Meta-analysis (mostly of observational studies): In patients undergoing pancreaticoduodenectomy, routine nasogastric decompression is associated with increased rates of delayed gastric emptying, major complications, and longer length of stay compared to no routine nasogastric decompression.

Impact of routine nasogastric decompression versus no nasogastric decompression after pancreaticoduodenectomy on perioperative outcomes: meta-analysis – BJS Open

Related Study: Nasogastric Decompression vs No Decompression After Pancreaticoduodenectomy: The Randomized Clinical IPOD Trial – JAMA Surgery

Commentary on Twitter

Nasogastric decompression after pancreaticoduodenectomy ? what is your practice?!

? Routine NG tube associated with ⬆️ rates of DGE, major complications and longer length of stay

✅ @ErasSociety policies should be standard

New meta analys on @BjsOpen https://t.co/OStyWOfrPV pic.twitter.com/tuwjPYFWia

— Giovanni Marchegiani (@Gio_Marchegiani) January 3, 2022