Comparative preoperative sonological assessment of gastric contents in patients with chronic kidney disease versus those with normal renal function - A prospective observational study

被引:1
作者
Sharma, Sadhvi [1 ]
Raman, Padmalatha [2 ]
Deo, Alka S. [1 ]
机构
[1] NU Hosp, Dept Anaesthesiol & Crit Care, Bangalore, India
[2] Prakriya Hosp, Dept Anaesthesiol & Crit Care, Bangalore, India
关键词
Chronic kidney disease; fasting; gastro-oesophageal reflux; gastroparesis; renal insufficiency; ultrasonography; ULTRASOUND ASSESSMENT; VALIDATION; VOLUME; GUIDELINES; SYMPTOMS;
D O I
10.4103/ija.ija_82_22
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Background and Aims: Though the role of fasting preoperative gastric ultrasound has been validated in different patient populations, namely, obese, pregnant and diabetics, it has not been explored in patients with chronic kidney disease (CKD). This prospective, observational study compared the fasting sonological assessment of gastric contents in patients with CKD versus those with normal renal function scheduled for elective surgery. Methods: After ethical approval and trial registration were obtained, preoperative gastric ultrasound was done in 115 CKD patients and 115 with normal renal function. Qualitative and quantitative assessment of residual gastric volume was done. Also, the patients were administered the Porto Alegre Dyspeptic Symptoms Questionnaire (PADYQ) to evaluate gastroparesis objectively. The researcher was not blinded to the patient groups. Data analyses were done using the Statistical Package for Social Sciences (SPSS) for Windows software (version 22.0). Results: Gastric volumes exceeding 1.5 ml/kg or particulate or solid contents were found in 57 patients with CKD and 36 patients with normal renal function (P = 0.004). The PADYQ scores were 6.54 +/- 8.49 for CKD and 2.15 +/- 5.71 for normal renal function (P < 0.0001) groups. CKD patients had a higher age (P < 0.001), lower body mass index (P = 0.005) and higher incidence of diabetes mellitus (P < 0.001). There were no incidents of gastric aspiration. Conclusion: Renal dysfunction contributes to delayed gastric emptying. PADYQ can also help identify those at high risk of gastroparesis. Combining the questionnaire and preoperative gastric ultrasound must be considered in these patients to ensure optimum safety.
引用
收藏
页码:503 / 508
页数:6
相关论文
共 20 条
  • [1] New Developments in Prokinetic Therapy for Gastric Motility Disorders
    Camilleri, Michael
    Atieh, Jessica
    [J]. FRONTIERS IN PHARMACOLOGY, 2021, 12
  • [2] A pilot study of ultrasound evaluation of gastric emptying in patients with end-stage renal failure: a comparison with healthy controls
    Chen, C.
    Liu, L.
    Wang, C. Y.
    Choi, S. -W.
    Yuen, V. M.
    [J]. ANAESTHESIA, 2017, 72 (06) : 714 - 718
  • [3] Perioperative fasting and feeding in adults, obstetric, paediatric and bariatric population: Practice Guidelines from the Indian Society of Anaesthesiologists
    Dongare, Pradeep A.
    Bhaskar, S. Bala
    Harsoor, S. S.
    Garg, Rakesh
    Kannan, Sudheesh
    Goneppanavar, Umesh
    Ali, Zulfiqar
    Gopinath, Ramachandran
    Sood, Jayashree
    Mani, Kalaivani
    Bhatia, Pradeep
    Rohatgi, Priyanka
    Das, Rekha
    Ghosh, Santu
    Mahankali, Subramanyam S.
    Bajwa, Sukhminder Jit Singh
    Gupta, Sunanda
    Pandya, Sunil T.
    Keshavan, Venkatesh H.
    Joshi, Muralidhar
    Malhotra, Naveen
    [J]. INDIAN JOURNAL OF ANAESTHESIA, 2020, 64 (07) : 556 - 584
  • [4] Perioperative point-of-care gastric ultrasound
    El-Boghdadly, K.
    Wojcikiewicz, T.
    Perlas, A.
    [J]. BJA EDUCATION, 2019, 19 (07) : 219 - 226
  • [5] Gastric Emptying Scintigraphy
    Farrell, Mary Beth
    [J]. JOURNAL OF NUCLEAR MEDICINE TECHNOLOGY, 2019, 47 (02) : 111 - 119
  • [6] Patients with chronic kidney disease have abnormal upper gastro-intestinal tract digestive function: A study of uremic enteropathy
    Grant, Claire J.
    Harrison, Laura E.
    Hoad, Caroline L.
    Marciani, Luca
    Gowland, Penny A.
    McIntyre, Christopher W.
    [J]. JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, 2017, 32 (02) : 372 - 377
  • [7] Comparison of gastrointestinal symptoms and findings in renal replacement therapy modalities
    Karahan, Dogu
    Sahin, Idris
    [J]. BMC NEPHROLOGY, 2022, 23 (01)
  • [8] Ultrasound assessment of gastric volume in severely obese individuals: a validation study
    Kruisselbrink, R.
    Arzola, C.
    Jackson, T.
    Okrainec, A.
    Chan, V.
    Perlas, A.
    [J]. BRITISH JOURNAL OF ANAESTHESIA, 2017, 118 (01) : 77 - 82
  • [9] EVALUATION OF GASTRIC EMPTYING BY TRANSABDOMINAL ULTRASOUND AFTER ORAL ADMINISTRATION OF SEMISOLID CELLULOSE-BASED GASTRIC ULTRASOUND CONTRAST AGENTS
    Liu, Zhijun
    Liu, Zhining
    Li, Yuhong
    Guo, Jintao
    Li, Jianmin
    Ren, Weidong
    Tang, Shaoshan
    Xie, Limei
    Huang, Ying
    Huang, Liping
    Sun, Siyu
    Zhao, Ying
    [J]. ULTRASOUND IN MEDICINE AND BIOLOGY, 2018, 44 (11) : 2183 - 2188
  • [10] McCallum RW, 2020, GERIATRIC GASTROENTE, P1145