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Prophylactic drain placement and postoperative invasive procedures after gastrectomy. The Abdominal Drain After Gastrectomy (ADIGE) randomized clinical trial.

10 July 2025
Upper GI
BJSA
BJS Academy
0000-0000
BJS Foundation Limited
London, UK
Weindelmayer J, Mengardo V, Ascari F, Baiocchi GL, Casadei R, De Palma GD et al, for the Italian Research Group for Gastric Cancer (GIRCG).
JAMA Surg 2025; 160: 135-143.
The study included 390 patients for analysis. Use of a drain reduced the need for reoperation within 30 days: 5.1 versus 12.4 per cent, P=0.01. Four patients had drain-related complications.
Comment: Unusual result. Most RCTs suggest for many surgical operations drains increase complications, but for this specific procedure, the outcome is pretty clear.
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