MEDICINE AND HEALTH

The First Courtyard of Landa University has made new breakthroughs in expanding the ERAS concept in the field of endoscopy


Recently, led by Professor Li Xun, leader of the Surgery Group of the Digestive Endoscopy Branch of the Chinese Medical Association and President of the First Hospital of Lanzhou University, the clinical multi-center research conducted by 15 surgical ERCP (transendoscopic retrograde cholangiopancreatography units) in the United Nations has made breakthroughs again, and the relevant results were published in the Chinese Medical Journal (English Edition).

China’s ERCP technology began in the early 70s of the 20th century, after nearly half a century of development and promotion, it has become an important means for the diagnosis and treatment of biliary and pancreatic diseases. Nearly 300,000 patients receiving ERCP are carried out in China every year, and preoperative preparation is usually required to fasting water overnight to reduce the risk of aspiration associated with sedation or anesthesia-assisted surgery. With the introduction of the new treatment concept of Accelerated Recovery Surgery (ERAS), which has revolutionized the traditional perioperative management model of surgery, more and more studies have found that patients taking liquid carbohydrates before surgery do not increase the risk of intraoperative aspiration when taking liquid carbohydrates after 90 minutes. However, due to the lack of evidence-based medical basis for 2 hours of fasting before surgery, most of the clinical ERCP management methods still use traditional overnight fasting.

The results showed that the safety of taking 400ml high-carbohydrate drink 2 hours before surgery was similar to that of traditional overnight fasting, and could reduce fatigue and abdominal pain after ERCP, reduce the proportion of urine ketones, promote postoperative recovery, and reduce the incidence of postoperative cholangitis in patients with initial nipples without increasing postoperative complications and reducing the incidence of postoperative cholangitis in patients with initial nipples. This study provides an evidence-based basis for oral administration of high-carbohydrate beverages 2 hours before ERCP and optimizes the preoperative dietary management of patients. The advantages and safety of conventional ERCP preoperative oral administration of 400ml high-carbohydrate drink in non-emergency patients were revealed. (Source: Ye Manshan, China Science News)

Case grouping and key findings. Photo courtesy of the First Hospital of Lanzhou University.

Related paper information:http://dx.doi.org/10.1097/CM9.0000000000002820



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