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The Feasible Safety and Clinical Study of Gastrointestinal Decompression After Gastric Cancer Surgery

Abstract

The perioperative routine placement of nasogastric decompression (ND) in gastric cancer patients is a routine and tradition that has been used so far. ND can expel air and stomach contents from the stomach and intestine, thus reducing the risk of postoperative nausea and vomiting. Pulmonary complications and anastomotic leakage and surgical wound complications accelerate the recovery of gastrointestinal function and the overall recovery of patients. The effect of gastrointestinal surgery on gastrointestinal function recovery and anastomotic leakage was a question of debate and the discomfort and fear brought to the patients were progressively obvious. Although many hospitals have continued the routine use of ND, it is believed that ND placement can reduce the internal pressure of anastomotic site and reduce the probability of anastomotic leakage. But so far there is no rigorous scientific medical-based evidence, especially prospective findings. An empirical study was made on the recovery of gastrointestinal function, the rate of re-catheterization and the occurrence of complications in 116 gastric cancer patients without ND, in our hospital in the past two years. The results showed that all kinds of gastric cancer operations were completed safely in the ND state, which greatly reduced the pain of the patients, accelerated the recovery after operation, and there was no significant difference in the first exhaust time and the first eating time after operation. Postoperative symptoms: no respiratory complications, no obvious symptoms of gastroesophageal reflux, no electrolyte disturbance, re-catheterization for a long-term bedridden patient and an obese patient, the catheterization rate is 0.15, can be ignored, abdominal distension and nausea. There were no obvious symptoms of discomfort such as vomiting. ND free technology is safe for gastric cancer surgery and is worthy of wide clinical application. Therefore, this paper summarizes the safety and significance of gastric cancer surgery without gastrointestinal decompression.

Wei Jie He, Young-Don Min and Swapnil Pandurang Bhujbal

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