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Introduction: The value of routine nasogastric tube (NGT) decompression after pancreatic surgeries is not yet established. Previous studies in the setting of abdominal surgery suggested that the use of NGT does not accomplish any of its intended goals.
Methods/design: This is a prospective, randomized, controlled multicenter trial with two treatment arms. One group underwent pancreatic surgeries with routine NGT and was left in place after surgery until the patient passed flatus or stool. The other group underwent pancreatic surgeries without receiving NGT decompression, in which the NGT was removed at the end of surgery.
Discussion: Routine NGT decompression after pancreatic surgeries does or does not appear to have its anticipated advantages would be discovered in this RCT.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| NGT group | Experimental | NGT group |
|
| non-NGT group | Experimental | non-NGT group |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| NGT group | Procedure | After induction of anesthesia, a 14- or 16-Fr single-lumen NGT was placed in all patients. Its intragastric position was confirmed by intraoperative palpation. Randomization to the NGT or non-NGT group was performed on completion of surgery by computer-generated randomization provided by the supervision department.The NGT was retained until the return of bowel function (passage of flatus or passage of stool) in the patients assigned to the NGT group. |
| Measure | Description | Time Frame |
|---|---|---|
| Time to flatus | It's described as the time patients to get flatus after operation | 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Pulmonary complication | It was confirmed by clinical symptoms and CXR | 24 months |
| Wound infection | Superficial or deep surgical-site infections are both considered and should be reported in medical records. Superficial infections are considered when skin or subcutaneous tissue is involved, whereas deep infection is considered when extending into the fascial layer. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hang Zhang, doctor | Contact | +8602783665314 | okashiiyo@126.com |
| Name | Affiliation | Role |
|---|---|---|
| Renyi Qin, pHD | Tongji Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tongji Hospital | Wuhan | Hubei | 430000 | China |
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|
| non-NGT group | Procedure | After induction of anesthesia, a 14- or 16-Fr single-lumen NGT was placed in all patients. Its intragastric position was confirmed by intraoperative palpation. Randomization to the NGT or non-NGT group was performed on completion of surgery by computer-generated randomization provided by the supervision department.The NGT was removed in the operation room immediately after the surgery in those assigned to the non-NGT group. |
|
| 24 months |
| Anastomotic leak | Including any type of Anastomotic leak, pancreatic fistula, bile leakage, etc. | 24 months |
| Incisional hernia | Hernia or separation that occurred through a surgical incision in the abdominal wall deriving either from laparotomy or trocar incisions. All available data will be considered from medical records. | 24 months |
| Length of Stay | Define as the day after surgery to dismiss. | 24 months |
| Gastric upset | Any symptoms described by the subjects. | 24 months |