Radiologic assessment of gastric emptying of water-soluble contrast media: New data security from a longitudinal study
| Autor: | L.E. Ferrer, S. Pabón, M.C. Niño, D. Aguirre, J.J. Pasternak, Juan Carlos Diaz |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Longitudinal study Gastric emptying business.industry Stomach media_common.quotation_subject General Medicine medicine.disease Gastroenterology Bowel obstruction 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure 030202 anesthesiology Oral administration 030220 oncology & carcinogenesis Internal medicine medicine Contrast (vision) Preoperative fasting business Body mass index media_common |
| Zdroj: | Revista Española de Anestesiología y Reanimación (English Edition). 66:72-77 |
| ISSN: | 2341-1929 |
| DOI: | 10.1016/j.redare.2018.08.015 |
| Popis: | Background and objectives Practice guidelines for preoperative fasting have not clearly established the fasting time needed after oral administration of water-soluble contrast media. The aim of this study was to determine the time required for the gastric emptying during the water-soluble contrast media in patients with acute abdominal pain. Methods This prospective longitudinal study included sixty-eight patients older than 18 years of age with acute abdominal pain, who required a water-soluble contrast media enhanced abdominal computed tomography study. Plain radiographs were obtained hourly until complete the gastric emptying. Patients with probable bowel obstruction were not included in the study. Results A total of 31 (45,6%), 54 (79,4%), and 64 (94.1%) patients achieved a complete gastric clearance of barium in 1, 2 and 3 h, respectively. All patients achieved complete emptying of water-soluble contrast media within 6 h. Gastric emptying time was not associated with gender (P = 0.44), body mass index (P = 0.35), fasting time prior to water-soluble contrast media intake (P = 0.12), administration of opioids in the emergency room (P = 0.7), and the presence of comorbidities (P = 0.36). Conclusion Ninety-four percent of the patients with acute abdominal pain achieved complete gastric emptying within 3 h after the administration of water-soluble contrast media. All of them achieved complete gastric emptying within 6 h. The results suggested 6 h after oral intake of the contrast media is enough to complete transit of water-soluble contrast media through the stomach and avoid unnecessary risks. |
| Databáze: | OpenAIRE |
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