Evidence map›Paper›PMID 21107848›Full record

SynthesisInternational journal of colorectal disease2011

The role of nasogastric tube in decompression after elective colon and rectum surgery: a meta-analysis.

Wensheng Rao, Xue Zhang, Jian Zhang, Ronglin Yan, Zhiqian Hu, Qiang Wang

3 registry-linked trialsAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International journal of colorectal disease, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 48 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 9 pooled it
4.4field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03353311 completednot on this mapstarted 2014, after this paper: background citation

ERAS Lazio Network Clinical Registry

Typeobservational_patient_registrySponsorPERSIANI ROBERTORan2014 to 2017Enrolled1,000ConditionsColon Cancer, Diverticulum, Colon
NCT06137976 nacompletednot on this mapstarted 2023, after this paper: background citation

Surgeon Perception of Gastric Decompression at Time of Gynecologic Laparoscopy, a Randomized Control Trial

TypeinterventionalSponsorNorthwestern UniversityRan2023 to 2025Enrolled150ConditionsGynecologic Surgical Procedures, Gastric Injury, Aspiration, Nausea, PostoperativeArmsGastric decompression (oropharyngeal or nasopharyngeal gastric tube)
NCT07321470 narecruitingnot on this mapstarted 2025, after this paper: background citation

A Single Center Prospective Randomized Trial of Complete vs. Postoperative Nasogastric Tube Omission in Pancreaticoduodenectomied Patients

TypeinterventionalSponsorNational Taiwan University HospitalRan2025 to 2027Enrolled240ConditionsPeri-ampullary TumorArmsThick needle suction, PONGT
3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 9 syntheses or guidelines pooled it, 119 citations in OpenAlex.

  1. Guideline
  2. Pooled it
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  10. Trial
  11. Trial
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  13. Randomized Controlled Trial for Evaluation of the Routine Use of Nasogastric Tube Decompression After Elective Liver Surgery.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2016
    Trial
  14. Early oral feeding vs. traditional feeding in patients undergoing elective open bowel surgery-a randomized controlled trial.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2014
    Trial
  15. Trial
  16. Trial
  17. Is routine nasogastric decompression necessary following emergency surgery for perforated peptic ulcer?Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Wensheng RaoDepartment of General Surgery, Shanghai Changzheng Hospital, affiliated to the Second Military Medical University, Shanghai, China.
Xue Zhang
Jian Zhang
Ronglin Yan
Zhiqian Hu
Qiang Wang
Shanghai Changzheng Hospital · CNSecond Military Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesNasogastric tubes (NGT) have been routinely used after abdominal procedures, largely due to the accepted tradition, especially in China. However, studies recently questioned the role of routine NGT intubation by stating that it was overused and many complications occurred from its use.

methodsHerein, we performed a systematic review and a meta-analysis evaluating the role of NGT in decompression after elective colon and rectum surgery.

resultsFour fixed-effect models and three randomized-effect models were used for statistics pooling of the relative risks (RR) for the different outcomes. A total of seven articles (1,416 patients) fulfilled the inclusion criteria. Patients in NGT group had less vomiting (p < 0.00001; RR = 2.85; 95% CI [2.12, 3.83]), less nasogastric tube replacement (p < 0.00001; RR = 3.90; 95% CI [2.34, 6.52]), but more pharyngolaryngitis (p < 0.00001 RR = 0.14; 95% CI [0.08, 0.26]) and more respiratory infection (p = 0.004; RR = 0.37; 95% CI [0.19, 0.74]). No statistically significant differences were noted in nausea, wound infection or intestinal obstruction.

conclusionIn conclusion, routine NGT decompression did no good to the time to return gastrointestinal function, but increased the morbidity of pharyngolaryngitis and respiratory infection significantly. Routine NGT was not recommended for patients after elective colon and rectum surgery.

Indexed as

Clinical Trials as TopicColonDecompression, SurgicalDigestive System Surgical ProceduresElective Surgical ProceduresHumansIntubation, GastrointestinalPostoperative ComplicationsPublication BiasRectumTreatment Outcome

Identifiers

PMID21107848
OpenAlexW1999268722

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.