Evidence map›Paper›PMID 32415635›Full record

SynthesisObesity surgery2020

Antiemetic Prophylaxis and Anesthetic Approaches to Reduce Postoperative Nausea and Vomiting in Bariatric Surgery Patients: a Systematic Review.

Zaina Naeem, Ingrid L Chen, Aurora D Pryor, Salvatore Docimo, Tong J Gan, Konstantinos Spaniolas

Registry-linked trialAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Obesity surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05087615 (Effects of Ondansetron, Metoclopramide and Granisetron on Perioperative Nausea and Vomiting in Patients Undergone Bariatric Surgery), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05087615 phase3completednot on this mapstarted 2021, after this paper: background citation

Effects of Ondansetron, Metoclopramide and Granisetron on Perioperative Nausea and Vomiting in Patients Undergone Bariatric Surgery: a Randomized Clinical Trial

TypeinterventionalSponsorShahid Beheshti University of Medical SciencesRan2021 to 2021Enrolled130ConditionsBariatric Surgery Candidate, Perioperative Complication, Nausea, Vomiting, PostoperativeArmsMetoclopramide, Ondansetron, Metoclopramide and Ondanteron, Granisetron
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  10. Observational
  11. Sensory signals for nausea.Trends in neurosciences · 2025
    Review
  12. Observational
  13. Article
  14. Article
  15. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Zaina NaeemDivision of Bariatric, Foregut, and Advanced Gastrointestinal Surgery, Department of Surgery, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, 11794-8191, USA.
Ingrid L ChenDivision of Bariatric, Foregut, and Advanced Gastrointestinal Surgery, Department of Surgery, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, 11794-8191, USA.
Aurora D PryorDivision of Bariatric, Foregut, and Advanced Gastrointestinal Surgery, Department of Surgery, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, 11794-8191, USA.
Salvatore DocimoDivision of Bariatric, Foregut, and Advanced Gastrointestinal Surgery, Department of Surgery, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, 11794-8191, USA.
Tong J GanDepartment of Anesthesiology, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA.
Konstantinos SpaniolasDivision of Bariatric, Foregut, and Advanced Gastrointestinal Surgery, Department of Surgery, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, 11794-8191, USA. Konstantinos.Spaniolas@stonybrookmedicine.edu.ORCID http://orcid.org/0000-0002-3798-9591

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

While guidelines exist for the management of postoperative nausea and vomiting (PONV) in the general surgical setting, there are no established guidelines for the prevention or treatment of PONV in bariatric patients, in whom PONV contributes significantly to perioperative morbidity and hospital resource utilization. This systematic review found that the multimodal pharmacological approach to PONV prevention recommended in current guidelines for high-risk surgical patients is appropriate for the bariatric subset. This includes multi-agent antiemetic prophylaxis with dexamethasone and one or more agents from other classes, and opioid-free total intravenous anesthesia, though the advantages of the latter need further evaluation. There remains a need for a standardized validated instrument to assess PONV in the bariatric setting.

Indexed as

AnestheticsAntiemeticsBariatric SurgeryObesity, MorbidHumansPostoperative Nausea and VomitingAnestheticsAntiemeticsAnesthesiaAntiemeticBariatric surgeryGastric bypassMorbidityMorbid obesityPONVPostoperative nausea and vomitingProphylaxisRYGBSleeve gastrectomy

Identifiers

PMID32415635

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.