PMID- 32197451 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231113 IS - 2077-0383 (Print) IS - 2077-0383 (Electronic) IS - 2077-0383 (Linking) VI - 9 IP - 3 DP - 2020 Mar 18 TI - Effect of a Preoperative Proton Pump Inhibitor and Gastroesophageal Reflux Disease on Postoperative Nausea and Vomiting. LID - 10.3390/jcm9030825 [doi] LID - 825 AB - Postoperative nausea and vomiting (PONV) are common complications after anesthesia, but no study has considered the effects of a proton pump inhibitor (PPI) and gastroesophageal reflux disease (GERD) on PONV at the same time. Thus, we investigated the effects of a PPI and GERD on PONV. Patients aged >/=18 years who underwent general anesthesia between 2010 and 2019 were enrolled. In total, 202,439 patients were included and 21,361 In a multivariate analysis, the OR for PONV was higher in subjects with GERD (OR, 1.157; 95% CI, 1.032-1.298; p = 0.012). The OR was lower for subjects with taking a PPI (OR, 0.890; 95% CI, 0.832-0.953; p < 0.0001). In patients without GERD, the incidence of PONV was lower when lansoprazole (OR, 0.801; 95% CI, 0.718-0.894; p < 0.0001), pantoprazole (OR, 0.856; 95% CI, 0.748-0.980; p = 0.025) and ilaprazole (OR, 0.391; 95% CI, 0.158-0.966; p = 0.042) were taken. However, in GERD patients, all PPIs did not show reducing the incidence of PONV. Taken together, the results show that a lansoprazole, pantoprazole, and ilaprazole reduced PONV in patients without GERD, and PPI could not reduce PONV in patients with GERD. FAU - Kwon, Young Suk AU - Kwon YS AUID- ORCID: 0000-0001-7753-8464 AD - Department of Anesthesiology and Pain Medicine, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University, Chuncheon 24253, Korea. AD - Institute of New Frontier Research Team, Hallym University, Chuncheon 24253, Korea. FAU - Choi, Jun Woo AU - Choi JW AD - Department of Anesthesiology and Pain Medicine, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University, Chuncheon 24253, Korea. FAU - Lee, Ho Seok AU - Lee HS AD - Department of Anesthesiology and Pain Medicine, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University, Chuncheon 24253, Korea. AD - Institute of New Frontier Research Team, Hallym University, Chuncheon 24253, Korea. FAU - Kim, Jong Ho AU - Kim JH AUID- ORCID: 0000-0002-3818-2239 AD - Department of Anesthesiology and Pain Medicine, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University, Chuncheon 24253, Korea. AD - Institute of New Frontier Research Team, Hallym University, Chuncheon 24253, Korea. FAU - Kim, Youngmi AU - Kim Y AD - Institute of New Frontier Research Team, Hallym University, Chuncheon 24253, Korea. FAU - Lee, Jae Jun AU - Lee JJ AD - Department of Anesthesiology and Pain Medicine, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University, Chuncheon 24253, Korea. AD - Institute of New Frontier Research Team, Hallym University, Chuncheon 24253, Korea. LA - eng GR - NRF-2017M3A9E8049714/National Research Foundation of Korea/ GR - NRF-2017M3A9E8033205/National Research Foundation of Korea/ PT - Journal Article DEP - 20200318 PL - Switzerland TA - J Clin Med JT - Journal of clinical medicine JID - 101606588 PMC - PMC7141242 OTO - NOTNLM OT - gastroesophageal reflux disease OT - postoperative nausea and vomiting OT - proton pump inhibitor COIS- The authors declare no conflicts of interest. EDAT- 2020/03/22 06:00 MHDA- 2020/03/22 06:01 PMCR- 2020/03/18 CRDT- 2020/03/22 06:00 PHST- 2020/02/20 00:00 [received] PHST- 2020/03/13 00:00 [revised] PHST- 2020/03/14 00:00 [accepted] PHST- 2020/03/22 06:00 [entrez] PHST- 2020/03/22 06:00 [pubmed] PHST- 2020/03/22 06:01 [medline] PHST- 2020/03/18 00:00 [pmc-release] AID - jcm9030825 [pii] AID - jcm-09-00825 [pii] AID - 10.3390/jcm9030825 [doi] PST - epublish SO - J Clin Med. 2020 Mar 18;9(3):825. doi: 10.3390/jcm9030825.