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)

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

目的手术后恶心呕吐(PONV)是腹腔镜胃袖状切除术(LSG)后患者最常见不适症状。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国内麻醉和减重代谢外科领域专家,基于已发表的临床研究证据,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和减重代谢外科专家执笔,邀请30位麻醉或减重代谢外科领域专家审核,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、降低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,降低其发生率,保证手术安全,提高患者满意度。

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 Association organizes experts of anesthetists and bariatric and metabolic surgeons who are familiar with relevant studies in the field of PONV to write the consensus of prevention and treatment of PONV following LSG based on the published clinical research evidences.Thirty experts in anesthesia and bariatric and metabolic surgery are invited to review the consensus,and the corresponding author sorts out expert opinions and completes 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.Conclusion Chinese 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 metabolic surgeons on the prevention and treatment of PONV after LSG,promote relevant clinical research,reduce the incidence of PONV,ensure surgical safety,and increase patient satisfaction.