Gastric emptying times of obese and non-obese school-aged children after preoperative clear fluid intake: A prospective observational study

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dc.authorid0000-0003-2534-5243en_US
dc.authorid0000-0001-5994-3861en_US
dc.authorid0000-0002-0111-3360en_US
dc.authorid0000-0003-2804-9589en_US
dc.authorid0000-0002-1198-2447en_US
dc.contributor.authorKorkusuz, Muhammet
dc.contributor.authorBaşaran, Betül
dc.contributor.authorEt, Tayfun
dc.contributor.authorBilge, Ayşegül
dc.contributor.authorYarımoğlu, Rafet
dc.contributor.authorOsmanoğlu, Usame Ömer
dc.date.accessioned2023-04-03T13:09:24Z
dc.date.available2023-04-03T13:09:24Z
dc.date.issued2023en_US
dc.departmentKMÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionWOS:000952812600001en_US
dc.descriptionPubMed ID36876549en_US
dc.description.abstractBackground: Liberal fasting regimens, which support clear fluid intake up to 1 h before surgery in children scheduled for elective surgery, are taking their place in guidelines. However, because of the lack of publications that investigate the gastric emptying time in preoperative obese children, the practice of 1-hour clear fluid fasting in obese children remained at the level of recommendation with weak evidence. Aims: The primary aim was to investigate whether there is a difference in gastric emptying times between obese and non- obese children after preoperative intake of 3 mL/kg clear liquid containing 5% dextrose by using ultrasound. Methods: A total of 70 children were included in the study in two groups, 35 obese and 35 non-obese, aged 6–14 years, who were scheduled for elective surgery. The baseline antral cross-sectional area measurements of the children in the groups were made using ultrasound. 3 mL/kg 5% dextrose was consumed. Ultrasound was repeated immediately after fluid intake and every 5 min until the antral cross-sectional area was at the baseline level. Results: The difference in median (IQR [range]) gastric emptying times (minutes) of non-obese {35 [30.0–45.0 (20–60)]} and obese children {35 [30.0–40.0 (25–60)]} were not statistically significant (median of differences 0.0, 95% CI –5.0 to 5.0; p =.563). The antral cross-sectional area and weight-adjusted gastric volumes returned to the baseline level within 60 min after the intake of clear liquid with 3 mL/kg 5% dextrose in all children in both groups. Conclusions: Obese and non-obese children have similar gastric emptying times, and these groups can be offered clear fluids containing 3 mL/kg 5% dextrose 1 h before the surgery.en_US
dc.identifier.citationKorkusuz, M., Basaran, B., Et, T., Bilge, A., Yarimoglu, R., & Osmanoglu, U. O. (2023). Gastric emptying times of obese and non-obese school-aged children after preoperative clear fluid intake: A prospective observational study. Paediatric Anaesthesia, doi:10.1111/pan.14658en_US
dc.identifier.doi10.1111/pan.14658
dc.identifier.issn1155-5645
dc.identifier.pmid36876549
dc.identifier.scopus2-s2.0-85150764559
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.1111/pan.14658
dc.identifier.urihttps://hdl.handle.net/11492/7095
dc.identifier.wosWOS:000952812600001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Sceince
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorKorkusuz, Muhammet
dc.institutionauthorBaşaran, Betül
dc.institutionauthorEt, Tayfun
dc.institutionauthorBilge, Ayşegül
dc.institutionauthorOsmanoğlu, Usame Ömer
dc.language.isoen
dc.publisherJohn Wiley and Sons Incen_US
dc.relation.journalPaediatric Anaesthesiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectGastric Emptyingen_US
dc.subjectGastric Volumeen_US
dc.subjectPediatric Obesityen_US
dc.subjectUltrasonographyen_US
dc.titleGastric emptying times of obese and non-obese school-aged children after preoperative clear fluid intake: A prospective observational studyen_US
dc.typeArticle

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