General Surgery, Menoufia Faculty of Medicine, General Surgery Department, Menoufia University Hospital, Shebeen El-Kom, Egypt.
Obes Surg. 2022 Mar;32(3):729-736. doi: 10.1007/s11695-021-05806-y. Epub 2021 Dec 6.
Laparoscopic sleeve gastrectomy (LSG) has become a single-step operation for the management of severe obesity. A statistically significant number of participants who undergo this procedure experience nausea, vomiting, and reflux symptoms early after the operation. The objectives of this study were to measure the positive or negative effect of gastropexy on reducing distressing postoperative LSG-related gastrointestinal symptoms.
This was a comparative randomized study conducted from January 2018 to January 2021. The study was carried out in the general surgery department at Menoufia University Hospital, Menoufia Faculty of Medicine in Egypt. Two hundred participants were included randomly during this trial. The participants were divided into two groups, with 100 patients in each group. Patients in group A underwent gastropexy, and patients in group B underwent LSG without gastropexy.
There was no significant difference between the groups in age or sex (p > 0.05). There was no significant difference in the length of hospital stay (p > 0.05). There was a significant difference between the two groups regarding nausea, vomiting, reflux symptoms, and the amount and frequency of antiemetics used (p < 0.001). There was also a significant difference in hospital readmissions (p < 0.05) and in clinic visits during the postoperative period.
Patients who underwent gastropexy showed a significant reduction in antiemetic consumption and a significantly lower incidence of postoperative nausea, vomiting, gastroesophageal reflux disease symptoms and gastric torsion than those who did not undergo gastropexy.
腹腔镜袖状胃切除术（LSG）已成为治疗重度肥胖症的单一操作。大量接受该手术的患者术后早期会出现恶心、呕吐和反流症状。本研究的目的是测量胃固定术对减少令人痛苦的术后 LSG 相关胃肠道症状的积极或消极影响。
这是一项比较随机研究，于 2018 年 1 月至 2021 年 1 月进行。该研究在埃及 Menoufia 大学医院普通外科和 Menoufia 医学院进行。在此试验中随机纳入了 200 名参与者。参与者被分为两组，每组 100 名患者。组 A 患者接受胃固定术，组 B 患者接受无胃固定术的 LSG。
两组患者在年龄或性别方面无显著差异（p＞0.05）。两组患者的住院时间无显著差异（p＞0.05）。两组之间在恶心、呕吐、反流症状、止吐药使用量和频率方面存在显著差异（p＜0.001）。两组之间的住院再入院率（p＜0.05）和术后门诊就诊次数也存在显著差异。
与未行胃固定术的患者相比，行胃固定术的患者在止吐药的使用量和术后恶心、呕吐、胃食管反流病症状和胃扭转的发生率方面均显著降低。
