Evidence map›Paper›PMID 40377814›Full record

Trial reportObesity surgery2025

Comparison Between Erector Spinae Plane Block at T9 Level and Transversus Abdominis Plane Block for Postoperative Analgesia and Recovery in Patients with Obesity Undergoing Laparoscopic Sleeve Gastrectomy: A Randomized Controlled Trial.

Tong Mu, Kejiang Chen, Yi Xu, Yonggang Hao, Dan Liu, Ke Wei

Abstract readRandomized Controlled TrialComparative Study
PubMed Publisher
In one paragraph

Trial report in Obesity surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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

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

  1. Pooled it
  2. Article
  3. Review
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.

Tong Mu *Department of Anesthesiology,The First Affiliated Hospital of Chongqing Medical University, No1. Youyi Road, Yuzhong District, Chongqing, 400016, China.
Kejiang Chen *Department of Anesthesiology,The First Affiliated Hospital of Chongqing Medical University, No1. Youyi Road, Yuzhong District, Chongqing, 400016, China.
Yi XuDepartment of Anesthesiology,The First Affiliated Hospital of Chongqing Medical University, No1. Youyi Road, Yuzhong District, Chongqing, 400016, China.
Yonggang HaoDepartment of Anesthesiology,The First Affiliated Hospital of Chongqing Medical University, No1. Youyi Road, Yuzhong District, Chongqing, 400016, China.
Dan LiuDepartment of Anesthesiology,The First Affiliated Hospital of Chongqing Medical University, No1. Youyi Road, Yuzhong District, Chongqing, 400016, China. 9998751@qq.com.
Ke WeiDepartment of Anesthesiology,The First Affiliated Hospital of Chongqing Medical University, No1. Youyi Road, Yuzhong District, Chongqing, 400016, China. wk202448@hospital-cqmu.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEffective postoperative analgesia is essential for recovery after bariatric surgery. This study examines whether T9 erector spinae plane (ESP) block provides better analgesia and recovery than subcostal transversus abdominis plane (TAP) block in patients with obesity undergoing laparoscopic sleeve gastrectomy (LSG).

methodsPatients undergoing LSG were randomized to receive either ESP or TAP blocks. The primary outcome was pain intensity measured by the Numeric Rating Scale (NRS). Secondary outcomes included sensory blockade levels, opioid consumption (morphine equivalents), need for rescue analgesia, and recovery milestones.

resultsAmong 168 patients, median age was 29.0 years (ESP) vs 31.0 years (TAP) (p = 0.135), with most being female (67.9% ESP, 65.5% TAP) (p = 0.743). Median BMI was 36.7 kg/m

conclusionsFor patients with obesity undergoing LSG, ultrasound-guided ESP block at T9 enhances postoperative analgesia and accelerates recovery compared to subcostal TAP block. While the difference in NRS scores was modest, ESP's ability to reduce opioid use and promote faster recovery highlights its clinical advantage.

Indexed as

GastrectomyLaparoscopyNerve BlockObesity, MorbidPostoperative PainAbdominal MusclesAdultAnalgesics, OpioidFemaleHumansMalePain MeasurementParaspinal MusclesTreatment OutcomeAnalgesics, OpioidAnalgesiaBariatric surgeryFascial plane blocksObesity

Identifiers

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Registered trials

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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.