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Nasogastric Suction

Nasogastric Suction To the Editor.— During the past five years, we too have avoided nasogastric suction in approximately 50 to 60 patients with mild to moderately severe alcoholic pancreatitis. Our observations have been uncontrolled, but, in general, confirm the findings of Levant et al (229:51, 1974). Our policy has been to insert a nasogastric tube on admission only if the patient has repetitive vomiting, severe pain, or marked distension. The stomach contents are aspirated and the tube is removed unless bleeding is present. The patients are then permitted nothing by mouth until they express marked hunger, whereupon oral feedings are resumed. The nasogastric tube is reinserted if severe vomiting, abdominal distension, or pain recur. Only a few patients have required reintubation. As in Levant's series, anticholinergics, antibiotics, and antacids were not used. We have found an earlier return of bowel sounds, more rapid return of appetite, marked increase in patient comfort, and http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Nasogastric Suction

Matz, Robert
JAMA , Volume 229 (12) – Sep 16, 1974
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Publisher
American Medical Association
Copyright
Copyright © 1974 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1974.03230500014008
Publisher site
See Article on Publisher Site

Abstract

To the Editor.— During the past five years, we too have avoided nasogastric suction in approximately 50 to 60 patients with mild to moderately severe alcoholic pancreatitis. Our observations have been uncontrolled, but, in general, confirm the findings of Levant et al (229:51, 1974). Our policy has been to insert a nasogastric tube on admission only if the patient has repetitive vomiting, severe pain, or marked distension. The stomach contents are aspirated and the tube is removed unless bleeding is present. The patients are then permitted nothing by mouth until they express marked hunger, whereupon oral feedings are resumed. The nasogastric tube is reinserted if severe vomiting, abdominal distension, or pain recur. Only a few patients have required reintubation. As in Levant's series, anticholinergics, antibiotics, and antacids were not used. We have found an earlier return of bowel sounds, more rapid return of appetite, marked increase in patient comfort, and

Journal

JAMA – American Medical Association

Published: Sep 16, 1974

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