Evidence map›Paper›PMID 37624489›Full record

ArticleObesity surgery2023

Prevalence, Risk Factors, and Management of Postoperative Nausea and Vomiting After Laparoscopic Sleeve Gastrectomy (a Retrospective Multicentric Study).

Aly E Rashad, Emad El Hefnawy, Mohamed Elmorshedi, Yousif Abdelmonem Abuyousif, Ali Salem, Mohamed Attia, Ayman El Nakeeb, Ahmed Zaid, Hassan Maged Aldossary, Mohammed N Mohammed

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Obesity surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.8field-weighted citation impact, top 4% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 15 citations in OpenAlex.

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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

10 authors at 2 institutions in 2 countries.

Aly E RashadGastroenterology Surgical Center, Mansoura University, Mansoura, 35516, Egypt.
Emad El HefnawyGastroenterology Surgical Center, Mansoura University, Mansoura, 35516, Egypt.
Mohamed ElmorshediGastroenterology Surgical Center, Mansoura University, Mansoura, 35516, Egypt.
Yousif Abdelmonem AbuyousifWadi Aldawaser Armed Forces Hospital, Wadi Aldawaser, Kingdom of Saudi Arabia, 18511.
Ali SalemGastroenterology Surgical Center, Mansoura University, Mansoura, 35516, Egypt.
Mohamed AttiaGastroenterology Surgical Center, Mansoura University, Mansoura, 35516, Egypt.
Ayman El NakeebGastroenterology Surgical Center, Mansoura University, Mansoura, 35516, Egypt. elnakeebayman@yahoo.com.ORCID http://orcid.org/0000-0002-3002-6872
Ahmed ZaidWadi Aldawaser Armed Forces Hospital, Wadi Aldawaser, Kingdom of Saudi Arabia, 18511.
Hassan Maged AldossaryWadi Aldawaser Armed Forces Hospital, Wadi Aldawaser, Kingdom of Saudi Arabia, 18511.
Mohammed N MohammedGastroenterology Surgical Center, Mansoura University, Mansoura, 35516, Egypt.
Mansoura University · EGArmed Forces Hospital · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePostoperative nausea and vomiting (PONV) is a frequent unappealing laparoscopic sleeve gastrectomy (LSG) sequel. The study's purpose was to determine the prevalence, risk factors of PONV, and management of PONV after LSG. PATIENTS AND

methodsThis multicenter retrospective study included patients with morbid obesity who had LSG between January 2022 and April 2023. The age range for LSG was 16 to 65 years, and the eligibility requirements included morbid obesity according to international guidelines.

resultsPONV was experienced by 74.6% of patients who underwent LSG at 6 h postoperative. Multivariate analysis revealed that female gender, smokers, preoperative GERD, gastropexy, and severity of pain were found to be independent risk variables of the development of PONV, while antral preservation, opioid-free analgesia, and intraoperative combined analgesia were found to be independent protective variables against the development of PONV. Combined intravenous ondansetron and metoclopramide improved 92.6% of patients who developed PONV. Dexamethasone and antihistamines drugs are given for 42 cases with persistent PONV after using intravenous ondansetron and metoclopramide. Pain management postoperatively by opioid-free analgesia managed PONV. Helicobacter pylori status has no role in the development of PONV after LSG.

conclusionFemale gender, smoking, presence of preoperative GERD, gastropexy, and severity of pain were found to be independent risk variables of the development of PONV, while antral preservation, opioid-free analgesia, and intraoperative combined analgesia were observed to be independent protective factors against the occurrence of PONV. Combined intravenous ondansetron and metoclopramide improved PONV. Dexamethasone and antihistamines drugs are given for persistent PONV.

Indexed as

Gastroesophageal RefluxLaparoscopyObesity, MorbidAdolescentAdultAgedAnalgesics, OpioidDexamethasoneFemaleGastrectomyHumansMetoclopramideMiddle AgedOndansetronPainPostoperative Nausea and VomitingAnalgesics, OpioidDexamethasoneMetoclopramideOndansetronGastropexyMorbid obesityOndansetronOpioid-free analgesiaPONVSleeve gastrectomy

Identifiers

PMID37624489
OpenAlexW4386152987

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.