위암 환자에 대한 정규 위 절제술에 있어 비위관 배액술의 유용성에 대한 전향적인 연구
Usefulness of Nasogastric Decompression Following Elective Gastric Cancer Surgery A Randomized Prospective Study
대한외과학회지 2002년 62권 1호 p.52 ~ p.56
이태일(Lee Tae-Eel) - 전남대학교 의과대학 외과학교실
임동표(Lim Dong-Pyo) - 전남대학교 의과대학 외과학교실
류성엽(Ryu Seong-Yeop) - 전남대학교 의과대학 외과학교실
김동의(Kim Dong-Yi) - 전남대학교 의과대학 외과학교실
김영진(Kim Young-Jin) - 전남대학교 의과대학 외과학교실
김신곤(Kim Shin-Kon) - 전남대학교 의과대학 외과학교실
Abstract
Purpose : Traditionally, nasogastric decompression has been a routine procedure following major abdominal surgery or gastrointestinal surgery. This prospective, randomized controlled trial was performed in order to evaluate the usefulness
of
nasogastric decompression following elective gastric cancer surgery.
Methods : This study was carried out prospectively. A total of 95 patients were randomly divided into two groups, group Ⅰ (45 patients with nasogatric tube) and group Ⅱ (50 patients without nasogastric tube). Patients receiving emergency
surgery due to gastric outlet obstruction were excluded from this study. The data was analysed by chi-square test, T-test and Mann-Whitney U test with the level of significance set at P<0.05.
Results : No significant differences were found between the two groups in regards to nausea, vomting, distension, anastomotic leak or wound dehiscence. However, longer hospital stay, delayed passage of flatus, delayed initiation of
ambulation,
delayed start of feeding and sore throat occurred more often in group Ⅰ patients than in group Ⅱ patients.
Conclusion : The result showed that the routine prophylactic use of nasogastric decompression following gastric cancer surgery is an unnecessary procedure and does not offer any considerable advantage.
키워드
비위관 배액술, 위암 절제술, Nasogastric decompression, Gastric cancer surgery,
KMID :
0371320020620010052
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유효성결과(Recomendation)
The result showed that the routine prophylactic use of nasogastric decompression following gastric cancer surgery is an unnecessary procedure and does not offer any considerable advantage.