ArticleAnnals of medicine and surgery (2012)2026
Outcomes of avoidance of routine nasogastric decompression following elective major gastrointestinal and hepatopancreatobiliary surgery: a single-center prospective observational cohort study.
Article in Annals of medicine and surgery (2012), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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7 authors.
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Abstract
Background: Enhanced Recovery After Surgery (ERAS) guidelines discourage routine nasogastric decompression (NGD); however, evidence from resource-limited settings remains limited. Methods: This prospective observational cohort study was conducted at Birat Medical College Teaching Hospital, Nepal, between January 2024 and February 2025. Ninety-seven patients were assessed; after excluding protocol breaches ( Results: Routine NGD avoidance was successful in 80 of 89 patients [89.9%; 95% confidence interval (CI): 81.9%-94.6%]. Nine patients (10.1%; 95% CI: 5.4%-18.1%) required therapeutic nasogastric tube (NGT) reinsertion. All reinsertion events occurred in the setting of established postoperative complications and were classified as complication-related therapeutic reinsertions rather than as primary failures of NGD avoidance. Patients in the NG-R group had a descriptively longer median hospital stay (24 vs. 7.5 days, Conclusion: Routine NGD omission appears feasible in elective major GI and HPB surgeries in this resource-limited cohort. Rather than representing a primary failure of NGD avoidance, therapeutic NGT reinsertion occurred in the setting of established postoperative complications and was associated with an adverse postoperative outcome. These findings support a selective, indication-based approach to postoperative nasogastric tube use, consistent with ERAS principles.
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