Gastroscopy
Conditions
Keywords
gastric pH, gastric residual volume, gastroscopy, candy, gum, preoperative fasting rules
Brief summary
Pulmonary aspiration is a rare but serious complication that can result in 57% mortality and 14% permanent damage. Fasting rules (solid foods 6-8 hours, clear liquids 2 hours) determined by anesthesia associations are applied to prevent pulmonary aspiration by reducing gastric volume. Gastric volume (≥ 0.5 mL/kg) and pH (\<2.5) values are shown to be determinants in the occurrence of pulmonary complications .
Detailed description
The hypothesis of this study was that preprocedure candy and chewing gum use may have no effects on gastric residual volume and pH. For this purpose, we analyzed the gastric residual volume and gastric pH values of patients who were given gum and candy before the procedure.
Interventions
OTHERgum
chewed gum within 2 hours before the procedure
OTHERcandy
consumed candy within 2 hours before the procedure
OTHERstrict fasting rules
followed strict fasting rules
Sponsors
Bursa Yuksek Ihtisas Training and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* ASA I-III, * oriented * cooperative * scheduled for elective gastroscopy
Exclusion criteria
* body mass index is (BMI) \>30 kg/m2, * full stomach predicted patients (obstruction, stenosis, bleeding, ascites, urgency), * patients with diabetes * patients with who underwent bowel cleansing * patients who did not want to give consent to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Gastric volume | baseline | No washing was performed during the insertion and advancement of the endoscope. The entire gastric volume were aspirated into a scaled container (medbar collection container). The amount of collected samples was recorded . |
| Gastric pH measurements | baseline | No washing was performed during the insertion and advancement of the endoscope. The entire gastric contents were aspirated into a scaled container (medbar collection container). The amount of collected samples was recorded and pH analysis (WTW inoLab® pH 7310 Table Type pH Meter) was performed. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| endoscopist satisfaction | baseline | At the end of the procedure, endoscopist satisfaction (0=unsatisfied 1=abstained 2=satisfied) and procedure difficulty (0=easy 1=normal 2=difficult) |
| general procedure satisfaction | baseline | Before discharge, general procedure satisfaction (0=unsatisfied, 1=abstained, 2=satisfied), product satisfaction (0=unsatisfied, 1=abstained, 2=satisfied), product effects (1=increase in hunger, 2=increase in thirst, 3=increase in dyspepsia, 4=abstained, 5= decrease in hunger, 6= decrease in thirst, 7= decrease in dyspepsia) |
| Complication | Perioperative | — |
Countries
Turkey (Türkiye)
Outcome results
None listed