Assessment of pre-gastroscopy fasting period using ultrasonography.

Digestive Diseases and Sciences
Thomas Werner SpahnMichael Karl Mueller

Abstract

Discomfort is frequent in patients undergoing esophagogastroduodenoscopy who are routinely recommended to abstain at least for 6 h from liquid or solid food prior to the procedure. We investigated the minimal period of time required for the stomach to clear fluids in order to define a safe minimal pre-endoscopy fasting period. Gastric emptying was sonographically assessed in 54 patients by measurement of the antrum surface area prior to, immediately after, and 30, 60, and 90 min after ingestion of 300 ml water and water containing 75 g glucose or apple juice. Esophagogastroduodenoscopy was performed subsequently. Ingestion of water required 1 h for complete clearance. Three hundred milliliters glucose solution and apple juice were cleared more slowly, 90 min after drinking. Ingestion of water or glucose solution prior to esophagogastroduodenoscopy in patients without a history of gastric emptying dysfunction is safe when observing a 90 min latency period and might prevent discomfort.

References

Nov 1, 1988·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J R MaltbyE A Shaffer
Jan 1, 1986·Acta Anaesthesiologica Scandinavica·G L OlssonK Hambraeus-Jonzon
Oct 1, 1985·Gastroenterology·L BolondiG Labò
Nov 1, 1974·Anesthesia and Analgesia·R B Roberts, M A Shirley
Jun 1, 1982·Gut·D N Bateman, T A Whittingham
Jan 1, 1996·Scandinavian Journal of Gastroenterology. Supplement·A BerstadS Odegaard
Oct 30, 2001·Anesthesia and Analgesia·J HauselO Ljungqvist
Feb 1, 2003·Endoscopy·M Lazzaroni, G Bianchi Porro
Oct 30, 2003·The Cochrane Database of Systematic Reviews·M BradyP Stuart
Mar 3, 2004·Der Anaesthesist·C D SpiesUNKNOWN Klinik für Anästhesiologie und operative Intensivmedizin, Charité-Universitätsmedizin Berlin
Sep 29, 2005·Endoscopy·V K SharmaUNKNOWN ICCE
Feb 28, 2006·Der Anaesthesist·L FurrerC K Hofer
Dec 1, 1960·The Journal of Physiology·J N Hunt, J D Pathak
Nov 4, 2006·Best Practice & Research. Clinical Anaesthesiology·J Roger Maltby

❮ Previous
Next ❯

Citations

Jan 5, 2012·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Javier CubillosAnahi Perlas
Mar 7, 2014·Anesthesiology·Richelle KruisselbrinkAnahi Perlas

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Medicine and Science in Sports and Exercise
R S SeipleR L Bartels
Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology
M SaseH Kato
© 2022 Meta ULC. All rights reserved