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STAndardization of Reports (the STAR project) Upper gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative.
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Department of Internal Medicine III, Division of Gastroenterology and Hepatology, Medical University of Vienna, Vienna, Austria.
Upper gastrointestinal (UGI) endoscopy is the mainstay for the diagnosis and staging of precancerous and cancerous conditions of the esophagus, stomach, and duodenum. Despite development of several validated classifications for UGI diseases, endoscopy reports differ between endoscopists and endoscopy departments. This document proposes a standardized high quality UGI endoscopy report, including preprocedural, periprocedural, endoscopic findings, and postprocedural information.
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Faculty of Medicine and Health, University of Sydney, Camperdown, Australia.
Glucagon-like peptide-1 receptor agonists (GLP-1RAs) are widely used for the treatment of type 2 diabetes and/or obesity. The physiological actions of endogenous GLP-1, and synthetic GLP-1RAs include inhibition of gastric emptying. This has peri-procedural implications due to the potential increased risk of retained gastric contents which may result in pulmonary aspiration.
View Article and Find Full Text PDFCase Report Highlights Vigilance for Electroconvulsive Therapy Preprocedural Fasting.
J ECT
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From the Monash Health, Victoria, Australia.
This case report describes an instance of aspiration in a 50-year-old male who surreptitiously broke his fast before his second Electroconvulsive therapy despite multiple fasting confirmations and strict food security measures, leading to subsequent necessitating intensive care unit management. Although not confirmed, there was high suspicion of intentional sabotage. This case highlights the importance of ensuring fasting compliance in psychiatric patients and encourages clinicians to practice vigilance in patients who may be considered high risk and falsify fasting adherence.
View Article and Find Full Text PDFThe effect of liberal fluid fasting on gastric fluid volume in patients undergoing painless gastroscopy: a randomized controlled study.
Am J Transl Res
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Department of Anesthesiology, Deyang People's Hospital Deyang 618000, Sichuan, China.
Objective: This study assessed the impact of liberalized clear liquid intake on gastric fluid volume (GFV) in patients undergoing painless gastroscopy.
Methods: 184 patients scheduled for elective sedation gastroscopy underwent 1:1 randomization to a liberal fasting group (n = 92) or a conventional fasting group (n = 92). The liberal protocol permitted clear liquid consumption (≤150 mL/h) until 30 minutes pre-procedure, whereas the conventional group maintained standard preoperative 2-hour fasting.
No association between preprocedural fasting and witnessed pulmonary aspiration: A systematic review and meta-analysis.
Surgery
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Department of Surgery, UCLA School of Medicine, Los Angeles, CA. Electronic address:
Background: Preprocedural fasting has been a standard component of preoperative care since 1946 when an association between gastric volume and aspiration was made. A large body of literature exists examining various fasting regimen effects on surrogate outcomes, but few studies have investigated aspiration itself as the primary outcome.
Methods: Randomized clinical trials comparing outcomes from preprocedural fasting regimens and observational studies of witnessed aspiration events published between January 1, 2016, and December 1, 2023, were reviewed.