TREATMENT
Review: routine NG decompression after abdominal surgery delays return of bowel function and increases pulmonary complications
| The first 150 words of the full text of this article appear below. |
R Nelson
Prof R Nelson, Northern General Hospital, Sheffield, UK; rick.nelson@sth.nhs.uk; altohorn@btinternet.com
Is routine nasogastric (NG) tube decompression after major abdominal surgery better than selective or no decompression?
Data sources: MEDLINE, EMBASE/Excerpta Medica, and Cochrane Central Register of Controlled Trials (all to 2006); and reference lists of published studies and reviews.
Study selection and assessment:
randomised controlled trials (RCTs) that compared routine NG tube decompression with selective or no tube use (control) in patients >18 years of age having abdominal surgery. In the routine decompression group, tubes were inserted before or during surgery and kept in place after surgery until spontaneous passage of flatus. In the control group, tubes were not used or were inserted during surgery and removed in the operating room or 
24 hours after surgery. Studies involving laparoscopic surgery, gastrostomy tubes, tubes inserted through the abdominal wall, or long tubes used for bowel obstruction were excluded.
New York University, New York, New York, USA
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