dc.contributor.author |
de Silva, A.P. |
en_US |
dc.contributor.author |
Amarasiri, D.L. |
en_US |
dc.contributor.author |
Liyanage, M.N. |
en_US |
dc.contributor.author |
Kottahachchi, D. |
en_US |
dc.contributor.author |
Dassanayake, A.S. |
en_US |
dc.contributor.author |
de Silva, H.J. |
en_US |
dc.date.accessioned |
2014-10-29T09:27:36Z |
|
dc.date.available |
2014-10-29T09:27:36Z |
|
dc.date.issued |
2009 |
en_US |
dc.identifier.citation |
Journal of Gastroenterology and Hepatology. 2009; 24(6): pp.1095-7 |
en_US |
dc.identifier.issn |
0815-9319 (Print) |
en_US |
dc.identifier.issn |
1440-1746 (Electronic) |
en_US |
dc.identifier.uri |
http://repository.kln.ac.lk/handle/123456789/1925 |
|
dc.description |
Indexed in MEDLINE |
|
dc.description.abstract |
BACKGROUND AND AIM: Current guidelines for upper gastrointestinal endoscopy (UGIE) advise at least 6-8 h fasting for solids and 4-h fasting for liquids. We aimed to determine whether a 6-h fast for solids and one-hour fast for water prior to UGIE gives good endoscopic vision and less patient discomfort. METHODS: 128 patients referred for UGIE were given a standard meal 6 h before endoscopy, and then randomized to either nil by mouth for 6 h (group A, n = 65) or allowed to drink water for up to one hour prior to endoscopy (group B, n = 63). Before endoscopy patients were requested to indicate discomfort due to fasting on a visual analog scale. Fluid in the gastric fundus was aspirated, when present, for volume and pH measurements, and endoscopic vision was graded. RESULTS: 53 patients in group A and 43 patients in group B completed the study. Discomfort was significantly lower in group B than group A (P < 0.0001). Endoscopic vision was good in all 53 patients in group A and 40 in group B, and average in 3 patients in group B. Fluid in the gastric fundus was noted in 11 patients in group A and 16 in group B, but there were no significant differences in volume or pH between groups. There were no complications attributable to endoscopy in either group. CONCLUSIONS: A 6-h fast for solids and a 1-h fast for water prior to UGIE gives good endoscopic vision, and causes minimum patient discomfort. |
|
dc.publisher |
Wiley-Blackwell |
en_US |
dc.title |
One-hour fast for water and six-hour fast for solids prior to endoscopy provides good endoscopic vision and results in minimum patient discomfort |
en_US |
dc.type |
Article |
en_US |
dc.identifier.department |
Medicine |
en_US |
dc.identifier.department |
Physiology |
en_US |
dc.identifier.department |
Pharmacology |
en_US |
dc.creator.corporateauthor |
Asian Pacific Association of Gastroenterology |
en_US |
dc.creator.corporateauthor |
Asian Pacific Association for the Study of the Liver |
en_US |