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International Journal of Otolaryngology
Volume 2014 (2014), Article ID 275860, 5 pages
http://dx.doi.org/10.1155/2014/275860
Clinical Study

Gastric Decompression Decreases Postoperative Nausea and Vomiting in ENT Surgery

1Istanbul Bagcilar Educational and Training Hospital, 34200 Istanbul, Turkey
2Ventigoo ENT and Balance Center, 34180 Istanbul, Turkey
3Istanbul Sisli Etfal Training Hospital, 34360 Istanbul, Turkey
4Istanbul Educational and Research Hospital, 34104 Istanbul, Turkey

Received 10 January 2014; Revised 10 March 2014; Accepted 11 March 2014; Published 2 April 2014

Academic Editor: Charles Monroe Myer

Copyright © 2014 Kerem Erkalp et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

There is a passive blood flow to the stomach during oral and nasal surgery. It may cause postoperative nausea and vomiting (PONV). We researched the relationship between gastric decompression (GD) and severity of PONV in ear, nose, and throat (ENT) surgery. 137 patients who have been into ENT surgery were included in the study. In Group I ( ), patients received GD after surgery before extubation; patients in Group II ( ) did not receive GD. In postoperative 2nd, 4th, 8th, and 12th hours, the number and ratio of patients demonstrating PONV were detected to be significantly more in Group II as compared to Group I. PONV was also significantly more severe in Group II as compared to Group I. In Group I, the PONV ratio in the 2nd hour was significantly more for those whose amounts of stomach content aspired were more than 10 mL as compared to those whose stomach content aspired was less than 10 mL. In the 4th, 8th, and 24th hours, there is no statistically significant difference between the stomach content aspired and PONV ratio. GD reduces the incidence and severity of PONV in ENT surgery.