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Retrospective cohort study on the optimal timing of orogastric tube/nasogastric tube insertion in infants with pyloric stenosis

Anesthesia & Analgesia Sep 27, 2019

Lee LK, Burns RA, Dhamrait RS, et al. - Researchers used data from 481 patients who underwent pyloromyotomy for infantile hypertrophic pyloric stenosis, to determine if orogastric tube (OGT)/nasogastric tube (NGT) placement prior to arrival in the operating room was related to a longer time to readiness for surgery as defined by normalization of electrolytes. In patients with and without early OGT/NGT placement, they evaluated time from operation to discharge and the ability to tolerate feeds by 6 hours postoperatively (secondary outcomes). Findings revealed that in infants with abnormal laboratory values on presentation, a longer time to electrolyte correction was reported in correlation with OGT/NGT placement on admission for pyloric stenosis, this ultimately led to a longer time to readiness for surgery. In addition, longer postoperative hospital stay was reported in relation to OGT/NGT placement on admission, though no increased risk of feeding intolerance within 6 hours of surgical repair was observed in relation to OGT/NGT placement before surgery.
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