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Comfort, safety and quality of upper gastrointestinal endoscopy after 2 hours fasting : a randomized controlled trial

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Comfort, safety and quality of upper gastrointestinal endoscopy after 2 hours fasting : a randomized controlled trial

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Título Comfort, safety and quality of upper gastrointestinal endoscopy after 2 hours fasting : a randomized controlled trial
Autor Koeppe, Angelica Terezinha
Lubini, Marcio
Bonadeo, Nilton Maiolini
Moraes Junior, Iran dos Santos
Fornari, Fernando
Abstract Background: Upper gastrointestinal endoscopy has been performed after fasting 8 or more hours, which can be harmful to the patients. We assessed comfort, safety and quality of endoscopy under moderate sedation after 2 hours fasting for clear liquids. Methods: In this clinical trial, patients referred for elective endoscopy were randomly assigned to a fasting period of 8 hours (F8) or a shorter fasting (F2), in which 200 ml of clear liquids were ingested 2 hours before the procedure. Endoscopists blinded to patients fasting status carried out the endoscopies. Comfort was rated by the patients, whereas safety and quality were determined by the endoscopists. Results: Ninety-eight patients were studied (aging 48.5 ± 16.5 years, 60% women): 50 patients (51%) in F2 and 48 in F8. Comfort was higher in F2 than F8 in regard to anxiety (8% vs. 25%; P = 0.029), general discomfort (18% vs. 42%; P = 0.010), hunger (44% vs. 67%; P = 0.024), and weakness (22% vs. 42%; P = 0.034). Regurgitation of gastric contents into the esophagus after endoscopic intubation did not differ between F2 and F8 (26% vs. 19%; P = 0.471). There was no case of pulmonary aspiration. Gastric mucosal visibility was normal in most patients either in F2 or F8 (96% vs. 98%; P = 0.999). Conclusions: Elective upper GI endoscopy after 2 hours fasting for clear liquids was more comfortable and equally safe compared to conventional fasting. This preparation might be cautiously applied for patients in regular clinical conditions referred for elective endoscopy.
Contido em BMC gastroenterology. London. Vol. 13 (Nov. 2013), 7p.
Assunto Endoscopia
Jejum
Trato gastrointestinal superior
[en] Clear liquids
[en] Comfort
[en] Short fasting
[en] Upper GI endoscopy
Origem Estrangeiro
Tipo Artigo de periódico
URI http://hdl.handle.net/10183/111844
Arquivos Descrição Formato
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