Is Resection of Greater Portion of Antrum During Sleeve Gastrectomy Linked with Prolonged Duration of Post-Operative/Discharge Nausea and Vomiting?
DOI:
https://doi.org/10.51699/ijhsms.v2i1.988Keywords:
Sleeve gastrectomy, Bariatric Surgery, Antral Resection, Antral Preservation Nausea, VomitingAbstract
Although the effectiveness and safety of laparoscopic sleeve gastrectomy (LSG) has been demonstrated, there is still debate over the optimal operative technique, with the resection distance from pylorus (DP) being among the most controversial topics.
3000 sleeve gastrectomy cases were retrospectively studied at our hospital and the number of cases with prolonged post-operative and post discharge nausea and vomiting were set asunder. Most of the cases having nausea and vomiting were of short duration (< 1 week) and were excluded from the study. The cases that met the inclusion criteria were the cases with prolonged duration of nausea and vomiting (several weeks to months) and were 7 in number. These 7 cases were deeply studied and the cause for the prolonged nausea and vomiting was compared with controls (Patients with no prolonged Nausea and vomiting Post-sleeve gastrectomy) and the findings were correlated with the surgery technique used and the resection distance opted. As for the surgical technique and resection distance, out of the 3000 surgeries studied retrospectively, the resection distance from pylorus to antrum used in the first 2200 surgeries was 2-4cm. Later on, after 2200 surgeries, amendments were made to the former operation technique, with a change in resection distance from pylorus to antrum to 4-6cm, after which it was found that the symptoms of nausea and vomiting post sleeve gastrectomy became infrequent and same weight reduction results were obtained. No Incidence of prolonged nausea and vomiting (for weeks or months) was noted at our hospital after adopting the antrum preservation technique when compared to the former technique showing a possible link between antral resection and the development of prolonged nausea and vomiting.
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