Comfort, safety and quality of upper gastrointestinal endoscopy after 2 hours fasting : a randomized controlled trial
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/111844 |
Resumo: | 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. |
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Koeppe, Angelica TerezinhaLubini, MarcioBonadeo, Nilton MaioliniMoraes Junior, Iran dos SantosFornari, Fernando2015-03-10T01:57:41Z20131471-230Xhttp://hdl.handle.net/10183/111844000952902Background: 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.application/pdfengBMC gastroenterology. London. Vol. 13 (2013), 158, 7 p.JejumTrato gastrointestinal superiorEndoscopiaClear liquidsShort fastingComfortUpper GI endoscopyComfort, safety and quality of upper gastrointestinal endoscopy after 2 hours fasting : a randomized controlled trialEstrangeiroinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSORIGINAL000952902.pdf000952902.pdfTexto completo (inglês)application/pdf798031http://www.lume.ufrgs.br/bitstream/10183/111844/1/000952902.pdfd5979383d2fce832cb223df91bacf18fMD51TEXT000952902.pdf.txt000952902.pdf.txtExtracted Texttext/plain32149http://www.lume.ufrgs.br/bitstream/10183/111844/2/000952902.pdf.txt5f122f07a2bbbfc47ee953bbd7fdcd23MD52THUMBNAIL000952902.pdf.jpg000952902.pdf.jpgGenerated Thumbnailimage/jpeg1967http://www.lume.ufrgs.br/bitstream/10183/111844/3/000952902.pdf.jpg47638fa4ef9e7896302441d4e574d4c8MD5310183/1118442021-03-09 04:47:28.297623oai:www.lume.ufrgs.br:10183/111844Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2021-03-09T07:47:28Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
Comfort, safety and quality of upper gastrointestinal endoscopy after 2 hours fasting : a randomized controlled trial |
title |
Comfort, safety and quality of upper gastrointestinal endoscopy after 2 hours fasting : a randomized controlled trial |
spellingShingle |
Comfort, safety and quality of upper gastrointestinal endoscopy after 2 hours fasting : a randomized controlled trial Koeppe, Angelica Terezinha Jejum Trato gastrointestinal superior Endoscopia Clear liquids Short fasting Comfort Upper GI endoscopy |
title_short |
Comfort, safety and quality of upper gastrointestinal endoscopy after 2 hours fasting : a randomized controlled trial |
title_full |
Comfort, safety and quality of upper gastrointestinal endoscopy after 2 hours fasting : a randomized controlled trial |
title_fullStr |
Comfort, safety and quality of upper gastrointestinal endoscopy after 2 hours fasting : a randomized controlled trial |
title_full_unstemmed |
Comfort, safety and quality of upper gastrointestinal endoscopy after 2 hours fasting : a randomized controlled trial |
title_sort |
Comfort, safety and quality of upper gastrointestinal endoscopy after 2 hours fasting : a randomized controlled trial |
author |
Koeppe, Angelica Terezinha |
author_facet |
Koeppe, Angelica Terezinha Lubini, Marcio Bonadeo, Nilton Maiolini Moraes Junior, Iran dos Santos Fornari, Fernando |
author_role |
author |
author2 |
Lubini, Marcio Bonadeo, Nilton Maiolini Moraes Junior, Iran dos Santos Fornari, Fernando |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Koeppe, Angelica Terezinha Lubini, Marcio Bonadeo, Nilton Maiolini Moraes Junior, Iran dos Santos Fornari, Fernando |
dc.subject.por.fl_str_mv |
Jejum Trato gastrointestinal superior Endoscopia |
topic |
Jejum Trato gastrointestinal superior Endoscopia Clear liquids Short fasting Comfort Upper GI endoscopy |
dc.subject.eng.fl_str_mv |
Clear liquids Short fasting Comfort Upper GI endoscopy |
description |
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. |
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2013 |
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dc.relation.ispartof.pt_BR.fl_str_mv |
BMC gastroenterology. London. Vol. 13 (2013), 158, 7 p. |
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