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DC Field | Value | Language |
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dc.contributor.author | de Silva, A.P. | - |
dc.contributor.author | Amarasiri, L. | - |
dc.contributor.author | Kottahachchi, D.C. | - |
dc.contributor.author | Dassanayake, A. | - |
dc.contributor.author | de Silva, H.J. | - |
dc.date.accessioned | 2015-10-07T09:36:41Z | - |
dc.date.available | 2015-10-07T09:36:41Z | - |
dc.date.issued | 2006 | - |
dc.identifier.citation | The Ceylon Medical Journal. 2006; 51(Supplement 1):9 | en_US |
dc.identifier.issn | 0009-0875 (Print) | - |
dc.identifier.uri | http://repository.kln.ac.lk/handle/123456789/9970 | - |
dc.description | Oral Presentation Abstract (OP5), 119th Annual Scientific Sessions, Sri Lanka Medical Association, 2006 Colombo, Sri Lanka | en_US |
dc.description.abstract | INTRODUCTION: Current guidelines for upper gastrointestinal endoscopy advice at least 6-8 hours fasting for solids and at least 4 hours for liquids. Studies have shown that is uncomfortable and probably unnecessary. A study was done by us using real-time ultrasonography on 10 patients established the minimal time for clearing non-opaque liquids was one hour. Aims: To determine the effects of allowing clear liquids one hour prior to endoscopy. METHODS: 40 patients referred for video endoscopy, without alarm symptoms or clinically obvious motility problems, were recruited. Patients were given a standard meal 6 hours before endoscopy. They were then randomized to either fasting for 6 hours (group A, n=20) or allowed to take clear fluids up to one hour prior to endoscopy (group B, n=20). Just prior to endoscopy patients indicated discomfort due to fasting on a visual analog scale (0-no discomfort to 10-severe discomfort). All endoscopies were done by a single investigator blinded to the period of fasting. Presence of fluid in the gastric fundus was noted, and endoscopic vision was graded as good, average or poor. RESULTS: Discomfort was significantly lower in group B than group A (mean visual analog score 0.3 vs. 4.4; p<0.001, Wilcoxon two-sample test). Endoscopic vision was good in all 20 patients in group A and 18 in group B, and average in 2 in group B. None were graded as poor. Fluid in the gastric fundus was noted in 6 patients in group A and 7 in group B. CONCLUSIONS: Allowing clear liquids for up to one hour prior to endoscopy seems acceptable, and causes minimum discomfort to patients. However, a larger study should be performed before revision of current guidelines can be made. | en_US |
dc.language.iso | en_US | en_US |
dc.publisher | Sri Lanka Medical Association | en_US |
dc.subject | upper gastrointestinal endoscopy | en_US |
dc.title | One hour fast for liquids prior to upper gastrointestinal endoscopy seems safe, effective and results in minimum patient discomfort | en_US |
dc.type | Article | en_US |
Appears in Collections: | Conference Papers |
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