Key result
Preoperative long intestinal intubation or intraoperative nasogastric intubation showed no significant difference compared to no tube for hospital stay, ileus, or complications in colonic surgery.
Why the study?
Does the use of a long intestinal tube or nasogastric tube improve postoperative outcomes in patients undergoing elective colonic resections compared to no tube?
RCT (n=138)
randomly
Does the use of a long intestinal tube or nasogastric tube improve postoperative outcomes in patients undergoing elective colonic resections compared to no tube?
Routine use of gastrointestinal tubes does not appear to provide significant clinical benefit over no tube in patients undergoing elective colonic resections.
Answers are grounded in this paper and cite their sources.
Supports omitting routine gastrointestinal tubes in elective colonic surgery; confirms no benefit in this RCT.
One hundred thirty-eight consecutive patients undergoing elective colonic resections were treated prospectively and randomly with either a long intestinal (Cantor) tube preoperatively, a nasogastric tube placed intraoperatively, or no gastrointestinal tube at all. Patients were evaluated for length of hospital stay, duration of postoperative ileus, adequacy of intraoperative intestinal decompression, gastric dilatation, and operative complications. No significant difference could be seen in the tubed or no-tube group.
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Colvin et al. (1986) conducted an RCT in Elective colonic resections (n=138). Long intestinal (Cantor) tube preoperatively or nasogastric tube placed intraoperatively vs. No gastrointestinal tube was evaluated on Length of hospital stay, duration of postoperative ileus, adequacy of intraoperative intestinal decompression, gastric dilatation, and operative complications. Preoperative long intestinal intubation or intraoperative nasogastric intubation showed no significant difference compared to no tube for hospital stay, ileus, or complications in colonic surgery.
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