Abstract：
To conduct a systematic literature review of the current evidence on the effect of diabetes mellitus on gastric volume observed during a preoperative ultrasound examination. Using the results of this systematic literature review, a meta-analysis was performed to investigate whether there was an association between diabetes mellitus and an increased risk of presenting with a high-risk stomach (gastric volume associated with an increased risk of pulmonary aspiration).
Review article and meta-analysis.
Review of published literature.
A total of 3366 patients underwent surgery.
Gastric ultrasound examination.
Data for the meta-analysis and literature review were collected from the PubMed/Medline, Embase, Web of Science, and Google Scholar databases of the National Library of Medicine from the date of inception to January 2023. All included studies measured the gastric antral cross-sectional area and/or gastric residual volume in patients with diabetes and those without diabetes. The data utilized in the meta-analysis included all studies that evaluated the incidence of high-risk stomachs based on ultrasonographic measurements of the gastric antral cross-sectional area or gastric residual volume.
Most collated studies revealed that diabetes mellitus was associated with increased antral cross-sectional area and gastric residual volume. A meta-analysis of published reports indicated that patients with diabetes have an increased rate of high-risk stomachs.
Diabetes mellitus is associated with an increased rate of high-risk stomachs. The authors recommend large prospective trials to ascertain the safety of the current fasting guidelines for patients with diabetes undergoing surgery.
Review article and meta-analysis.
Review of published literature.
A total of 3366 patients underwent surgery.
Gastric ultrasound examination.
Data for the meta-analysis and literature review were collected from the PubMed/Medline, Embase, Web of Science, and Google Scholar databases of the National Library of Medicine from the date of inception to January 2023. All included studies measured the gastric antral cross-sectional area and/or gastric residual volume in patients with diabetes and those without diabetes. The data utilized in the meta-analysis included all studies that evaluated the incidence of high-risk stomachs based on ultrasonographic measurements of the gastric antral cross-sectional area or gastric residual volume.
Most collated studies revealed that diabetes mellitus was associated with increased antral cross-sectional area and gastric residual volume. A meta-analysis of published reports indicated that patients with diabetes have an increased rate of high-risk stomachs.
Diabetes mellitus is associated with an increased rate of high-risk stomachs. The authors recommend large prospective trials to ascertain the safety of the current fasting guidelines for patients with diabetes undergoing surgery.
摘要：
目的：对术前超声检查中观察到的糖尿病对胃体积影响的现有证据进行系统的文献综述。利用这篇系统文献综述的结果，本研究进行了一项荟萃分析,以调查糖尿病与出现高危胃部的风险增加(胃体积与肺吸入风险增加相关)之间是否存在关联.
方法：回顾文章和荟萃分析。
方法：综述已发表的文献。
方法：共3366例患者接受手术治疗。
方法：胃超声检查。
方法：荟萃分析和文献综述的数据来自PubMed/Medline，Embase,WebofScience,以及从成立之日起至2023年1月的国家医学图书馆的Google学者数据库。所有纳入的研究都测量了糖尿病患者和无糖尿病患者的胃窦横截面积和/或胃残余体积。荟萃分析中使用的数据包括所有基于胃窦横截面积或胃残余体积的超声检查测量评估高危胃发生率的研究。
结果：大多数整理的研究表明，糖尿病与胃窦横截面积和胃残余体积增加有关。对已发表报告的荟萃分析表明，糖尿病患者的高危胃发生率增加。
结论：糖尿病与高风险胃的发生率增加有关。作者建议进行大型前瞻性试验，以确定当前禁食指南对接受手术的糖尿病患者的安全性。
方法：回顾文章和荟萃分析。
方法：综述已发表的文献。
方法：共3366例患者接受手术治疗。
方法：胃超声检查。
方法：荟萃分析和文献综述的数据来自PubMed/Medline，Embase,WebofScience,以及从成立之日起至2023年1月的国家医学图书馆的Google学者数据库。所有纳入的研究都测量了糖尿病患者和无糖尿病患者的胃窦横截面积和/或胃残余体积。荟萃分析中使用的数据包括所有基于胃窦横截面积或胃残余体积的超声检查测量评估高危胃发生率的研究。
结果：大多数整理的研究表明，糖尿病与胃窦横截面积和胃残余体积增加有关。对已发表报告的荟萃分析表明，糖尿病患者的高危胃发生率增加。
结论：糖尿病与高风险胃的发生率增加有关。作者建议进行大型前瞻性试验，以确定当前禁食指南对接受手术的糖尿病患者的安全性。
