Postoperative nausea and vomiting are common occurrences following bariatric surgery, occurring in up to 80% of patients and contributing to increased healthcare utilization and delays in discharge. This study aims to evaluate the impact of a high-protein liquid diet on postoperative nausea, vomiting, and length of stay after laparoscopic or robotic sleeve gastrectomy.
Patients with obesity or morbid obesity who are scheduled to undergoing robotic or laparoscopic sleeve gastrectomy will be screened at their preoperative visit. If they meet inclusion/exclusion criteria, they will be invited to participate in the study and written informed consent will be obtained. If the patient consents to participation, they will be randomized to either the control arm or intervention arm. All patients will undergo sleeve gastrectomy in a standard fashion, either laparoscopically or robotically, as discussed with their bariatric surgeon. Post-operative diet will be initiated 4 hours after surgery. The specific diet received will depend on which arm the patient is randomized into. Post-operative assessments will be completed at various time points for all patients. These include a Verbal Rating Scale of Nausea and Vomiting, Rhodes Index Survey, and Quality of Recover-15 Survey. All patients will track their oral intake on a spreadsheet which will be provided. Additional demographic and clinical data will be collected from the Electronic Medical Record. After hospital discharge, patients will follow up in the clinic one week and one month after surgery, per routine. After the one-month visit, the patient's study participation will be considered complete.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
112
Patient's will receive a Bariatric Full Liquid Diet (standard bariatric clear liquid diet + protein shakes) to be started 4 hours after surgery
Thomas Jefferson University Hospital
Philadelphia, Pennsylvania, United States
RECRUITINGJefferson Methodist Hospital
Philadelphia, Pennsylvania, United States
RECRUITINGPostoperative nausea and vomiting related delay in hospital discharge
Inability to be discharged from the hospital on postoperative day 1 due to postoperative nausea and vomiting. This will be measured by inability to maintain oral intake of 4-6 ounces an hour due to feeling of nausea or vomiting.
Time frame: through hospital discharge, an average of two days after surgery
Length of Stay
Time from end of surgery to discharge from hospital
Time frame: through hospital discharge, an average of two days after surgery
Severity of Postoperative Nausea and Vomiting
Patient reported severity based on surveys
Time frame: Baseline until 1 month after surgery
Patient Self-Reported Quality of Recovery
Patient reported quality of recovery based on survey
Time frame: Baseline until 1 month after surgery
Hospital Antiemetic Usage
Total amount and type of antiemetic medication received while in the hospital
Time frame: through hospital discharge, an average of two days after surgery
Cost of Hospital Stay
Total cost of hospital stay after surgery (including initial admission and any readmissions, ED visits, if applicable)
Time frame: Up to 30 days after surgery
Weight Loss
Percent excess weight loss (EWL) and total weight loss (TWL) 1 week and 1 month after surgery
Time frame: Up to 30 days after surgery
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30-Day Events
Complications, ED Visits, Readmissions
Time frame: Up to 30 days after surgery