Nasogastric Decompression vs No Decompression After Pancreaticoduodenectomy: The Randomized Clinical IPOD Trial.

ABSTRACT:

Importance

Although standardization of pancreaticoduodenectomy (PD) has improved postoperative outcomes, morbidity remains high. Fast-track surgery programs appear to improve morbidity, and avoiding nasogastric tube decompression (NGTD), already outdated in most major abdominal surgery, is strongly suggested after PD by fast-track surgery programs but lacks high-level evidence, especially regarding safety.

Objective

To assess in a randomized clinical trial whether the absence of systematic NGTD after PD reduces postoperative complications.

Design, setting, and participants

The IPOD study (Impact of the Absence of Nasogastric Decompression After Pancreaticoduodenectomy) was an open-label, prospective, single-center, randomized clinical trial conducted at a high-volume

SUBMITTER: Bergeat D 

PROVIDER: S-EPMC7364368 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature