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Postoperative nausea and vomiting in bariatric surgery in comparison to non-bariatric gastric surgery.
Groene, Philipp; Eisenlohr, Jana; Zeuzem, Catharina; Dudok, Sara; Karcz, Konrad; Hofmann-Kiefer, Klaus.
Afiliación
  • Groene P; Department of Anaesthesiology, University Hospital, Ludwig Maximilian University, Munich, Germany.
  • Eisenlohr J; Department of Anaesthesiology, University Hospital, Ludwig Maximilian University, Munich, Germany.
  • Zeuzem C; Department of Anaesthesiology, University Hospital, Ludwig Maximilian University, Munich, Germany.
  • Dudok S; Department of Anaesthesiology, University Hospital, Ludwig Maximilian University, Munich, Germany.
  • Karcz K; Department of General, Visceral and Transplantation Surgery, University Hospital, Ludwig Maximilian University, Munich, Germany.
  • Hofmann-Kiefer K; Department of Anaesthesiology, University Hospital, Ludwig Maximilian University, Munich, Germany.
Wideochir Inne Tech Maloinwazyjne ; 14(1): 90-95, 2019 Jan.
Article en En | MEDLINE | ID: mdl-30766634
INTRODUCTION: Postoperative nausea and vomiting (PONV) are complications of general anesthesia. Patient-specific factors, type of surgery and a variety of drugs determine the frequency. Clinical experience shows nausea and vomiting to be very frequent in morbidly obese patients undergoing bariatric surgery. AIM: To detect the onset and extent of nausea and vomiting in the group of morbidly obese patients undergoing laparoscopic bariatric surgery. MATERIAL AND METHODS: We conducted a retrospective data bank analysis (since 2004) of all patients with body mass index > 35 kg/m2 undergoing laparoscopic bariatric surgery in comparison to patients with a body mass index < 35 kg/m2 undergoing gastric surgery. Propensity score matching was applied to minimize bias effects. The frequency of postoperative nausea was defined as the primary outcome parameter. RESULTS: One hundred and thirty-eight patients were included. There was a significant difference between the morbidly obese group and the control group concerning the frequency of postoperative nausea (15.9% vs. 55.1%; p < 0.001). In patients receiving volatile anesthetics a significant difference between groups concerning frequency of PONV was not observed. Intravenous anesthetics were suitable to reduce PONV in the control group but not in the morbidly obese group (12.5% vs. 56.8%, p < 0.001). With given prophylaxis PONV events still occurred in 15.6% vs. 48.8% (p = 0.003). CONCLUSIONS: Morbidly obese patients undergoing laparoscopic bariatric surgery are at higher risk of suffering from PONV than non-morbidly obese patients. To reduce the PONV incidence in morbidly obese patients, further research, especially focusing on more efficient use of antiemetic drugs, seems to be necessary.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Wideochir Inne Tech Maloinwazyjne Año: 2019 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Polonia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Wideochir Inne Tech Maloinwazyjne Año: 2019 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Polonia