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Title: | Is a six hour fast after a rice meal sufficient before upper gastrointestinal endoscopy? |
Authors: | de Silva, A.P. Niriella, M.A. Perera, N.J.A.H.D. Aryasingha, J.S. Kalubowila, U.P. Dassanayake, A.S. Pathmeswaran, A. Manchanayake, M.M.J.H. Devanarayana, N.M. de Silva, H.J. |
Keywords: | Endoscopy, Gastrointestinal Endoscopy, Gastrointestinal-methods |
Issue Date: | 2009 |
Publisher: | American Gastroenterological Association(AGA) Institute, Published by Elsevier Inc. |
Citation: | Gastrointestinal Endoscopy, 2009; 69( 5): AB220–AB221 |
Abstract: | OBJECTIVE: Rice is the staple diet in many Asian countries. Current endoscopic guidelines advice a 6 h fast for solids and a 4 h fast for liquids before the procedure. However, these guidelines focus on a Western type diet. The aim of the study was to determine if a 6 h fast for rice is sufficient prior to upper gastrointestinal endoscopy (UGIE). PATIENTS AND METHODS: After informed consent, 212 patients referred for UGIE, who had no alarm symptoms, were randomized into two groups in preparation for UGIE. Fasting 6 h after a rice meal (R6) or fasting 10 h after a rice meal (R10). All meals contained lentils and an egg, and were isocaloric. Endoscopic vision was graded as poor, average, or good. RESULTS: In the R10 group (n = 107) vision was poor in 2 (1.9%), average in 7 (6.5%), and good in 98 (91.6%). While in the R6 group (n = 105) vision was poor in 30 (28.6%), average in 19 (18.1%), good in 56 (53.3%). The observed difference of percentages among the two groups for endoscopic vision was significant (M-H Chi-Square for trend = 25.67; df = 1; p < 0.001). CONCLUSIONS: Fasting for 6 h after a rice based meal seems inadequate for UGIE. Fasting for 10 h significantly improves endoscopic vision. Current guidelines need to be re-evaluated for populations where rice is the staple diet. |
Description: | ASGE Poster Session Abstract (M1353) Digestive Disease Week (DDW), May 30 - June 4, 2009. Chicago, IL |
URI: | http://repository.kln.ac.lk/handle/123456789/13780 |
ISSN: | 0016-5107 (Print) 1097-6779(Electronic) |
Appears in Collections: | Conference Papers |
Files in This Item:
File | Description | Size | Format | |
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AbstractsGIEdesilvaap2009.pdf | 66.24 kB | Adobe PDF | View/Open |
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