• Skip to primary navigation
  • Skip to main content
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Store
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
    • “Unofficial” Logo Products
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Fellows Career Development Course
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES Top 21 MIS Procedures
    • SAGES Pearls
    • SAGES Flexible Endoscopy 101
    • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • OWLS
  • Log In

Can omentopexy at the time of laparoscopic sleeve gastrectomy help with long term postoperative nausea and nausea-related complications?

Georgios Orthopoulos, MD, PhD, Partha Bhurtel, MBBS, Christopher Worgul, MD, Megan Goulard, NP, Anthony McCluney, MD, FACS, FASMBS, Nicole Pecquex, MD, FASMBS. St. Elizabeth’s Medical Center

Introduction: Nausea and vomiting is a common complication after laparoscopic sleeve gastrectomy (LSG). We evaluated the potential benefit of performing an omentopexy to the greater curvature of the stomach as a method of reducing these symptoms postoperatively.

Methods: This is a retrospective cohort study of 132 patients that underwent LSG with and without omentopexy between 10/2014-8/2015 at a single hospital. Only patients that had follow up visits up to one year postoperatively were included in the final analysis (n=130). Of these, 57 patients underwent omentopexy (Group 1) and 73 didn't (Group 2). The two groups were compared in regards to postoperative nausea requiring medical attention and other nausea-related outcomes (anti-nausea medication doses, emergency room (ER) visits and hospital readmissions). Statistical methods included t-test and x2-test, used as appropriate. p<0.05 was considered statistically significant.

Results: Patients that underwent omentopexy at the time of LSG were comparable in age, pre- and post-operative BMI, intraoperative and major postoperative complications. Groups 1 and 2 did not differ in postoperative nausea rates (21.05% vs 19.18%, respectively;p=0.83). The groups required similar total amounts of ondansetron (21.71±17.40mg vs 17.86±16.58mg, respectively;p=0.20) and promethazine (9.87±12.49mg vs 10.00±14.00mg, respectively;p=0.96) during their immediate postoperative hospitalization. Postoperative nausea-related ER visits (17.54% vs 12.33%, respectively;p=0.46) and hospital re-admissions (7.02% vs 6.85%, respectively;p=1.00) within one year of the procedure were also similar between the 2 groups. The above findings persisted after further sub-analysis of only the patients with postoperative nausea requiring medical attention with 12 patients in the omentopexy group (Group 1a) and 14 in the group without omentopexy (Group 2a). Groups 1a and 2a had similar postoperative nausea-related ER visits and hospital readmissions after stratifying for the following postoperative follow-up time periods: <30 days, 30 days-6 months and 6 months-1 year from surgery. Interestingly, no hospital readmissions >30 days from surgery were identified in patients who had undergone omentopexy, although this wasn't statistically significant when compared to those who had not undergone omentopexy (p=0.10).

Conclusion: Our findings indicate that omentopexy at the time of LSG does not significantly reduce postoperative nausea and nausea-related complications. However, no hospital readmissions after 30 days from surgery were noted in patients that had undergone omentopexy at the time of LSG when compared to those who did not. Further studies may elucidate the potential long-term benefit of omentopexy during LSG on postoperative nausea.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 79661

Program Number: P532

Presentation Session: Poster (Non CME)

Presentation Type: Poster

27

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
[email protected]
Monday - Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2024 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons