Show simple item record

dc.contributor.authorKoeppe, Angelica Terezinhapt_BR
dc.contributor.authorLubini, Marciopt_BR
dc.contributor.authorBonadeo, Nilton Maiolinipt_BR
dc.contributor.authorMoraes Junior, Iran dos Santospt_BR
dc.contributor.authorFornari, Fernandopt_BR
dc.date.accessioned2015-03-10T01:57:41Zpt_BR
dc.date.issued2013pt_BR
dc.identifier.issn1471-230Xpt_BR
dc.identifier.urihttp://hdl.handle.net/10183/111844pt_BR
dc.description.abstractBackground: 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.en
dc.format.mimetypeapplication/pdfpt_BR
dc.language.isoengpt_BR
dc.relation.ispartofBMC gastroenterology. London. Vol. 13 (2013), 158, 7 p.pt_BR
dc.rightsOpen Accessen
dc.subjectJejumpt_BR
dc.subjectClear liquidsen
dc.subjectShort fastingen
dc.subjectTrato gastrointestinal superiorpt_BR
dc.subjectEndoscopiapt_BR
dc.subjectComforten
dc.subjectUpper GI endoscopyen
dc.titleComfort, safety and quality of upper gastrointestinal endoscopy after 2 hours fasting : a randomized controlled trialpt_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb000952902pt_BR
dc.type.originEstrangeiropt_BR


Files in this item

Thumbnail
   

This item is licensed under a Creative Commons License

Show simple item record