Purpose To investigate the safety and feasibility of radical total gastrectomy without postoperative gastrointestinal decompression in elderly patients with gastric cancer. Methods Elderly patients (65-80 years of age) hospitalized with gastric cancer from May 2009 to August 2012 were selected to receive radical total gastrectomy with (controls, n = 39) or without (n = 37) postoperative gastrointestinal decompression. Postoperative recovery conditions and associated complications were observed and compared. Results In the group without decompression, the first passage of flatus post-operation was significantly earlier, and scores of nausea, pharyngitis, insomnia, and postoperative ambulation limitation were significantly reduced compared to controls (all p < 0.01). However, there were no differences in the degree of abdominal distension, time to first anal defecation, or incidence of postoperative complications between the groups. Conclusion Gastrointestinal decompression is not necessary after total gastrectomy in elderly gastric cancer patients, and may improve patient comfort and recovery.
Hu, J. X., Li, L. L., Dai, F., & Wu, H. Y. (2015). Clinical observation of radical total gastrectomy without postoperative gastrointestinal decompression in elderly patients with gastric cancer. International Journal of Nursing Sciences, 2(1), 47–51. https://doi.org/10.1016/j.ijnss.2015.01.007