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The effect of preoperative oral carbohydrate-containing clear fluid on gastric emptying in patients undergoing abdominal surgery
127
Số 03 - Tập 13
https://doi.org/10.51199/vjsel.2023.3.4
https://doi.org/10.51199
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The effect of preoperative oral carbohydrate-containing clear fluid on gastric emptying in patients undergoing abdominal surgery

N
Nguyen Thi Thuy Ngan
Tác giả chính
H
Nguyen Thi Thu Ha
Đồng tác giả
H
Ta Minh Hien
Đồng tác giả
H
Bui Thi Hanh
Đồng tác giả
T
Vu Van Trinh
Đồng tác giả
Ngày đăng:16/01/2024
https://doi.org/10.51199/vjsel.2023.3.4

Abstract


Introduction:
Drinking carbohydrate-containing clear liquids until 2 hours before elective procedures improves patient satisfaction and reduces insulin resistance, but the likelihood of delayed gastric emptying, a risk factor of pulmonary aspiration in anesthesia, is unclear. Therefore, we designed a study to assess the effects of drinking carbohydrate-containing clear liquid until 2 hours before the elective gastrointestinal surgery on gastric emptying and gastric residual volume measured by ultrasonography.

Patients and Methods:
Randomized controlled trial designs including 64 patients undergoing gastrointestinal surgery in Viet Duc University Hospital. The intervention group received 400 ml maltodextrin 12.5% in 2 hours prior to surgery, and the control group fasted overnight as usual.


Results: The residual fluid estimated by ultrasound in the intervention group and the intervention group were 25.70 ± 21.13 and 31.01 ± 26.74 in the controlled group (p>0.05). The gastric fluid collected by the nasogastric tube is not significantly different between the two groups (intervention group: 15.00 ± 23.34 ml; controlled group: 12.72 ± 22.43 ml). There was no aspiration case in both groups. Conclusion: Taking carbohydrates- containing clear  liquids  until  2 hours before general anesthesia influences neither gastric emptying nor perioperative complications.

Keywords:
Carbohydrate-containing clear liquids, gastric residual volume, gastric ultrasound.

References

  1. Goyal RK, Guo Y, Mashimo Advances in the physiology of gastric emptying. Neurogastroenterol Motil. 2019;31(4)
  2. Practice Guidelines  for  Preoperative  Fasting  and the Use of Pharmacologic  Agents  to  Reduce  the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing  Elective  Procedures: An Updated Report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the Use  of  Pharmacologic  Agents  to  Reduce the Risk of Pulmonary Aspiration*. Anesthesiology. 2017;126(3):376-393.
  3. Charan J, Biswas How to Calculate Sample Size for Different Study Designs in Medical Research? Indian J Psychol Med. 2013;35(2):121-126.
  4. Tran S, Wolever TMS, Errett LE, Ahn  H,  Mazer CD, Keith M. Preoperative Carbohydrate Loading in Patients Undergoing Coronary Artery Bypass or Spinal Anesth Analg. 2013;117(2):305-313.
  5. S. Chaitra, Daïneev Palta et al. Assessment of residual gastric volume using point-of-care ultrasonography in adult patients who underwent elective surgery. The Ultrasound Journal. 2022; 15(7): 19- 179
  6. Noba L, Wakefield A. Are carbohydrate drinks more effective than preoperative fasting: A systematic review of randomized controlled trials. J Clin Nurs. 2019;28(17-18):3096-3116.
  7. Mai NTN, Kien NV, Manh LD, et al. Evaluate the effects of oral maltodextrin 12.5% solution 2 hours before J 108 - Clin Med Phamarcy. Published online August 12, 2022.
  8. Ly Huyen Hoa (2019). Evaluate residual gastric volume of oral maltodextrin 12.5% solution 2 hours before Resident doctor thesis defense. Ho Chi Minh University of Medicine and Pharmacology.
  9. Gomes PC, Caporossi C, Aguilar-Nascimento JE, Silva AMC da, Araujo VMT de. Residual gastric volume evaluation with  ultrasonography   after   ingestion of carbohydrate- or carbohydrate plus glutamine- enriched beverages: a randomized, crossover clinical trial with healthy Arq Gastroenterol. 2017;54:33-36.
  10. Kaška M, Grosmanovaù T, Havel E, et The impact and safety of preoperative oral or intravenous carbohydrate administration versus fasting in colorectal surgery – a randomized controlled trial. Wien Klin Wochenschr. 2010;122(1):23-30.
  11. Yilmaz N, Çekmen N, Bilgin F, Erten E, Ozhan MO, Cosar Preoperative carbohydrate nutrition reduces postoperative nausea and vomiting compared to preoperative fasting. J Res Med Sci Off J Isfahan Univ Med Sci. 2013;18(10):827-832.
  12. Rizvanovic N, Nesek Adam V, Cauševic S, Derviševic S, Delibegovic A randomized controlled study of preoperative oral carbohydrate loading versus fasting in patients undergoing colorectal surgery. Int J Colorectal Dis. 2019;34(9):1551-1561

Diagnosis and treatment of spontaneous esophageal rupture (Boerhaave syndrome): A case report and literature review

Tác giả:
Tong Quang Hieu
Nguyen Xuan Hoa
Quach Van Kien
Do Trong Khieu
Số 03 - Tập 13Ngày đăng: 16/01/2024

