A Study of Omentum Reduction on the Improvement of Nausea and vomiting and Gastroesophageal Reflux Symptoms After Laparoscopic Gastric Sleeve Resection

• Published in: Obesity surgery 2024-09, Vol.34 (9), p.3390-3400
• Main Authors: Liang, Luansheng, Zhao, Xiangwen, Gu, Rong, Zheng, Ruibin, Sun, Yi, Yang, Huiying, Zhou, Xia, Fu, Liping
• Format: Article
• Language: English
• Subjects: Body mass index; Gastroesophageal reflux; Laparoscopy; Medicine; Medicine & Public Health; Nausea; Original Contributions; Surgery; Vomiting
• ISSN: 0960-8923; 1708-0428; 1708-0428
• DOI: 10.1007/s11695-024-07423-x

Objective To investigate the effect of omentum reduction in laparoscopic sleeve gastrectomy (LSG) on the improvement of postoperative nausea and vomiting and gastroesophageal reflux symptoms. Methods A retrospective study was performed on the case data of 198 obese patients who underwent LSG in the Department of Obesity and Metabolic Diseases of Xiaolan People’s Hospital of Zhongshan from March 2021 to March 2022 and were divided into omentum reduction group and control group, with 99 cases in each group, and the preoperative body mass index (BMI) of the patients was recorded. Age, gender, comorbidities, and comparative analysis of operation time, blood loss, length of hospital stay, postoperative nausea and vomiting score, gastroesophageal reflux GerdQ score, postoperative pain score, weight, and postoperative complications were analyzed. Results There were no significant differences in preoperative BMI, age, gender and comorbidities between the two groups ( P  > 0.05), but there were significant differences in intraoperative blood loss and operation time ( P    0.05 ). Conclusion Omentum reduction can improve short-term nausea and vomiting after LSG, but it cannot significantly improve long-term reflux symptoms. Graphical Abstract