Pancreaticoduodenectomy Clinical Trial
Official title:
Impact of the Absence of Nasogastric Decompression After Pancreaticoduodenectomy : A Prospective and Randomized Study
The use of nasogastric (NG) decompression after pancreaticoduodenectomy (PD) is a current
practice. NG tube is associated with a high rate of morbidity including pulmonary morbidity,
delayed gastric emptying and finally an increased length of hospital stay.
The absence of NG decompression could be the corner stone of the concept of the enhanced
recovery program after PD.
The use of nasogastric (NG) decompression after pancreaticoduodenectomy (PD) is a current
practice. NG tube is associated with a high rate of morbidity including pulmonary morbidity,
delayed gastric emptying and finally an increased length of hospital stay. In the era of the
enhance recovery after major abdominal surgery, the place of the NG tube remains unproven
after PD even if NG tube is clearly abandoned in liver, stomach and colonic surgery.
Nowadays, only few retrospective series had reported the feasibility of the absence of
nasogastric tube after PD, but not with a randomized control trial. The absence of NG
decompression could be the corner stone of the concept of the enhanced recovery program after
PD.
The objective of this prospective randomized monocentric study is to evaluate the impact of
the absence of NG decompression after PD.
The aim of the study is to decrease postoperative morbidity after PD including pulmonary and
delayed gastric emptying complication. The impact of the absence of systematic NG
decompression could be interesting in terms of public health with a decreased of length of
hospital stay. Furthermore, this is the first randomized study comparing NG tube
decompression after PD to absence of NG tube after PD which would bring relevant elements to
improve the recovery after PD.
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