Evidence map›Paper›PMID 40866595›Full record

ArticleSurgical endoscopy2025

Implementation of the enhanced recovery after bariatric surgery (ERABS) protocol with clinical hypnosis: effects on pain and postoperative nausea and vomiting (PONV) management in bariatric surgery.

Alessandra Moretti, Nicolas Zucchini, Enrico Moroni, Danilo Sirigu, Daniela Sanna, Monica Musio, Pierpaolo Terragni, Giovanni Fantola

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In one paragraph

Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Alessandra MorettiEmergency Department, Section of Anesthesiology and Intensive Care, ARNAS G. Brotzu Hospital, Cagliari, Italy.
Nicolas ZucchiniMetabolic and Obesity Surgery Unit, ARNAS G. Brotzu, Cagliari, Italy. nicolaszucchini94@gmail.com.ORCID http://orcid.org/0000-0002-2636-4094
Enrico MoroniMetabolic and Obesity Surgery Unit, ARNAS G. Brotzu, Cagliari, Italy.
Danilo SiriguCIICS Institute Franco Granone Italian Clinical-Experimental Hypnosis Center, Italy ARNAS G. Brotzu, Cagliari, Italy.
Daniela SannaEmergency Department, Section of Anesthesiology and Intensive Care, ARNAS G. Brotzu Hospital, Cagliari, Italy.
Monica MusioDepartment of Mathematics and Computer Science, University of Cagliari, Cagliari, Italy.
Pierpaolo TerragniDepartment of Medicine, Surgery and Pharmacy, Anesthesia and General Intensive Care, University of Sassari, Sassari, Italy.
Giovanni FantolaMetabolic and Obesity Surgery Unit, ARNAS G. Brotzu, Cagliari, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionObesity is a major global health issue requiring tailored anesthetic and analgesic strategies due to associated physiological and pharmacokinetic changes. The Enhanced Recovery After Bariatric Surgery (ERABS) protocol has been introduced to optimize perioperative care, but its implementation remains inconsistent. This pilot study investigates the integration of a perioperative clinical hypnosis (CH) protocol with ERABS to assess its effects on postoperative pain, nausea, and analgesic/antiemetic drug consumption in patients undergoing bariatric and metabolic surgery (BMS). MATERIALS AND

methodsA total of 42 patients undergoing elective gastric bypass were enrolled and divided into two groups: one receiving standard ERABS protocol plus CH (Group A) and the other receiving only ERABS (Group B). Pain levels, nausea, and medication use were assessed at 12 and 24 h post-surgery.

resultsResults showed a significant reduction in pain in the CH group at both 12 h (mean NRS: 2.9 vs. 5.8, p = 0.0007) and 24 h (mean NRS: 1.4 vs. 3.3, p = 0.0019). CH also led to a reduction in rescue analgesic use at 12 h (p = 0.05), though no significant differences were found at 24 h. Postoperative nausea and vomiting incidence was lower in the CH group but did not reach statistical significance.

conclusionsThese findings suggest that perioperative CH could be a valuable adjunct to ERABS, improving postoperative pain management and reducing analgesic consumption in the first 12 h post-surgery. Given the study's limitations, including small sample size and single-center design, further multicenter trials are recommended to confirm these preliminary results and explore the underlying mechanisms of CH in surgical recovery.

Indexed as

Bariatric SurgeryEnhanced Recovery After SurgeryGastric BypassHypnosisPostoperative Nausea and VomitingPostoperative PainAdultAnalgesicsAntiemeticsClinical ProtocolsFemaleHumansMaleMiddle AgedPilot ProjectsAnalgesicsAntiemeticsBariatric surgeryClinical hypnosisERABS

Identifiers

PMID40866595

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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.