Compare the Mean Hospital Stay Between Ileostomy Reversal Patients with and Without Nasogastric Tube

Abstract

Objective: The objective was to compare the mean hospital stay between the ileostomy reversal patients with nasogastric tube and without nasogastric tube.

Study Design: Ccomparative and  totally randomized controlled

Place and Duration of Study: This study was conducted at the Department of General Surgery, Ghazi Khan Medical College, D.G Khan from Oct 10, 2015 to April 10, 2016.

Materials and Methods: Totally 60 patients with 20 to 50 years of age of both genders undergoing ileostomy  reversal were included. Patients with h/o pelvic irradiations, malnutrition, Diabetes Mellitus  and chronic renal failure were excluded. Then selected patients were placed randomly into two groups i.e Group A(ileostomy reversal without nasogastric tube), & Group B(ileostomy reversal with nasogastric tube), by using lottery method. Mean hospital stay was noted in every patient of both groups from day of  operation to day of  discharge at which final outcome was measured.

Results:  The mean age of patients with Group A was 29.44 + 8.28 years and in Group B was 30.12 + 9.09 years. Out of 60 patients  41 were males. and 19 were females with male to female ratio of  2.16:1. The mean duration of ileostomy in group A was 3.13+ 1.43 months and Group B was 3.45+1.21 months. Mean hospital stay in  group A (ileostomy reversal without nasogastric tube) was 5.39+2.51 days, while in group B (ileostomy reversal with nasogastric tube) was  8.53+ 3:78 days (p-value <0.0001).

Conclusion: The study concluded that mean hospital stay is shorter after ileostomy reversal without nasogastric tube placement compared with nasogastric tube placement.