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中华肥胖与代谢病电子杂志 ›› 2022, Vol. 08 ›› Issue (04) : 217 -224. doi: 10.3877/cma.j.issn.2095-9605.2022.04.001

所属专题: 指南共识

指南与共识

腹腔镜胃袖状切除术后恶心呕吐预防与处理中国专家共识(2022版)
中国研究型医院学会糖尿病与肥胖外科专业委员会   
  • 收稿日期:2022-08-01 出版日期:2022-11-30

Expert consensus on the prevention and treatment of postoperative nausea and vomiting after laparoscopic sleeve gastrectomy (2022 edition)

Chinese Society of Diabetes and Bariatric Surgery, Chinese Research Hospital Association   

  • Received:2022-08-01 Published:2022-11-30
引用本文:

中国研究型医院学会糖尿病与肥胖外科专业委员会. 腹腔镜胃袖状切除术后恶心呕吐预防与处理中国专家共识(2022版)[J]. 中华肥胖与代谢病电子杂志, 2022, 08(04): 217-224.

Chinese Society of Diabetes and Bariatric Surgery, Chinese Research Hospital Association. Expert consensus on the prevention and treatment of postoperative nausea and vomiting after laparoscopic sleeve gastrectomy (2022 edition)[J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2022, 08(04): 217-224.

目的

手术后恶心呕吐(PONV)是腹腔镜胃袖状切除术(LSG)后最常见不适症状。针对LSG后PONV预防与处理达成共识,指导临床实践。

方法

中国研究型医院学会糖尿病与肥胖外科专业委员会组织麻醉或减重外科领域专家,基于已发表的临床研究证据,并结合临床经验,围绕LSG后PONV预防与处理相关问题,由从事并熟悉PONV领域相关研究的麻醉或减重外科专家执笔,并邀请30位麻醉或减重外科领域专家审核,最终由通信作者整理审核意见,制订共识。

结果

对PONV的危险因素与评估、减少PONV基础风险的措施、PONV与LSG的关系、LSG后PONV预防与处理制订共识。

结论

《腹腔镜胃袖状切除术后恶心呕吐预防与处理中国专家共识(2022版)》旨在加强减重与代谢外科医师对LSG后PONV预防与处理的重视,推动相关临床研究,减少其发生率,保证手术安全,增加患者满意度。

Objective

Postoperative nausea and vomiting (PONV) is the most common adverse event following laparoscopic sleeve gastrectomy (LSG). The consensus is reached on the prevention and treatment of PONV following LSG to guide clinical practice.

Methods

Chinese Society of Diabetes and Bariatric Surgery of Chinese Research Hospital Associationorganizes experts of anesthetists and bariatric surgeonsfamiliar with relevant studies in the field of PONV to write the consensus of prevention and treatment of PONV following LSG to on the published clinical research evidencesand combined with clinical experience. Thirty experts ofanesthesia and bariatric surgery are invited to review the consensus, and the corresponding author sort out expertopinions andcomplete the consensus finally.

Results

The consensus is established on the PONV risk factors, measurements to reduce the risk of PONV, relationship between PONV and LSG and prevention and treatment of PONV following LSG.

Conclusions

Expert consensus on the prevention and treatment of postoperative nausea and vomiting after laparoscopic sleeve gastrectomy (2022 edition) aims to strengthen the attention of bariatric and metabolicsurgeonson the prevention and treatment of PONV after LSG, promote relevant clinical research, reduce the incidence of PONV, ensure surgical safety, and increase patient satisfaction.

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