Correct understanding and intervention of postoperative nausea and vomiting can provide reference for clinical practice.

IF 1.8 4区 医学 Q3 GASTROENTEROLOGY & HEPATOLOGY World Journal of Gastrointestinal Surgery Pub Date : 2024-12-27 DOI:10.4240/wjgs.v16.i12.3658
Jian-Chao Wang, Liang Wang
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Abstract

In this editorial, we reviewed the article by Li et al. We aimed to explore various perspectives to further mitigate the risk factors for postoperative nausea and vomiting (PONV), which could significantly reduce its incidence and related postoperative complications. PONV is highly prevalent among patients undergoing bariatric surgery, yet there are relatively few related studies. Currently, the mainstream bariatric surgery methods include laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy. Despite the effectiveness of surgery in helping patients lose weight, postoperative PONV may occur, potentially leading to various complications (such as aspiration and wound dehiscence). A retrospective study by Li et al has compared the impact of different operative positions during laparoscopic sleeve gastroplasty on the incidence of PONV, providing new insights into the clinical practice aimed at reducing PONV incidence and thereby improving patient's postoperative experience.

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正确认识和干预术后恶心呕吐可为临床实践提供参考。
在这篇社论中,我们回顾了Li等人的文章。我们旨在从多个角度探讨进一步减少术后恶心呕吐(PONV)的危险因素,从而显著降低其发生率和术后相关并发症。PONV在减肥手术患者中非常普遍,但相关研究相对较少。目前主流的减肥手术方法有腹腔镜Roux-en-Y胃旁路术和腹腔镜袖式胃切除术。尽管手术在帮助患者减肥方面是有效的,但术后可能会发生PONV,可能导致各种并发症(如误吸和伤口裂开)。Li等的回顾性研究比较了腹腔镜下袖胃成形术中不同手术体位对PONV发生率的影响,为降低PONV发生率从而改善患者术后体验的临床实践提供了新的见解。
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