Perioperative medicine & outcomes

Effect of different gastrointestinal decompression methods during general anesthesia: a randomized controlled trial

Perioper Med (Lond)Published Randomised controlled trial

Authors' conclusion

Under general anesthesia with drainage LMA ventilation, gastrointestinal decompression with a gastric tube placed through the LMA drainage port could effectively prevent flatulence and reduce the incidence of adverse reactions such as nausea and vomiting.

Study context

Population
ASA I–II patients aged 18–70 years undergoing gynecological surgery with laryngeal mask airway (LMA) ventilation under GA
Participants
60 patients
Comparison
S vs G
Primary endpoint
Incidence of postoperative flatulence, nausea and vomiting, and other adverse reactions
Follow-up
1, 6, and 24 h after surgery

Primary result

As reported in the abstract

Nausea and vomiting, and flatulence · 1 and 6 h after surgery
  • Incidence of nausea and vomiting, and flatulence significantly increased in S vs G at 1 and 6 h
  • S vs G: P < 0.05

Further findings

OutcomeP value
Antral area (ultrasound) · after surgeryIncreased significantly in group SP < 0.05

Nausea and vomiting, and flatulence · 24 h after surgery

No significant difference between the two groups

Safety

Sore throat and hoarseness · three time points after surgery

No significant difference between the two groups

Original publication

Effect of different gastrointestinal decompression methods during general anesthesia: a randomized controlled trial. Perioper Med (Lond). Published 5 December 2025. doi:10.1186/s13741-025-00624-7

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