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IRVING F. STEIN, JR., MD, MS, PhD; HYMAN S. LANS, MS, MD

AMA Arch Surg. 1966;92(1):35-38.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE ROUTINE use of gastric decompression by means of nasogastric suction-drainage has been practiced by most surgeons since its introduction by Ward¹ and Wangensteen² in 1925. Due to the frequency of complications^3,4 with nasogastric suction, Gilchrist⁵ and Farris and Smith⁶ suggested, as a substitute, temporary gastrostomy as a means of gastric decompression. However, complications have also been reported with gastrostomy.^7,8 The elimination of nasogastric suction and gastrostomy has been discussed in several recent reports. Gerber reported, in 1958,⁹ the successful treatment of 1,000 patients with paralytic ileus without nasogastric suction. In this series, 300 consecutive cases of paralytic ileus in which suction drainage of the stomach was used were compared with another 300 cases in which suction was not used. Patients without suction had less morbidity and mortality. Patients in whom gastric suction was used had a higher incidence of respiratory tract complications. . . . [Full Text PDF of this Article]

Author Affiliations
HIGHLAND PARK, ILL

From the departments of surgery, Northwestern University Medical School, Chicago, and the Highland Park Hospital, Highland Park.

Footnotes
Submitted for publication Sept 16, 1965.

Reprint requests to 625 Roger Williams Ave, Highland Park, Ill 60035 (Dr. Lans).

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