위절제술 후 비위관 제거시기에 관한 지침
A Guideline on the Removal Time of the Nasogastric Tube Following Gastrectomy
서준석, 정인묵, 강한성, 김영철, 정중기, 권오중,
소속 상세정보
서준석 ( Suh Jun-Suk )
서울시립보라매병원 외과
정인묵 ( Jung In-Mok )
서울대학교 의과대학 보라매병원 외과
강한성 ( Kang Han-Sung )
시립보라매병원 일반외과
김영철 ( Kim Young-Cheol )
서울대학교 의과대학 보라매병원 외과
정중기 ( Chung Jung-Kee )
서울대학교 의과대학 보라매병원 외과
권오중 ( Kwon Oh-Joong )
서울시립보라매병원 외과
KMID : 0371320010600060630
Abstract
Purpose
There is no standard principle as to the nasogastric tube decompression period following gastrectomy. This prospective randomized study was done in an attempt to define the affect of the nasogastric tube decompression period on the postoperative
course
with a special reference to early postoperative complications, gas passing time, and the length of hospital stay after gastrectomy.
Methods
We reviewed 201 patients among 402 cases who had received gastrectomy because of gastric cancer. The patients were classified as those whose tubes were removed within 48 hours postoperatively, and those whose tubes remained for more than 48 hours
(early
group: n=70, late group: n=131).
Results
No significant differences were noted in regards to complication rate, or hospital stay. However, a significant decrease in the time to first gas passing was noted in the early removal group compared to late group (4.13±1.33 day vs. 4.39±1.50
day,
P=0.040).
Conclusion
These results indicate that the early removal of the nasogastric tube following gastrectomy is safely recommended in order to reduce patient discomfort.
키워드
위절제술; 비위관; Gastrectomy; Nasogastric tube;
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