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Routine nasogastric tube placement in patients with small esophageal perforation after endoscopic foreign body removal may be unnecessary: a propensity score matching analysis

BACKGROUND: Nasogastric tube (NGT) placement is part of the post-operative management of upper gastrointestinal perforation, but its routine use in esophageal perforation (EP) caused by foreign bodies remains unclear. The purpose of this research was to investigate the necessity for routine NGT plac...

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Autores principales: Liao, Foqiang, Yang, Qinyu, Zhan, Zhenyi, Zhu, Zhenhua, Pan, Xiaolin, Wang, Chong, Li, Bimin, Zhu, Yin, Chen, Youxiang, Shu, Xu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10386876/
https://www.ncbi.nlm.nih.gov/pubmed/37521332
http://dx.doi.org/10.1093/gastro/goad044
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author Liao, Foqiang
Yang, Qinyu
Zhan, Zhenyi
Zhu, Zhenhua
Pan, Xiaolin
Wang, Chong
Li, Bimin
Zhu, Yin
Chen, Youxiang
Shu, Xu
author_facet Liao, Foqiang
Yang, Qinyu
Zhan, Zhenyi
Zhu, Zhenhua
Pan, Xiaolin
Wang, Chong
Li, Bimin
Zhu, Yin
Chen, Youxiang
Shu, Xu
author_sort Liao, Foqiang
collection PubMed
description BACKGROUND: Nasogastric tube (NGT) placement is part of the post-operative management of upper gastrointestinal perforation, but its routine use in esophageal perforation (EP) caused by foreign bodies remains unclear. The purpose of this research was to investigate the necessity for routine NGT placement in patients with EP after endoscopic foreign body removal. METHODS: A total of 323 patients diagnosed with EP caused by foreign bodies at the First Affiliated Hospital of Nanchang University between January 2012 and December 2021 were included in this retrospective study. Patients were divided into the NGT group and the non-NGT group according to whether or not NGT placement was performed. The perforation healing rate, post-operative adverse events, hospital stay, and death rate were analysed using a 1:1 propensity score matching model. RESULTS: Before matching, there were 263 patients in the NGT group and 60 patients in the non-NGT group. There were significant differences in the time to treatment, infection, albumin, and types of endoscopy between the two groups, while the length of hospital stay in the NGT group was significantly longer than that in the non-NGT group. After 1:1 propensity score matching, 48 pairs of patients were matched between the two groups. The perforation healing rate, post-operative adverse events, length of hospital stay, and death rate did not show significant differences between the two groups. CONCLUSIONS: For patients with small EP caused by foreign bodies, routine NGT placement after endoscopic foreign body removal may be unnecessary.
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spelling pubmed-103868762023-07-30 Routine nasogastric tube placement in patients with small esophageal perforation after endoscopic foreign body removal may be unnecessary: a propensity score matching analysis Liao, Foqiang Yang, Qinyu Zhan, Zhenyi Zhu, Zhenhua Pan, Xiaolin Wang, Chong Li, Bimin Zhu, Yin Chen, Youxiang Shu, Xu Gastroenterol Rep (Oxf) Original Article BACKGROUND: Nasogastric tube (NGT) placement is part of the post-operative management of upper gastrointestinal perforation, but its routine use in esophageal perforation (EP) caused by foreign bodies remains unclear. The purpose of this research was to investigate the necessity for routine NGT placement in patients with EP after endoscopic foreign body removal. METHODS: A total of 323 patients diagnosed with EP caused by foreign bodies at the First Affiliated Hospital of Nanchang University between January 2012 and December 2021 were included in this retrospective study. Patients were divided into the NGT group and the non-NGT group according to whether or not NGT placement was performed. The perforation healing rate, post-operative adverse events, hospital stay, and death rate were analysed using a 1:1 propensity score matching model. RESULTS: Before matching, there were 263 patients in the NGT group and 60 patients in the non-NGT group. There were significant differences in the time to treatment, infection, albumin, and types of endoscopy between the two groups, while the length of hospital stay in the NGT group was significantly longer than that in the non-NGT group. After 1:1 propensity score matching, 48 pairs of patients were matched between the two groups. The perforation healing rate, post-operative adverse events, length of hospital stay, and death rate did not show significant differences between the two groups. CONCLUSIONS: For patients with small EP caused by foreign bodies, routine NGT placement after endoscopic foreign body removal may be unnecessary. Oxford University Press 2023-07-29 /pmc/articles/PMC10386876/ /pubmed/37521332 http://dx.doi.org/10.1093/gastro/goad044 Text en © The Author(s) 2023. Published by Oxford University Press and Sixth Affiliated Hospital of Sun Yat-sen University https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Original Article
Liao, Foqiang
Yang, Qinyu
Zhan, Zhenyi
Zhu, Zhenhua
Pan, Xiaolin
Wang, Chong
Li, Bimin
Zhu, Yin
Chen, Youxiang
Shu, Xu
Routine nasogastric tube placement in patients with small esophageal perforation after endoscopic foreign body removal may be unnecessary: a propensity score matching analysis
title Routine nasogastric tube placement in patients with small esophageal perforation after endoscopic foreign body removal may be unnecessary: a propensity score matching analysis
title_full Routine nasogastric tube placement in patients with small esophageal perforation after endoscopic foreign body removal may be unnecessary: a propensity score matching analysis
title_fullStr Routine nasogastric tube placement in patients with small esophageal perforation after endoscopic foreign body removal may be unnecessary: a propensity score matching analysis
title_full_unstemmed Routine nasogastric tube placement in patients with small esophageal perforation after endoscopic foreign body removal may be unnecessary: a propensity score matching analysis
title_short Routine nasogastric tube placement in patients with small esophageal perforation after endoscopic foreign body removal may be unnecessary: a propensity score matching analysis
title_sort routine nasogastric tube placement in patients with small esophageal perforation after endoscopic foreign body removal may be unnecessary: a propensity score matching analysis
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10386876/
https://www.ncbi.nlm.nih.gov/pubmed/37521332
http://dx.doi.org/10.1093/gastro/goad044
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