Preoperative ultrasound assessment of gastric content in patients with diabetes : A meta-analysis based on a systematic review of the current literature
Copyright © 2023. Published by Elsevier Inc..
STUDY OBJECTIVE: To conduct a systematic literature review of the current evidence on the effect of diabetes mellitus on gastric volume observed during a preoperative ultrasound examination. Using the results of this systematic literature review, a meta-analysis was performed to investigate whether there was an association between diabetes mellitus and an increased risk of presenting with a high-risk stomach (gastric volume associated with an increased risk of pulmonary aspiration).
DESIGN: Review article and meta-analysis.
SETTING: Review of published literature.
PATIENTS: A total of 3366 patients underwent surgery.
INTERVENTION: Gastric ultrasound examination.
MEASUREMENTS: Data for the meta-analysis and literature review were collected from the PubMed/Medline, Embase, Web of Science, and Google Scholar databases of the National Library of Medicine from the date of inception to January 2023. All included studies measured the gastric antral cross-sectional area and/or gastric residual volume in patients with diabetes and those without diabetes. The data utilized in the meta-analysis included all studies that evaluated the incidence of high-risk stomachs based on ultrasonographic measurements of the gastric antral cross-sectional area or gastric residual volume.
MAIN RESULTS: Most collated studies revealed that diabetes mellitus was associated with increased antral cross-sectional area and gastric residual volume. A meta-analysis of published reports indicated that patients with diabetes have an increased rate of high-risk stomachs.
CONCLUSIONS: Diabetes mellitus is associated with an increased rate of high-risk stomachs. The authors recommend large prospective trials to ascertain the safety of the current fasting guidelines for patients with diabetes undergoing surgery.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:93 |
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| Enthalten in: |
Journal of clinical anesthesia - 93(2024) vom: 10. März, Seite 111365 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Baldawi, Mohanad [VerfasserIn] |
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| Links: |
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| Themen: |
Antral cross-sectional area |
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| Anmerkungen: |
Date Completed 15.01.2024 Date Revised 12.03.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.jclinane.2023.111365 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM366251430 |
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| 500 | |a Date Revised 12.03.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2023. Published by Elsevier Inc. | ||
| 520 | |a STUDY OBJECTIVE: To conduct a systematic literature review of the current evidence on the effect of diabetes mellitus on gastric volume observed during a preoperative ultrasound examination. Using the results of this systematic literature review, a meta-analysis was performed to investigate whether there was an association between diabetes mellitus and an increased risk of presenting with a high-risk stomach (gastric volume associated with an increased risk of pulmonary aspiration) | ||
| 520 | |a DESIGN: Review article and meta-analysis | ||
| 520 | |a SETTING: Review of published literature | ||
| 520 | |a PATIENTS: A total of 3366 patients underwent surgery | ||
| 520 | |a INTERVENTION: Gastric ultrasound examination | ||
| 520 | |a MEASUREMENTS: Data for the meta-analysis and literature review were collected from the PubMed/Medline, Embase, Web of Science, and Google Scholar databases of the National Library of Medicine from the date of inception to January 2023. All included studies measured the gastric antral cross-sectional area and/or gastric residual volume in patients with diabetes and those without diabetes. The data utilized in the meta-analysis included all studies that evaluated the incidence of high-risk stomachs based on ultrasonographic measurements of the gastric antral cross-sectional area or gastric residual volume | ||
| 520 | |a MAIN RESULTS: Most collated studies revealed that diabetes mellitus was associated with increased antral cross-sectional area and gastric residual volume. A meta-analysis of published reports indicated that patients with diabetes have an increased rate of high-risk stomachs | ||
| 520 | |a CONCLUSIONS: Diabetes mellitus is associated with an increased rate of high-risk stomachs. The authors recommend large prospective trials to ascertain the safety of the current fasting guidelines for patients with diabetes undergoing surgery | ||
| 650 | 4 | |a Systematic Review | |
| 650 | 4 | |a Meta-Analysis | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Review | |
| 650 | 4 | |a Antral cross-sectional area | |
| 650 | 4 | |a Diabetes mellitus | |
| 650 | 4 | |a Gastric residual volume | |
| 650 | 4 | |a High-risk stomachs | |
| 650 | 4 | |a Ultrasound scan | |
| 700 | 1 | |a Ghaleb, Nancy |e verfasserin |4 aut | |
| 700 | 1 | |a McKelvey, George |e verfasserin |4 aut | |
| 700 | 1 | |a Ismaeil, Yara M |e verfasserin |4 aut | |
| 700 | 1 | |a Saasouh, Wael |e verfasserin |4 aut | |
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