Please use this identifier to cite or link to this item:
http://repository.kln.ac.lk/handle/123456789/2008
Title: | Is a six hour fast after a rice meal sufficient before upper gastrointestinal endoscopy? |
Authors: | de Silva, A.P. Niriella, M.A. Perera, H. Aryasingha, S. Kalubowila, U. Manchanayake, J. Dassanayake, A.S. Devanarayana, N.M. Pathmeswaran, A. de Silva, H.J. |
Issue Date: | 2010 |
Publisher: | Informa Healthcare |
Citation: | Scandinavian Journal of Gastroenterology. 2010; 45(7-8): pp.987-91 |
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: | Indexed in MEDLINE |
URI: | http://repository.kln.ac.lk/handle/123456789/2008 |
ISSN: | 0036-5521 (Print) 1502-7708 (Electronic) |
Appears in Collections: | Journal/Magazine Articles |
Files in This Item:
There are no files associated with this item.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.