Evaluation of Gastric Volume and pH Changes in Gastroscopy Patients

Bursa Yuksek Ihtisas Training and Research Hospital405 enrolled

Overview

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 .

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

DIAGNOSTIC

Masking

DOUBLE

Enrollment

405

Conditions

Gastroscopy

Interventions

gumOTHER

chewed gum within 2 hours before the procedure

candyOTHER

consumed candy within 2 hours before the procedure

strict fasting rulesOTHER

followed strict fasting rules

Eligibility

Sex: ALLMin age: 18 YearsMax age: 70 Years

Medical Language ↔ Plain English

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

Locations (1)

Mehmet Fatih Erol

Bursa, Turkey (Türkiye)

Outcomes

Primary Outcomes

Gastric volume

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 .

Time frame: baseline

Gastric pH measurements

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.

Time frame: baseline

Secondary Outcomes

endoscopist satisfaction

At the end of the procedure, endoscopist satisfaction (0=unsatisfied 1=abstained 2=satisfied) and procedure difficulty (0=easy 1=normal 2=difficult)

Time frame: baseline

general procedure satisfaction

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)

Time frame: baseline

Complication

Time frame: Perioperative

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.