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Volume 6, Issue 4 (2025)
J Clinic Care Skill 2025, 6(4): 1001-1008 |
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Received: 2025/10/11 | Accepted: 2025/11/3 | Published: 2025/10/18
Received: 2025/10/11 | Accepted: 2025/11/3 | Published: 2025/10/18
How to cite this article
Sadat S J, Shirazi F, Zoladl M, koohpeyma M R. Effect of Early and Gradual Ambulation on Postoperative Complications after Sleeve Gastrectomy: A Randomized Clinical Trial. J Clinic Care Skill 2025; 6 (4) :1001-1008
URL: http://jccs.yums.ac.ir/article-1-445-en.html
URL: http://jccs.yums.ac.ir/article-1-445-en.html
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Abstract (153 Views)
Background: Sleeve gastrectomy is a widely performed bariatric procedure with long-term benefits; however, it is often accompanied by postoperative complications such as pain, nausea, and vomiting. Early mobilization has been shown to improve recovery and reduce complications in other surgeries, yet evidence regarding the optimal timing and approach to ambulation after sleeve gastrectomy remains limited. This study aimed to compare the effects of early and gradual ambulation on postoperative complications after sleeve gastrectomy.
Methods: In this randomized clinical trial, 132 patients undergoing sleeve gastrectomy were allocated to three groups: early ambulation (EA), gradual ambulation (GA), and control. EA patients began mobilization 4 hours after entering the ward following a structured protocol, GA patients started 7 hours post-surgery according to a gradual protocol, and the control group ambulated based on personal willingness. Postoperative pain intensity was measured using a 10-cm Visual Analog Scale (VAS), and vomiting frequency was recorded at admission, immediately after mobilization, and at 6, 12, and 24 hours.
Results: Early ambulation significantly reduced pain intensity (p<0.001) and vomiting frequency (p<0.01) compared with both gradual ambulation and control groups. Gradual ambulation also decreased pain compared with the control group (p=0.036), but had no significant effect on vomiting.
Conclusions: Early ambulation is more effective than gradual or conventional ambulation in reducing postoperative complications, particularly pain and vomiting, after sleeve gastrectomy. Implementing early mobilization protocols may enhance recovery and improve patient outcomes in bariatric surgery.
Methods: In this randomized clinical trial, 132 patients undergoing sleeve gastrectomy were allocated to three groups: early ambulation (EA), gradual ambulation (GA), and control. EA patients began mobilization 4 hours after entering the ward following a structured protocol, GA patients started 7 hours post-surgery according to a gradual protocol, and the control group ambulated based on personal willingness. Postoperative pain intensity was measured using a 10-cm Visual Analog Scale (VAS), and vomiting frequency was recorded at admission, immediately after mobilization, and at 6, 12, and 24 hours.
Results: Early ambulation significantly reduced pain intensity (p<0.001) and vomiting frequency (p<0.01) compared with both gradual ambulation and control groups. Gradual ambulation also decreased pain compared with the control group (p=0.036), but had no significant effect on vomiting.
Conclusions: Early ambulation is more effective than gradual or conventional ambulation in reducing postoperative complications, particularly pain and vomiting, after sleeve gastrectomy. Implementing early mobilization protocols may enhance recovery and improve patient outcomes in bariatric surgery.
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