Abstract We present a case report of spontaneous esophageal rupture (Boerhaave syndrome) has been successfully treated at Viet Duc University Hospital. Through this case report, we reviewed the literatures on this rare disease's pathogenesis, diagnosis, and treatment methods. Keywords: Boerhaave syndrome; Endoscopic Vacuum-Assisted Closure Therapy; Endoscopic Vacuum Therapy. References Michael Gibson, M.S., M.D.Boerhaave syndrome overview.https://www.wikidoc.org/index.php/ Boerhaave_ syndrome_overview. Turut H, Gulhan E, Adams P Y, Cetin G. Successful conservative management of Boerhaaves syndrome with late J Natl Med Assoc. 2006; 98(11): 1857–1859 Turner AR, Turner Boerhaave Syndrome. [Updated 2022 Dec 11]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-.Available...

https://doi.org/10.51199/vjsel.2023.3.1

Short-term outcomes of laparoscopy-assisted gastrectomy with D2 lymph node dissection for gastric cancer: Experience from a single institution in central Vietnam

Tác giả:
Minh Duc Pham
Minh Thao Nguyen
Thanh Xuan Nguyen
Pham Anh Vu
Số 03 - Tập 13Ngày đăng: 16/01/2024

Abstract Introduction: Laparoscopic-assisted gastrectomy (LAG) has become more popular and extensively developed for gastric cancer. However, LAG with D2 lymph node (LN) dissection has not been widely deployed because it is a complex technique and should be performed by experienced laparoscopic surgeons. This study aimed to confirm the feasibility and outcomes of the LAG with D2 dissection for gastric cancer. Patients and Methods: The prospective intervention study included 72 patients with gastric cancer and underwent LAG with D2 LN dissection between April 2017 and October 2021. All patients were operated by the same surgeon who had experience with laparoscopy. LAG...

https://doi.org/10.51199/vjsel.2023.3.2

Efficacy of autologous platelet - rich plasma (PRP) in chronic wound treatment

Tác giả:
Nguyen Tien Dung
Nguyen Ngoc Tuan
Số 03 - Tập 13Ngày đăng: 16/01/2024

Abstract Introduction: Chronic woundsare a global economic burden that have increased the morbidity and mortalityin patients. Chronic wounds present for an extended period of time are more difficult to heal. Nowadays, the application of biotechnology in treatment of chronic wound is a popular trend. We conducted this study is to evaluate the effectiveness of autologous Platelet Rich Plasma (PRP) in chronic wound treatment Patients and methods: A pilot descriptive longitudinal study was conducted at the Wound Healing Center of the National Burn Hospital from November, 2021 to December, 2022. Thirty patients with 30 chronic wounds were enrolled in the study...

https://doi.org/10.51199/vjsel.2023.3.3

Initial results of arthroscopic surgery for osteochondral lesions of the talus using a hyaluronic acid-based scaffold with microfracture

Tác giả:
Nguyen Manh Khanh
Do Vu Anh
Số 03 - Tập 13Ngày đăng: 15/01/2024

Abstract Introduction: Osteochondral Lesions of the Talus (OLT) is a rare disease in Vietnam, often overlooked in medical facilities. There are many methods of treatment, including ankle arthroscopy. Patients and Methods: The first six patients with OLT underwent arthroscopic hyaluronic acid-based scaffold implantation with microfracture surgery in Viet Duc University Hospital in Vietnam. Three patients have been followed in 6 months using the AOFAS score and MRI. Results: 5/6 patients were men aged between 30 and 40 years old and they play sports regularly. All the patients have passed the other hospital for pain in the ankle with no exact...

https://doi.org/10.51199/vjsel.2023.3.5

Naso-orbito-ethmoid fractures at Viet Duc University Hospital period 2021 – 2022

Tác giả:
Vu Trung Truc
Nguyen Huy Kien
Le Van Nam
Số 03 - Tập 13Ngày đăng: 15/01/2024

Abstract Introduction: Trauma to the nose, ethmoid, and orbit is a common clinical condition that makes challenges in treating. Management of these lesions remains a challenge, and there are few studies on this issue in Vietnam. Subjects and methods: Retrospective study. The 100 patients with naso- orbito-ethmoid (NOE) fractures were hospitalized and treated at the Department of Maxillofacial - Plastic – Aesthetic Surgery of Viet Duc University Hospital from January 2021 to December 2022. Results: The male/female ratio was 4/1, the common age group was 20- 40 years old (65%); the mean age was 30.1±11.46, the main cause was traffic...

https://doi.org/10.51199/vjsel.2023.3.6

Laparoscopic lumbar hernia: A case report and literature review

Tác giả:
Le Tu Hoang
Hoang Minh Duc
Le Van Lap
Tran Van Vinh
Số 03 - Tập 13Ngày đăng: 15/01/2024

Abstract Introduction: Lumbar hernia, also known as lumbar triangle hernia, is a rare type of abdominal wall hernia in clinical practice, so it is difficult to diagnose because it is rarely thought of. The treatment is mainly based on surgery. Open surgery to close the abdominal wall cleft was a classical treatment in the past. Laparoscopic surgery has the potential to substitute open surgery. Case presentation: In this article, we reported a 71-year-old man with a hernia of the upper lumbar triangle undergoing laparoscopic surgery at Viet Duc University Hospital in April 2023. After the surgery, the patient recovered well....

https://doi.org/10.51199/vjsel.2023.3.7