter
Copy and paste a formatted citation
Spandidos Publications style
Zhang HW, Sun L, Yang XW, Feng F and Li GC: Safety of total gastrectomy without nasogastric and nutritional intubation. Mol Clin Oncol 7: 421-426, 2017.
APA
Zhang, H., Sun, L., Yang, X., Feng, F., & Li, G. (2017). Safety of total gastrectomy without nasogastric and nutritional intubation. Molecular and Clinical Oncology, 7, 421-426. https://doi.org/10.3892/mco.2017.1331
MLA
Zhang, H., Sun, L., Yang, X., Feng, F., Li, G."Safety of total gastrectomy without nasogastric and nutritional intubation". Molecular and Clinical Oncology 7.3 (2017): 421-426.
Chicago
Zhang, H., Sun, L., Yang, X., Feng, F., Li, G."Safety of total gastrectomy without nasogastric and nutritional intubation". Molecular and Clinical Oncology 7, no. 3 (2017): 421-426. https://doi.org/10.3892/mco.2017.1331
Copy and paste a formatted citation
x
Spandidos Publications style
Zhang HW, Sun L, Yang XW, Feng F and Li GC: Safety of total gastrectomy without nasogastric and nutritional intubation. Mol Clin Oncol 7: 421-426, 2017.
APA
Zhang, H., Sun, L., Yang, X., Feng, F., & Li, G. (2017). Safety of total gastrectomy without nasogastric and nutritional intubation. Molecular and Clinical Oncology, 7, 421-426. https://doi.org/10.3892/mco.2017.1331
MLA
Zhang, H., Sun, L., Yang, X., Feng, F., Li, G."Safety of total gastrectomy without nasogastric and nutritional intubation". Molecular and Clinical Oncology 7.3 (2017): 421-426.
Chicago
Zhang, H., Sun, L., Yang, X., Feng, F., Li, G."Safety of total gastrectomy without nasogastric and nutritional intubation". Molecular and Clinical Oncology 7, no. 3 (2017): 421-426. https://doi.org/10.3892/mco.2017.1331
Follow us
  • Twitter
  • LinkedIn
  • Facebook
About
  • Spandidos Publications
  • Careers
  • Cookie Policy
  • Privacy Policy
How can we help?
  • Help
  • Live Chat
  • Contact
  • Email to our Support Team