Short Term Deflation of Stomach during Laparoscopic Surgery: Nasal versus Oral Route -  Quasi-Experimental Study

Izza Iftikhar; Hassam Abdullah; Amir Sohail; Hafiza Ayesha Ilyas; Muhammad Saeed; Abdullah

doi:10.51253/pafmj.v75i5.11875

Authors

Izza Iftikhar Department of Anesthesiology, Combined Military Hospital Gujranwala/National University of Medical Sciences (NUMS) Pakistan
Hassam Abdullah Department of Anesthesiology, Combined Military Hospital Gujranwala/National University of Medical Sciences (NUMS) Pakistan
Amir Sohail Department of Anesthesiology, Combined Military Hospital Gujranwala/National University of Medical Sciences (NUMS) Pakistan
Hafiza Ayesha Ilyas Department of Anesthesiology, Combined Military Hospital Gujranwala/National University of Medical Sciences (NUMS) Pakistan
Muhammad Saeed Department of Anesthesiology, Combined Military Hospital Gujranwala/National University of Medical Sciences (NUMS) Pakistan
Abdullah Department of Anesthesiology, Combined Military Hospital Gujranwala/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v75i5.11875

Keywords:

Gastric Decompression, Intraoperative Deflation, Laparoscopic Surgery, Nasogastric Decompression, NG Tube, Orogastric Decompression

Abstract

Objectives: To compare the efficacy and complications of orogastric tubes (OGT) versus nasogastric tubes (NGT) for intraoperative gastric decompression in laparoscopic surgeries.

Study Design: Quasi-experimental study.

Place and Duration of Study: Department of Anesthesiology, Combined Military Hospital, Gujranwala Pakistan, from Jan to Dec 23.

Methodology: Patients undergoing laparoscopic cholecystectomy in CMH Gujranwala were included and segregated into two equal groups of 50 each on basis of method used for intra-operative gastric decompression (Orogastric and Nasogastric). The efficacy of method and associated complications of both methods were observed and compared between both groups.

Results: The sampled population included 38.0% males and 62.0% females. ASA-I patients constituted 46.0% of the sample size whereas 54.0% belonged to ASA-II. The OG intubation via second ETT was significantly a better method for intraoperative gastric deflation when compared by attempts to pass the tube (p<0.001). The rate of nasal complications was significantly more in Group-B as compared to Group-A (p<0.001). A non-significant relationship was seen in terms of mean discharge time (p=0.68).

Conclusion: Orogastric tube via second ETT is a safe and more effective method for reducing intraoperative gastric distension during laparoscopic surgery as compared to Nasogastric method.

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