Evidence map›Paper›PMID 42039325›Full record

Trial reportEthiopian journal of health sciences2026

Timing of Nasogastric Tube Removal and Its Impact on Postoperative Bowel Function Recovery and Feeding Following Major Bowel Surgery in Children.

Ugochukwu Stanley Ezidiegwu, Agozie Nworah, A N Osuigwe, O H Ekwunife, J O Ugwu, Victor I Modekwe, C A Ugwunne, S O Obiechina

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Ethiopian journal of health sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Ugochukwu Stanley EzidiegwuDepartment of Surgery, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria.
Agozie NworahDepartment of Surgery, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria.
A N OsuigweDepartment of Surgery, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria.
O H EkwunifeDepartment of Surgery, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria.
J O UgwuDepartment of Surgery, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria.
Victor I ModekweDepartment of Surgery, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria.
C A UgwunneDepartment of Surgery, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria.
S O ObiechinaDepartment of Surgery, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Although studies in adults have shown that early removal of the nasogastric tube (NGT) after major bowel surgery is safe and more beneficial than delayed removal, adoption of this practice in children has been slow due to limited supporting evidence. This study aimed to compare postoperative outcomes between early and delayed nasogastric tube removal in children undergoing major bowel surgery. Methods: A total of 102 children who underwent major bowel surgery were randomized into two groups: Group I (early removal) and Group II (delayed removal), with 51 patients in each group. In Group I, the NGT was removed 24 hours postoperatively, whereas in Group II, it was removed after the passage of either faeces or flatus. The primary outcome was the prevalence of vomiting, while secondary outcomes included the timing of return of bowel sounds and the achievement of full-scale feeding. Data were analyzed using Statistical Product and Service Solutions (SPSS) version 20 (IBM, SPSS, Chicago, IL, USA). Qualitative and quantitative variables were analyzed using the Chi-square test and Student's t-test, respectively. A p-value < 0.05 was considered statistically significant. Results: Vomiting occurred in 6 (11.8%) patients in the early group and 5 (9.8%) patients in the delayed group (p = 0.750). Bowel sounds returned significantly earlier in the early group (83 ± 11.67 hours) compared with the delayed group (97 ± 17.71 hours; p = 0.029). Full-scale feeding was achieved at 121.84 ± 13.67 hours in the early group and 132.63 ± 12.79 hours in the delayed group (p = 0.031). Conclusion: This study reveals that early removal of the nasogastric tube might not significantly increase the rates of vomiting. However, it might lead to significantly reduced time to the return of bowel sounds and full scale feeding.

Indexed as

Device RemovalDigestive System Surgical ProceduresIntubation, GastrointestinalPostoperative CareRecovery of FunctionChildChild, PreschoolEnteral NutritionFemaleHumansInfantMalePostoperative ComplicationsPostoperative Nausea and VomitingPostoperative PeriodTime FactorsAbdominal surgerychildrenearly removalnasogastric tubepostoperative care

Identifiers

PMID42039325
PMCPMC13103284

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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.