Pulmonary functions, pain and metabolic response after laparoscopic gastric banding versus open gastroplasty in morbid obesity

Source

Suez Canal University Medical Journal

Publisher

Suez Canal University Faculty of Medicine

Publication Date

2001-10-31

Country of Publication

Egypt

No. of Pages

13

Main Subjects

Medicine

English Abstract

The laparoscopic approach for morbid obesity has now been extended to gastroplasty with short has now extended to gastric banding.

We noticed that laparoscopic approach is less disComfortable with short hospital stay.

Morbidly obese patients (eandidates for that operations) carry a high risk of developing postoperative pulmonary complications.

The present study compares postoperative pulmonary functions, pain and stress responses between laparoscopic group (n.15) and open surgical groups (n.15) in morbidly obese patients.

Pulmonary functions (forced vital capacity FVC, forced expiratory volume in ١ second FEV1%, and peak expiratory flow rate EEFR) were performed and Spo2 was measured preoperatively (control), 4h after surgery and on days 1, 2 and 3 after the operation.

Postoperative pain, measured using a 100-mm visual analogue scale VAS and narcotic consumption were recorded every 8 hours for the first three days after operation.

Also endocrine metabolic response was measured via assay of serum cortisol and serum glucose levels preoperatively, 30 min.

alter induction, 2h, 4h and days 1, 2 and 3 post-operatively Pulmonary function showed that 4 h post surgery there was a significant difference between the two groups being less for laparoscopic group.

This difference continued over day 1, 2 and 3 where the same results were still obtained for Spo2, Pain intensity at rest, during mobilization and ٠١١ coughingسا significantly lees after laparoscopy.

Requirements for postoperative opioid were 50% less in laparoscopic group.

In both groups, plasma glucose and cortisol increased after surgery compared with baseline reaching the peak at 4h without significant difference between both groups.

This continued postoperatively but with significant difference between the two groups being less in laparoscopic group.

Our Study demonstrated clearly the superiority of laparoscopic banding over conventional operative procedures as regard lung function, postoperative pain and stress response, leading to less postoperative complications.

Data Type

Conference Papers

Record ID

BIM-393098

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