Gastric emptying evaluation by ultrasound prior colonoscopy:An easy tool following bowel preparation

AIM: To investigate the gastric emptying after bowel preparation to allow general anaesthesia. METHODS: A prospective, non-comparative, and nonrandomized trial was performed and registered on Eudra CT database(2011-002953-80) and on www.trial.gov(NCT01398098). All patients had a validated indication...

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Veröffentlicht in:World journal of gastroenterology : WJG 2014-10, Vol.20 (37), p.13591-13598
Hauptverfasser: Coriat, Romain, Polin, Vanessa, Oudjit, Ammar, Henri, Franck, Dhooge, Marion, Leblanc, Sarah, Delchambre, Chantal, Esch, Anouk, Tabouret, Tessa, Barret, Maximilien, Prat, Frédéric, Chaussade, Stanislas
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container_end_page 13598
container_issue 37
container_start_page 13591
container_title World journal of gastroenterology : WJG
container_volume 20
creator Coriat, Romain
Polin, Vanessa
Oudjit, Ammar
Henri, Franck
Dhooge, Marion
Leblanc, Sarah
Delchambre, Chantal
Esch, Anouk
Tabouret, Tessa
Barret, Maximilien
Prat, Frédéric
Chaussade, Stanislas
description AIM: To investigate the gastric emptying after bowel preparation to allow general anaesthesia. METHODS: A prospective, non-comparative, and nonrandomized trial was performed and registered on Eudra CT database(2011-002953-80) and on www.trial.gov(NCT01398098). All patients had a validated indication for colonoscopy and a preparation using sodium phosphate(NaP) tablets. The day of the procedure, patients took 4 tablets with 250 mL of water every 15 min, three times. The gastric volume wasestimated every 15 min from computed antral surfaces and weight according to the formula of Perlas et al(Anesthesiology, 2009). Colonoscopy was performed within the 6 h following the last intake.RESULTS: Thirty patients were prospectively included in the study from November 2011 to May 2012. The maximum volume of the antrum was 212 mL, achieved 15 min after the last intake. 24%, 67% and 92% of subjects had an antral volume below 20 mL at 60, 120 and 150 min, respectively. 81% of patients had a Boston score equal to 2 or 3 in each colonic segment. No adverse events leading to treatment discontinuation were reported.CONCLUSION: Gastric volume evaluation appeared to be a simple and reliable method for the assessment of gastric emptying. Data allow considering the NaP tablets bowel preparation in the morning of the procedure and confirming that gastric emptying is achieved after two hours, allowing general anaesthesia.
doi_str_mv 10.3748/wjg.v20.i37.13591
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METHODS: A prospective, non-comparative, and nonrandomized trial was performed and registered on Eudra CT database(2011-002953-80) and on www.trial.gov(NCT01398098). All patients had a validated indication for colonoscopy and a preparation using sodium phosphate(NaP) tablets. The day of the procedure, patients took 4 tablets with 250 mL of water every 15 min, three times. The gastric volume wasestimated every 15 min from computed antral surfaces and weight according to the formula of Perlas et al(Anesthesiology, 2009). Colonoscopy was performed within the 6 h following the last intake.RESULTS: Thirty patients were prospectively included in the study from November 2011 to May 2012. The maximum volume of the antrum was 212 mL, achieved 15 min after the last intake. 24%, 67% and 92% of subjects had an antral volume below 20 mL at 60, 120 and 150 min, respectively. 81% of patients had a Boston score equal to 2 or 3 in each colonic segment. No adverse events leading to treatment discontinuation were reported.CONCLUSION: Gastric volume evaluation appeared to be a simple and reliable method for the assessment of gastric emptying. Data allow considering the NaP tablets bowel preparation in the morning of the procedure and confirming that gastric emptying is achieved after two hours, allowing general anaesthesia.</description><identifier>ISSN: 1007-9327</identifier><identifier>EISSN: 2219-2840</identifier><identifier>DOI: 10.3748/wjg.v20.i37.13591</identifier><identifier>PMID: 25309090</identifier><language>eng</language><publisher>United States: Baishideng Publishing Group Inc</publisher><subject>Administration, Oral ; Adult ; Aged ; Anesthesia, General ; Colon - pathology ; Colonoscopy ; Drinking ; Drug Administration Schedule ; emptyin ; Female ; Gastric ; Gastric Emptying ; Humans ; Laxatives - administration &amp; dosage ; Male ; Middle Aged ; Paris ; Phosphates - administration &amp; dosage ; Preparation ; Prospective Studies ; Prospective Study ; Stomach - diagnostic imaging ; Stomach - physiology ; Tablets ; Therapeutic Irrigation - methods ; Time Factors ; Ultrasonography ; ultrasound</subject><ispartof>World journal of gastroenterology : WJG, 2014-10, Vol.20 (37), p.13591-13598</ispartof><rights>2014 Baishideng Publishing Group Inc. 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No adverse events leading to treatment discontinuation were reported.CONCLUSION: Gastric volume evaluation appeared to be a simple and reliable method for the assessment of gastric emptying. Data allow considering the NaP tablets bowel preparation in the morning of the procedure and confirming that gastric emptying is achieved after two hours, allowing general anaesthesia.</abstract><cop>United States</cop><pub>Baishideng Publishing Group Inc</pub><pmid>25309090</pmid><doi>10.3748/wjg.v20.i37.13591</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Administration, Oral
Adult
Aged
Anesthesia, General
Colon - pathology
Colonoscopy
Drinking
Drug Administration Schedule
emptyin
Female
Gastric
Gastric Emptying
Humans
Laxatives - administration & dosage
Male
Middle Aged
Paris
Phosphates - administration & dosage
Preparation
Prospective Studies
Prospective Study
Stomach - diagnostic imaging
Stomach - physiology
Tablets
Therapeutic Irrigation - methods
Time Factors
Ultrasonography
ultrasound
title Gastric emptying evaluation by ultrasound prior colonoscopy:An easy tool following bowel preparation
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