Related factors to full stomach in patients undergoing emergency surgery
Objective To calculate the gastric volume(GV)by measuring the gastric cross-sectional area(CSA)of gastric antrum with ultrasonography,and to explore factors related to preoperative risk stomach in patients undergoing emergency surgery.Methods A total of 190 patients who underwent emergency surgery in Jiaxing First Hospital from March 2022 to March 2023 were included in the study.The gastric cross-section area(CSA)was measured by ultrasonography before operation,the GV and gastric volume per unit weight(GV/W)were calculated.The age,gender,BMI,fasting time(FT),interval time between onset and eating(IT),diabetes,history of abdominal surgery,site of onset,last food intake,nature of last food intake,last meat consumption and eating after onset were documented.The factors related to preoperative full stomach were analyzed.Results Among 190 emergency surgical patients,51 cases(26.8％)had preoperative full stomach.Diabetes mellitus,IT＞0 h(eating after onset)and last food intake ≥400 mL were associated with the risk of full stomach in patients undergoing emergency surgery(all P＜0.05).Pearson correlation analysis indicated that there was no significant correlation between GV/W and FT in emergency surgical patients(r=-0.124,P＞0.05).Conclusion Gastric antrum ultrasonography can provide a more objective information of gastricemptying in patients with emergency surgery.It can not solely relied on fasting time to assess stomach fullness before emergency surgery.The study indicates that patients with abdominal diseases,diabetes,last food intake ≥400 mL and patients who eating after onset have an increased incidence of risky stomach when they plan to undergo emergency surgery.
Reflux and aspirationGastric emptyingUltrasoundEmergency treatment
万方数据
维普
