Reduction of Pain After Laparoscopic Bariatric Surgery by Personalized Checkpoint Acupuncture-Data of a STRICTA Conform Pilot Study

• Tipo: Artigo em Revista Científica Internacional
• Data: 2023

Autores

Ghanad, E (Autor) Outra; Staff, S (Autor) Outra; Weiss, C (Autor) Outra; Goncalves, M (Autor) Outra; Santos, MJ (Autor) Outra; Correia, N (Autor) Outra; Vassilev, G (Autor) Outra; Herrle, F (Autor) Outra; Reissfelder, C (Autor) Outra; Greten, HJ (Autor) Outra; Otto, M (Autor) Outra; Yang, C (Autor) Outra

Revista

Título: Obesity Surgery

Vol. 33

Páginas: 2176-2185

ISSN: 0960-8923

Editora: Springer Nature

Indexação

ISI Web of Knowledge - 1 Citação

Scopus - 1 Citação

Outras Informações

ID Authenticus: P-00Y-FTA

DOI: 10.1007/s11695-023-06654-8

Abstract (EN): Background It remains challenging in clinical practice to perform optimal pain management following bariatric surgeries. Acupuncture (AC) is an effective method of postoperative pain management, but its clinical efficacy depends on the rationale used to select AC points.Methods We developed a method to identify individual patterns of pain and a corresponding set of acupoints (corrAC) based on the relative pressure sensitivity of six abdominal visceral pressure points, i.e., the gastrointestinal (GI) checkpoints (G1-G6). Patients with moderate to severe pain were included and received a single AC treatment following surgery. The visual analog scale (VAS) score, pain threshold, and skin temperature were assessed before AC and at 5 min, 1 h, and 24 h following AC. AC was performed with 1-mm-deep permanent needles.Results From April 2021 to March 2022, 72 patients were included in the analysis. Fifty-nine patients received corrAC, whereas 13 received a noncorresponding AC (nonAC) as an internal control. Patients receiving corrAC showed a significant reduction (74%) in pain at 5 min after treatment (p < 0.0001) and a significant increase (37%) in the pain threshold (p < 0.0001). In this group, a significant increase in skin temperature above G1, G3, G4, and G5 was observed. Patients receiving nonAC showed neither significant pain reduction nor significant changes in pain threshold. The skin above G3 and G4 did not reveal temperature changes.Conclusion Checkpoint AC may be an effective tool in postoperative pain therapy after bariatric surgery. Vegetative functional involvement might be associated with pain relief.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 10