Evidence map›Paper›PMID 28224234›Full record

Trial reportSurgery today2017

One-day nasogastric tube decompression after distal gastrectomy: a prospective randomized study.

Yutaka Kimura, Hiroshi Yano, Takashi Iwazawa, Junya Fujita, Shoichiro Fujita, Kazuyoshi Yamamoto, Takushi Yasuda

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Surgery today, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 24% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Yutaka KimuraDepartment of Surgery, Kindai University Faculty of Medicine, 377-2 Ohno-higashi, Osaka-Sayama, 589-8511, Japan. you-kimura@surg.med.kindai.ac.jp.
Hiroshi YanoDepartment of Surgery, Kano General Hospital, Osaka, Japan.
Takashi IwazawaDepartment of Surgery, Toyonaka Municipal Hospital, Toyonaka, Japan.
Junya FujitaDepartment of Surgery, Sakai City Medical Center, Sakai, Japan.
Shoichiro FujitaDepartment of Surgery, NTT West Osaka Hospital, Osaka, Japan.
Kazuyoshi YamamotoDepartment of Surgery, NTT West Osaka Hospital, Osaka, Japan.
Takushi YasudaDepartment of Surgery, Kindai University Faculty of Medicine, 377-2 Ohno-higashi, Osaka-Sayama, 589-8511, Japan.
Kindai University · JPNTT WEST Osaka Hospital · JPOsaka City General Hospital · JPSakai Municipal Hospital · JPToyonaka Municipal Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMany surgeons in Japan use 1-day nasogastric tube (NGT) decompression after gastrectomy as a standard procedure. This prospective randomized study aimed to define whether 1-day NGT decompression is necessary after distal gastrectomy.

methodsThe subjects were 233 patients with gastric cancer, randomized into two groups immediately after distal gastrectomy: one group received 1-day NGT decompression (NGT group, n = 119) and the other did not (no-NGT group, n = 114). The primary outcome measure was postoperative surgery-related and respiratory complications, whereas secondary measures were the postoperative course to recovery and patient complaints.

resultsThe incidence of surgery-related complications did not differ significantly between the NGT and no-NGT groups (21.0 and 19.2%, respectively; p = 0.87). The rate of respiratory complications was 6.7% in the NGT group and 7.0% in the no-NGT group (p > 0.99). The time to passage of first flatus and the postoperative hospital stay did not differ between the groups. Twenty-five patients in the NGT group and none in the no-NGT group complained of nasopharyngeal discomfort (p < 0.0001).

conclusionConsidering the physical discomfort caused by the NGT, we believe that routine 1-day NGT decompression is unnecessary after distal gastrectomy.

Indexed as

GastrectomyIntubation, GastrointestinalAdultAgedAged, 80 and overFemaleHumansLength of StayMaleMiddle AgedPostoperative ComplicationsProspective StudiesRespiration DisordersTreatment OutcomeDistal gastrectomyNasogastric tubeRandomized trial

Identifiers

PMID28224234
OpenAlexW2590070589

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.