Mubashir Iqbal, Ltan Ali S A Sultan, Khadija Tul Uzma, Farah Idrees, Adnan Aziz, Naheed Sultan.
Post Operative Bowel Movement; Comparison of patients Following Elective Stoma Closure with and Without Prophylactic Nasogastric Tube in Return of Postoperative Bowel Movement.
Professional Med J Jan ;25(3):355-8.

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.

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