Trial reportObesity surgery2026
Extremely Early Ambulation after Bariatric and Metabolic Surgery: A Randomized Controlled Trial.
Trial report in Obesity surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
Who cites it
1 citing paper in PubMed.
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPostoperative gastrointestinal dysfunction (POGD) is common after metabolic bariatric surgery (MBS), prolonging hospitalization and increasing costs. While Enhanced Recovery After Surgery (ERAS) guidelines recommend ambulation on postoperative day one, evidence supporting extremely early ambulation commencing in the post-anesthesia care unit (PACU) remains limited.
objectiveTo evaluate whether a structured, graded ambulation protocol initiated in the PACU shortens the time to first flatus after laparoscopic sleeve gastrectomy (LSG) without increasing adverse events, and to assess its impact on recovery quality.
methodsThis was a single-center, assessor-blinded, randomized controlled trial. 92 patients scheduled for elective LSG were randomized to either the experimental group (PACU ambulation) or the control group (conventional ward ambulation). The experimental group followed a structured 3-step protocol (sitting, standing, walking) initiated upon PACU arrival. The primary outcome was time to first flatus (hours). Secondary outcomes included Quality of Recovery-15(QoR-15) scores, pain scores (VAS), opioid consumption (morphine equivalents), abdominal distension, and safety outcomes (PONV, orthostatic hypotension).
resultsTime to first flatus was significantly shorter in the experimental group compared to the control group (median18.6h[IQR 9.9-22.7]vs.24.0h[IQR 19.5-28.8]; median difference -5.4h, 95%CI: -7.6to-3.2; P< 0.001). QoR-15 scores were significantly higher in the experimental group on postoperative day POD0(median122.0vs.105.0,P< 0.001), POD1(135.0vs.122.0,P < 0.001), and POD2 (140.0 vs. 134.0, P < 0.001). The relative decline in QoR-15 on POD 0 was smaller in the experimental group (13.5% vs. 26.6%). There were no significant differences in adverse events between groups.
conclusionA structured graded ambulation protocol initiated in the PACU safely reduces the time to first flatus and improves the quality of recovery after LSG, potentially via cholinergic anti-inflammatory and gravitational mechanisms. This study provides high-quality evidence for integrating standardized early mobilization protocols into ERAS pathways for MBS patients.
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Registered trials
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