Early removal of nasogastric tube is beneficial for patients undergoing radical cystectomy with urinary diversion
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | International Braz J Urol (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382011000100006 |
Resumo: | PURPOSE: Examine the beneficial effect of early nasogastric tube (NGT) removal in patients undergoing radical cystectomy with urinary diversion. PATIENTS AND METHODS: 43 consecutive patients underwent radical cystectomy with urinary diversion and were randomized into 2 groups. In the intervention group (n = 22), the NGT was removed 12 hours after the operation. Comparatively, in the control group (n = 21), the NGT remained in place until the appearance of the first flatus. The appearance of ileus, patient ambulation, time to regular diet, and hospital discharge of the two patient groups were assessed. Patient discomfort due to the NGT was also recorded. RESULTS: The 2 groups showed statistical homogeneity of their baseline characteristics. Two patients (9.09%) from the intervention and 3 patients (14.3%) from the control group developed postoperative ileus and were treated conservatively. No significant differences in intraoperative, postoperative, bowel outcomes or other complications were found between the two groups. All patients preferred the NGT to be removed first in comparison to their other co-existing drains. CONCLUSIONS: This is the first randomized, prospective study, to our knowledge, to assess early NGT removal after radical cystectomy. We advocate early removal, independently of the selected type of urinary diversion, since it is not correlated with ileus and is advantageous in terms of patient comfort and earlier ambulation. |
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Early removal of nasogastric tube is beneficial for patients undergoing radical cystectomy with urinary diversionbladder cancercystectomyurinary diversionnasogastric tubePURPOSE: Examine the beneficial effect of early nasogastric tube (NGT) removal in patients undergoing radical cystectomy with urinary diversion. PATIENTS AND METHODS: 43 consecutive patients underwent radical cystectomy with urinary diversion and were randomized into 2 groups. In the intervention group (n = 22), the NGT was removed 12 hours after the operation. Comparatively, in the control group (n = 21), the NGT remained in place until the appearance of the first flatus. The appearance of ileus, patient ambulation, time to regular diet, and hospital discharge of the two patient groups were assessed. Patient discomfort due to the NGT was also recorded. RESULTS: The 2 groups showed statistical homogeneity of their baseline characteristics. Two patients (9.09%) from the intervention and 3 patients (14.3%) from the control group developed postoperative ileus and were treated conservatively. No significant differences in intraoperative, postoperative, bowel outcomes or other complications were found between the two groups. All patients preferred the NGT to be removed first in comparison to their other co-existing drains. CONCLUSIONS: This is the first randomized, prospective study, to our knowledge, to assess early NGT removal after radical cystectomy. We advocate early removal, independently of the selected type of urinary diversion, since it is not correlated with ileus and is advantageous in terms of patient comfort and earlier ambulation.Sociedade Brasileira de Urologia2011-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382011000100006International braz j urol v.37 n.1 2011reponame:International Braz J Urol (Online)instname:Sociedade Brasileira de Urologia (SBU)instacron:SBU10.1590/S1677-55382011000100006info:eu-repo/semantics/openAccessAdamakis,IoannisTyritzis,Stavros I.Koutalellis,GeorgeTokas,TheodorosStravodimos,Konstantinos G.Mitropoulos,DionysiosConstantinides,Constantinos A.eng2011-03-30T00:00:00Zoai:scielo:S1677-55382011000100006Revistahttp://www.brazjurol.com.br/ONGhttps://old.scielo.br/oai/scielo-oai.php||brazjurol@brazjurol.com.br1677-61191677-5538opendoar:2011-03-30T00:00International Braz J Urol (Online) - Sociedade Brasileira de Urologia (SBU)false |
dc.title.none.fl_str_mv |
Early removal of nasogastric tube is beneficial for patients undergoing radical cystectomy with urinary diversion |
title |
Early removal of nasogastric tube is beneficial for patients undergoing radical cystectomy with urinary diversion |
spellingShingle |
Early removal of nasogastric tube is beneficial for patients undergoing radical cystectomy with urinary diversion Adamakis,Ioannis bladder cancer cystectomy urinary diversion nasogastric tube |
title_short |
Early removal of nasogastric tube is beneficial for patients undergoing radical cystectomy with urinary diversion |
title_full |
Early removal of nasogastric tube is beneficial for patients undergoing radical cystectomy with urinary diversion |
title_fullStr |
Early removal of nasogastric tube is beneficial for patients undergoing radical cystectomy with urinary diversion |
title_full_unstemmed |
Early removal of nasogastric tube is beneficial for patients undergoing radical cystectomy with urinary diversion |
title_sort |
Early removal of nasogastric tube is beneficial for patients undergoing radical cystectomy with urinary diversion |
author |
Adamakis,Ioannis |
author_facet |
Adamakis,Ioannis Tyritzis,Stavros I. Koutalellis,George Tokas,Theodoros Stravodimos,Konstantinos G. Mitropoulos,Dionysios Constantinides,Constantinos A. |
author_role |
author |
author2 |
Tyritzis,Stavros I. Koutalellis,George Tokas,Theodoros Stravodimos,Konstantinos G. Mitropoulos,Dionysios Constantinides,Constantinos A. |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Adamakis,Ioannis Tyritzis,Stavros I. Koutalellis,George Tokas,Theodoros Stravodimos,Konstantinos G. Mitropoulos,Dionysios Constantinides,Constantinos A. |
dc.subject.por.fl_str_mv |
bladder cancer cystectomy urinary diversion nasogastric tube |
topic |
bladder cancer cystectomy urinary diversion nasogastric tube |
description |
PURPOSE: Examine the beneficial effect of early nasogastric tube (NGT) removal in patients undergoing radical cystectomy with urinary diversion. PATIENTS AND METHODS: 43 consecutive patients underwent radical cystectomy with urinary diversion and were randomized into 2 groups. In the intervention group (n = 22), the NGT was removed 12 hours after the operation. Comparatively, in the control group (n = 21), the NGT remained in place until the appearance of the first flatus. The appearance of ileus, patient ambulation, time to regular diet, and hospital discharge of the two patient groups were assessed. Patient discomfort due to the NGT was also recorded. RESULTS: The 2 groups showed statistical homogeneity of their baseline characteristics. Two patients (9.09%) from the intervention and 3 patients (14.3%) from the control group developed postoperative ileus and were treated conservatively. No significant differences in intraoperative, postoperative, bowel outcomes or other complications were found between the two groups. All patients preferred the NGT to be removed first in comparison to their other co-existing drains. CONCLUSIONS: This is the first randomized, prospective study, to our knowledge, to assess early NGT removal after radical cystectomy. We advocate early removal, independently of the selected type of urinary diversion, since it is not correlated with ileus and is advantageous in terms of patient comfort and earlier ambulation. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-02-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382011000100006 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382011000100006 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1677-55382011000100006 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Urologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Urologia |
dc.source.none.fl_str_mv |
International braz j urol v.37 n.1 2011 reponame:International Braz J Urol (Online) instname:Sociedade Brasileira de Urologia (SBU) instacron:SBU |
instname_str |
Sociedade Brasileira de Urologia (SBU) |
instacron_str |
SBU |
institution |
SBU |
reponame_str |
International Braz J Urol (Online) |
collection |
International Braz J Urol (Online) |
repository.name.fl_str_mv |
International Braz J Urol (Online) - Sociedade Brasileira de Urologia (SBU) |
repository.mail.fl_str_mv |
||brazjurol@brazjurol.com.br |
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1750318071992549376 |