关键词: gastric pH gastric volume gastrointestinal endoscopy hard candy preoperative fasting guidelines

来  源:   DOI:10.2147/TCRM.S377421   PDF(Pubmed)

Abstract:
UNASSIGNED: This study aimed to determine the effect of hard candies on gastric content volume and pH in patients undergoing elective esophagogastroduodenoscopy and colonoscopy. Additionally, the study evaluated the difficulty of the procedure, complications, and satisfaction levels of the endoscopist and patient.
UNASSIGNED: A randomized controlled study equally recruited 108 outpatients to candy and control groups. The patients in the candy group could consume sugar-free candies within 2 hours before anesthesia, while the controls remained fasted. The endoscopic procedure began under topical pharyngeal anesthesia and intravenous sedation. A blinded endoscopist suctioned the gastric volume through an endoscope. A blinded anesthesia provider tested the gastric pH with a pH meter. The primary outcome variables were gastric volume and pH. The secondary outcome variables were complications, the difficulty of the procedure, and endoscopist and patient satisfaction.
UNASSIGNED: The characteristics of both patient groups were comparable. The mean gastric volume of the candy group (0.43 [0.27-0.67] mL/kg) was not significantly different from that of the control group (0.32 [0.19-0.55] mL/kg). The gastric pH of both groups was similar: 1.40 (1.10-1.70) for the candy group and 1.40 (1.20-1.90) for the control group. The procedure-difficulty score of the candy group was higher than that of the control group. The satisfaction scores rated by the endoscopist and the patients in both groups were comparable. In addition, most endoscopists and patients in the candy and control groups reported being \"very satisfied\". No complications were observed in either group.
UNASSIGNED: Hard candies did not affect gastric volume or pH. Elective gastrointestinal endoscopic procedures in adult patients who preoperatively consume candies could proceed to prevent delays and disruption of workflows.
摘要:
UNASSIGNED:本研究旨在确定硬糖对择期食管胃十二指肠镜检查和结肠镜检查患者胃内容物体积和pH的影响。此外,这项研究评估了手术的难度,并发症,以及内窥镜医师和患者的满意度。
UNASSIGNED:一项随机对照研究平均招募了108名门诊患者进入糖果组和对照组。糖果组患者可以在麻醉前2小时内食用无糖糖果,而对照组保持禁食。内镜手术在局部咽部麻醉和静脉镇静下开始。失明的内窥镜医师通过内窥镜抽吸胃体积。一个盲目的麻醉提供者用pH计测试了胃的pH。主要结果变量是胃体积和pH。次要结果变量是并发症,程序的难度,以及内窥镜医师和患者满意度。
UNASSIGNED:两组患者的特征具有可比性。糖果组的平均胃体积(0.43[0.27-0.67]mL/kg)与对照组(0.32[0.19-0.55]mL/kg)没有显着差异。两组的胃pH相似:糖果组为1.40(1.10-1.70),对照组为1.40(1.20-1.90)。糖果组的操作难度评分高于对照组。内镜医师和两组患者的满意度评分具有可比性。此外,糖果组和对照组的大多数内窥镜医师和患者报告“非常满意”。两组均无并发症发生。
未经证实:硬糖不影响胃容量或pH。对术前食用糖果的成年患者进行选择性胃肠内镜手术可以防止工作流程的延迟和中断。
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