The goal of this prospective observational study is to evaluate the role of nasogastric tube (NGT) in patients with achalasia underwent to Heller-Dor laparoscopic. The main question it aims to answer are: • If it is possible to remove NGT at the end of surgery. Participants will be dived in two groups: the first one with NGT after surgery and second one without NGT (noNGT). If there is a comparison group: Researchers will compare group NGT and group noNGT to see if routine placement of NGT is useless.
Achalasia is a rare disease characterized by dysfunction of low oesophageal sphincter. This disease is divided according to Chicago classification into three subtypes. Laparoscopic Heller - Dor is a important treatment of types I and II Achalasia. There are several studies evaluating the NGT in colorectal, hepatic, urologic, thoracic, otorhinolaryngology, gastric and esophageal surgery. Its use in postoperative period in achalasic patients is not yet clear. Historically, NGT has been used to reduce gastric distention, nausea, vomiting and chest pain. The aim of our study is to value the role of NGT for this surgery. We prospectively enrolled achalasic patients undergoing laparoscopic Heller -Dor . The NGT group and noNGT were compared in terms of perioperative outcomes.
Study Type
OBSERVATIONAL
Enrollment
79
The intervention consists in removing or not the nasogastric tube at the end of the surgery.
AOU. policlinico, Federico II
Napoli, Italy
Nausea
clinically evaluating the presence or absence
Time frame: in the first postoperative day
vomiting
clinically evaluating the presence or absence
Time frame: in the first postoperative day
chest pain
clinically evaluating the presence or absence
Time frame: in the first postoperative day
Length of stay
days of hospitalization from first postoperative day
Time frame: from the first postoperative day to the third postoperative day
First flatus
on which postoperative day the patient had the first flatus.
Time frame: from the first postoperative day to the third postoperative day
Intake liquid diet
when the patient starts drinking
Time frame: from the first postoperative day to the third postoperative day
Intake semi-solid diet (day)
when the patient starts to eat
Time frame: from the first postoperative day to the third postoperative day
postoperative complications
Based on Clavien-Dindo classification
Time frame: from the first postoperative day to the third postoperative day
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