POST OPERATIVE BOWEL MOVEMENT

COMPARISON OF PATIENTS FOLLOWING ELECTIVE STOMA CLOSURE WITH AND WITHOUT PROPHYLACTIC NASOGASTRIC TUBE IN RETURN OF POSTOPERATIVE BOWEL MOVEMENT

Authors

  • Mubashir Iqbal Civil Hospital Karachi.
  • S. A. Sultan Ali Civil Hospital Karachi.
  • Khadija Tul Uzma DUHS.
  • Farah Idrees DUHS.
  • Adnan Aziz DUHS.
  • Naheed Sultan DUHS.

DOI:

https://doi.org/10.29309/TPMJ/2018.25.03.368

Keywords:

Nasogastric Tube, Decompression, Elective Surgery, Stoma Closure

Abstract

Objectives: To compare early return of bowel movements in patients with
elective stoma closure with or without nasogastric tube. Place and Duration: Single surgical
unit, Civil Hospital, Karachi, from January 2015-August 2016. Methods: This prospective double
blind randomized control trial of 114 patients for elective stoma (Ileostomy, colostomy) closure
in which lottery method was used to divide the patients into control group (with nasogastric
tube) and study group (without nasogastric tube). Post operatively total duration from the
surgery till the patient passed first flatus was recorded in hours between the control and study
groups. Result: Comparison between two groups, the passage of first flatus after reversal of
stoma a mean difference of 19.7 was observed in hours between the control and study groups.
Conclusion: Prophylactic nasogastric decompression in stoma closure patients can be omitted
from routine postoperative period without any management problem.

Author Biographies

Mubashir Iqbal, Civil Hospital Karachi.

MBBS, FCPS
Medical Officer,
Department of Surgery Unit-VI

S. A. Sultan Ali, Civil Hospital Karachi.

MBBS, FCPS
Senior Medical Officer,
Department of Surgery Unit-V

Khadija Tul Uzma, DUHS.

MBBS, FCPS
Assistant Professor
Department of Surgery,

Farah Idrees, DUHS.

MBBS, FCPS
Assistant Professor
Department of Surgery

Adnan Aziz, DUHS.

MBBS, FCPS
Professor
Department of Surgery

Naheed Sultan, DUHS.

MBBS, FCPS
Professor of Surgery

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Published

2018-03-10