Effect of early bile regurgitation via gastric tube on gastrointestinal function in patients undergoing laparoscopic choledochotomy

Abstract

Objective To investigate the effect of early bile regurgitation via gastric tube on gastrointestinal function in patients undergoing laparoscopic choledochotomy. Methods A total of 98 patients who underwent laparoscopic biliary tract surgery were selected treated in our hospital from August 2015 to August 2017, according to random number table method, all of the patients were randomly divided into two groups, the control group and the test group. The two groups of patients were given routine nursing intervention, the experimental group received early bile regurgitation via gastric tube. The incidence rate of postoperative abdominal distension and gastrointestinal function recovery were compared between two groups. Results After treatment, there were 10 cases of abdominal distention in the test group and 21 cases in the control group. The abdominal distention rate in the test group was 20.41%(10/49), which was significantly lower than that in the control group 42.86%(21/49) (χ2=5.934, P < 0.05). After treatment, the anal exhaust time and bowel sound recovery time in the test group were (33.01±8.29) h and (17.53±3.92) h, respectively, which were significantly lower than those in the control group (43.22±11.02) h and (23.94±7.02) h, respectively. The difference between the two groups was statistically significant. (t = 4.859, 5.823, P < 0.05). Conclusions Early bile regurgitation through gastric tube can effectively reduce the incidence of postoperative abdominal distension and promote the recovery of gastrointestinal function in patients with laparoscopic choledochotomy. It is worthy of being popularized in clinical practice. Key words: Choledocholithiasis; Bile; Nursing care; Gastric dysfunction; Laparoscopic operation