Evidence map›Paper›PMID 41646057›Full record

ArticleiGIE : innovation, investigation and insights2023

Implementation of an Enhanced Recovery After Surgical Endoscopy protocol to improve outcomes following endoscopic sleeve gastroplasty.

Chelsea D'Ascanio, Ethan Schuler, Pichamol Jirapinyo, Andres Zorrilla-Vaca, Raj Shah, Roberto Trasolini, Christopher C Thompson, Marc Pimentel

Abstract read
In one paragraph

Article in iGIE : innovation, investigation and insights, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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

8 authors.

Chelsea D'AscanioBrigham and Women's Hospital, Boston, Massachusetts, USA.
Ethan SchulerBrigham and Women's Hospital, Boston, Massachusetts, USA.
Pichamol JirapinyoBrigham and Women's Hospital, Boston, Massachusetts, USA.
Andres Zorrilla-VacaBrigham and Women's Hospital, Boston, Massachusetts, USA.
Raj ShahBrigham and Women's Hospital, Boston, Massachusetts, USA.
Roberto TrasoliniBrigham and Women's Hospital, Boston, Massachusetts, USA.
Christopher C ThompsonBrigham and Women's Hospital, Boston, Massachusetts, USA.
Marc PimentelBrigham and Women's Hospital, Boston, Massachusetts, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and aims: An endoscopic sleeve gastroplasty (ESG) is a minimally invasive, transoral approach to weight loss surgery. One in 5 patients who have undergone ESG reportedly return to the emergency department (ED) within 30 days, with the majority (70%) presenting with postoperative nausea and vomiting (PONV). Implementing an Enhanced Recovery After Surgery (ERAS) protocol has been shown to reduce the incidence of PONV and lower the risk of readmission. The aim of this study was to develop and implement an ERAS protocol for adult patients undergoing ESG to prevent PONV and reduce readmissions. Methods: An ERAS protocol for traditional bariatric surgery was adapted to create the Enhanced Recovery After Surgical Endoscopy (ERASE) protocol. ERASE was implemented in November 2021. This quality improvement project is a retrospective review of patients who underwent ESG before and after ERASE implementation from July 2019 through March 2023. Descriptive statistics and bivariate analysis were used to compare demographic data between the pre- and post-ERASE groups. Multivariable logistic regression was used to assess factors associated with postoperative outcomes. Results: A total of 234 patients who underwent ESG were included, with 113 in the pre-ERASE group and 121 in the post-ERASE group. There was an 86.7% compliance rate. Both cohorts presented comparable rates of PONV ( Conclusions: This multidisciplinary ERASE protocol achieved a significant reduction in postanesthesia care unit length of stay and 30-day readmissions.

Identifiers

PMID41646057
PMCPMC12851082

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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.