Evidence map›Paper›PMID 40851962›Full record

ReviewAnnals of medicine and surgery (2012)2025

Effects of preoperative carbohydrate loading on postoperative outcomes in patients undergoing laparoscopic cholecystectomy: a systematic review and meta-analysis.

Muhammad Saeed Qazi, Muhammad Omar Larik, Hamza Irfan, Maimoona Khan, Komal Zulfiqar, Shree Rath, Mian Iqbal Ahmed Sheikh, Hind A M Elamin, Javed Iqbal, Muhammad Usman and 1 more

Abstract readReview
In one paragraph

Review in Annals of medicine and surgery (2012), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

11 authors.

Muhammad Saeed QaziDepartment of Medicine, Medical Research Centre, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan.ORCID https://orcid.org/0009-0002-8509-3738
Muhammad Omar LarikDepartment of Medicine, Dow International Medical College, Karachi, Pakistan.ORCID https://orcid.org/0000-0002-2328-6801
Hamza IrfanDepartment of Medicine, Shaikh Khalifa Bin Zayed Al Nahyan Medical and Dental College, Lahore, Pakistan.ORCID https://orcid.org/0000-0002-0967-7523
Maimoona KhanDepartment of Surgery, Dow University of Medical and Health Sciences, Karachi, Pakistan.ORCID https://orcid.org/0009-0002-6109-0962
Komal ZulfiqarDepartment of Medicine, Allama Iqbal Medical College, Lahore, Pakistan.ORCID https://orcid.org/0009-0007-0600-7034
Shree RathDepartment of Surgery, All India Institute of Medical Sciences, Bhubaneswar, India.
Mian Iqbal Ahmed SheikhDepartment of Medicine, Medical Research Centre, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan.
Hind A M ElaminDepartment of Nursing, College of Nursing and Health Sciences, Jazan University, Jizan, Saudi Arabia.
Javed IqbalNursing Department, Hamad Medical Corporation, Doha, Qatar.ORCID https://orcid.org/0000-0003-2627-685X
Muhammad UsmanDepartment of Surgery, Federal Medical and Dental College, Islamabad, Pakistan.ORCID https://orcid.org/0009-0004-5187-5090
Pratik BhattaraiDepartment of Medicine, Manipal College of Medical Sciences, Pokhara, Nepal.ORCID https://orcid.org/0000-0002-9223-7800

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cholecystectomy is one of the most common procedures performed across the world. With efforts to maximize good postoperative status, one such technique involves preoperative carbohydrate loading. Methods: A thorough literature search was performed across three databases to identify articles published up to August 2024. The screening was conducted to select all primary studies evaluating the role of preoperative carbohydrate loading in patients undergoing laparoscopic cholecystectomy. Statistical analysis was conducted via RevMan using a random-effects model. Results: Thirteen records were included for quantitative synthesis, encompassing 827 participants (415 in the carbohydrate arm and 412 in the fasting arm). Carbohydrate loading was associated with significantly higher insulin levels compared to the control group (standard mean deviation [SMD]: -0.60; 95% confidence interval [CI]: -0.87, -0.34; Conclusion: Our analysis suggests that preoperative carbohydrate loading is linked with reduced postoperative pain, incidence of nausea, and superior insulin parameters. Further research is needed to strengthen these findings.

Indexed as

carbohydrate loadingcholecystectomylaparoscopypatient outcomespost-operative

Identifiers

PMID40851962
PMCPMC12369736

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.