Clinical observation of radical total gastrectomy without postoperative gastrointestinal decompression in elderly patients with gastric cancer

PurposeTo investigate the safety and feasibility of radical total gastrectomy without postoperative gastrointestinal decompression in elderly patients with gastric cancer.MethodsElderly patients (65–80 years of age) hospitalized with gastric cancer from May 2009 to August 2012 were selected to receive radical total gastrectomy with (controls, n = 39) or without (n = 37) postoperative gastrointestinal decompression. Postoperative recovery conditions and associated complications were observed and compared.ResultsIn the group without decompression, the first passage of flatus post-operation was significantly earlier, and scores of nausea, pharyngitis, insomnia, and postoperative ambulation limitation were significantly reduced compared to controls (all p < 0.01). However, there were no differences in the degree of abdominal distension, time to first anal defecation, or incidence of postoperative complications between the groups.ConclusionGastrointestinal decompression is not necessary after total gastrectomy in elderly gastric cancer patients, and may improve patient comfort and recovery.