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ISSN 2522-9028 (Print)
ISSN 2522-9036 (Online)
DOI: https://doi.org/10.15407/fz

Fiziologichnyi Zhurnal

is a scientific journal issued by the

Bogomoletz Institute of Physiology
National Academy of Sciences of Ukraine

Editor-in-chief: V.F. Sagach

The journal was founded in 1955 as
1955 – 1977 "Fiziolohichnyi zhurnal" (ISSN 0015 – 3311)
1978 – 1993 "Fiziologicheskii zhurnal" (ISSN 0201 – 8489)
1994 – 2016 "Fiziolohichnyi zhurnal" (ISSN 0201 – 8489)
2017 – "Fiziolohichnyi zhurnal" (ISSN 2522-9028)

Fiziol. Zh. 2023; 69(2): 44-51

GASTRIC DECOMPRESSION IN PATIENTS AFTER LAPAROSCOPY SLEEVE GASTRECTOMY

O.O. Kalashnikov1, O.Yu. Usenko2 ,I.M. Todurov1, О.І. Plehutsa1

  1. State Scientific Institution “Center for Innovative Medical Technologies of the National Academy of Sciences of Ukraine”, Kyiv, Ukraine
  2. State Institute “Shalimov’s National Institute of Surgery and Transplantation» of National Academy of Medical Sciences of Ukraine, Kyiv, Ukraine
DOI: https://doi.org/10.15407/fz69.02.044


Abstract

The aim of our study was to evaluate gastric decompression in patients after laparoscopy sleeve gastrectomy (LSG). We performed a retrospective analysis of the treatment of 64 patients with morbid obesity who underwent laparoscopy sleeve gastrectomy. 25 patients who have undergo LSG with a nasogastric tube placement composed group 1; in the other 39 patients, no nasogastric tube was placed (group 2). No statistical differences were observed between groups 1 and 2 regarding gender distribution, age, weight, body mass index, and excessive weight. Intraoperative blood loss (184 ± 85.1 vs. 164.1 ± 58.4 ml, respectively) and operative time (132.1 ± 24.5 vs. 120.8 ± 23.6 min, respectively) were comparable between the groups. A staple line leak once occurred on the 5th postoperative day in group 1 and no leak was observed in group 2 patients. The complication rate, mainly, tube-related otolaryngological complications, was higher in group 1. Postoperative hospital stay was significantly longer in group 1 vs. group 2 patients (8.9 ± 2.1 vs. 6.3 ± 1.7 days, respectively; t = 5.89). We conclude that routine placement of a nasogastric tube in LSG patients is not useful in reducing leak incidence.

Keywords: sleeve gastrectomy; staple line leak; nasogastric tube.

Full text: (PDF, in Ukrainian)

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