Early removal of nasogastric tube is beneficial for patients undergoing radical cystectomy with urinary diversion
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 gr...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Urologia
2011-02-01
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| Series: | International Brazilian Journal of Urology |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382011000100006 |
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| author | Ioannis Adamakis Stavros I. Tyritzis George Koutalellis Theodoros Tokas Konstantinos G. Stravodimos Dionysios Mitropoulos Constantinos A. Constantinides |
| author_facet | Ioannis Adamakis Stavros I. Tyritzis George Koutalellis Theodoros Tokas Konstantinos G. Stravodimos Dionysios Mitropoulos Constantinos A. Constantinides |
| author_sort | Ioannis Adamakis |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-23T13:07:49Z |
| format | Article |
| id | doaj.art-923eea202fd34825970542f471056fec |
| institution | Directory Open Access Journal |
| issn | 1677-5538 1677-6119 |
| language | English |
| last_indexed | 2024-12-23T13:07:49Z |
| publishDate | 2011-02-01 |
| publisher | Sociedade Brasileira de Urologia |
| record_format | Article |
| series | International Brazilian Journal of Urology |
| spelling | doaj.art-923eea202fd34825970542f471056fec2022-12-21T17:45:49ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-55381677-61192011-02-01371424810.1590/S1677-55382011000100006Early removal of nasogastric tube is beneficial for patients undergoing radical cystectomy with urinary diversionIoannis AdamakisStavros I. TyritzisGeorge KoutalellisTheodoros TokasKonstantinos G. StravodimosDionysios MitropoulosConstantinos A. ConstantinidesPURPOSE: 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382011000100006bladder cancercystectomyurinary diversionnasogastric tube |
| spellingShingle | Ioannis Adamakis Stavros I. Tyritzis George Koutalellis Theodoros Tokas Konstantinos G. Stravodimos Dionysios Mitropoulos Constantinos A. Constantinides Early removal of nasogastric tube is beneficial for patients undergoing radical cystectomy with urinary diversion International Brazilian Journal of Urology bladder cancer cystectomy urinary diversion nasogastric tube |
| title | 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_short | 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 |
| topic | bladder cancer cystectomy urinary diversion nasogastric tube |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382011000100006 |
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