Clinical observation of radical total gastrectomy without postoperative gastrointestinal decompression in elderly patients with gastric cancer

Abstract

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.

Keywords

• Gastrectomy
• Gastric cancer
• Gastrointestinal decompression
• Intubation