Baclofen in Preventing Postoperative Nausea and Vomiting After Bariatric Surgery
- Conditions
- Laparoscopic Sleeve GastrectomyPostoperative Nausea and VomitingMorbid Obesity
- Interventions
- Registration Number
- NCT05516953
- Lead Sponsor
- Tanta University
- Brief Summary
This study aims to evaluate the possible efficacy of baclofen on postoperative nausea and vomiting in patient with morbid obesity who will undergo laparoscopic sleeve gastrectomy.
- Detailed Description
. A total of 100 morbidly obese patients who will be scheduled for sleeve gastrectomy will be included in the study. The patients will be selected from those attending Gastrointestinal and Laparoscopic Surgery Unit, General Surgery Department, Tanta University Hospital, Tanta, Egypt. The participants will be randomized into four groups by closed envelop method
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 100
- Morbidly obese patients scheduled for sleeve gastrectomy with BMI ≥35 kg/m2 with the presence of comorbidity such as hypertension, arthritis, and diabetes.
- Morbidly obese patients scheduled for sleeve gastrectomy with BMI ≥ 40 kg/m2 without comorbidity.
- Patients fit for anesthesia and surgery.
- Patients with BMI >55 kg/m2.
- Patients with previous procedures for the treatment of obesity.
- Pregnant females and lactating women.
- Patients with psychological or psychiatric disease
- Administration of antiemetic medication or systemic corticosteroids within 24 hours before surgery
- Patients who experienced vomiting within 24 hours before surgery.
- Patients with history of alcohol or drug abuse.
- Patients with hypersensitivity or contraindications to any of the drugs used in this study.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Group 2 Baclofen Tablets which include 50 patients scheduled for sleeve gastrectomy
- Primary Outcome Measures
Name Time Method The primary outcome of this study will be the complete response The first 48 hours after surgery. Complete response is defined as the absence of PONV and the lack of a need for rescue antiemetic therapy.
- Secondary Outcome Measures
Name Time Method Change in serum level of vasopressin The first 48 hours after surgery. Blood samples will be collected at baseline, 24 hours and 48 hours after surgery
Change in serum level of serotonin The first 48 hours after surgery. Blood samples will be collected at baseline, 24 hours and 48 hours after surgery
Change in serum level of tachykinin 1 The first 48 hours after surgery. Blood samples will be collected at baseline, 24 hours and 48 hours after surgery
Change in serum level of substance P The first 48 hours after surgery. Blood samples will be collected at baseline, 24 hours and 48 hours after surgery
Change in serum level of dopamine The first 48 hours after surgery. Blood samples will be collected at baseline, 24 hours and 48 hours after surgery
Trial Locations
- Locations (1)
Gastrointestinal and Laparoscopic Surgery Unit, General Surgery Department, Tanta University Hospital.
🇪🇬Tanta, Egypt