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Baclofen in Preventing Postoperative Nausea and Vomiting After Bariatric Surgery

Phase 2
Active, not recruiting
Conditions
Laparoscopic Sleeve Gastrectomy
Postoperative Nausea and Vomiting
Morbid 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
Inclusion Criteria
  • 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.
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Exclusion Criteria
  • 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.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Group 2Baclofen Tabletswhich include 50 patients scheduled for sleeve gastrectomy
Primary Outcome Measures
NameTimeMethod
The primary outcome of this study will be the complete responseThe 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
NameTimeMethod
Change in serum level of vasopressinThe first 48 hours after surgery.

Blood samples will be collected at baseline, 24 hours and 48 hours after surgery

Change in serum level of serotoninThe 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 1The 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 PThe first 48 hours after surgery.

Blood samples will be collected at baseline, 24 hours and 48 hours after surgery

Change in serum level of dopamineThe 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

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