Feasibility and Safely of Oral Rehydration Therapy before Upper Gastrointestinal Endoscopic Submucosal Dissection

Background/Aims. Preoperative oral rehydration therapy (PORT), often used before surgery, is rarely performed before endoscopy. Only a few reports of PORT before upper gastrointestinal endoscopy are available. This study is aimed at evaluating the safety and feasibility of PORT before upper gastroin...

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Main Authors: Yasutoshi Shiratori, Takashi Ikeya, Kenji Nakamura, Katsuyuki Fukuda
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2020/4372503
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author Yasutoshi Shiratori
Takashi Ikeya
Kenji Nakamura
Katsuyuki Fukuda
author_facet Yasutoshi Shiratori
Takashi Ikeya
Kenji Nakamura
Katsuyuki Fukuda
author_sort Yasutoshi Shiratori
collection DOAJ
description Background/Aims. Preoperative oral rehydration therapy (PORT), often used before surgery, is rarely performed before endoscopy. Only a few reports of PORT before upper gastrointestinal endoscopy are available. This study is aimed at evaluating the safety and feasibility of PORT before upper gastrointestinal endoscopic submucosal dissection (ESD). Methods. We used alginade water (125 mL, Nestle Co., Kobe, Japan) for PORT. Alginade water is a flavored sports drink, which is palatable and promotes wound healing due to a high concentration of alginate. We conducted a single-center single-arm prospective feasibility study of PORT in 244 patients who underwent upper gastrointestinal ESD. The group wherein PORT was administered up to two hours before ESD (n=120) was compared with the historical control group (non-PORT group, n=120). We investigated the total fluid intake, hematocrit change, complications due to PORT, complications during ESD, ESD procedure time, and length of hospital stay in each group. Results. The average fluid intake in the PORT group was 462.6 mL. No complications were observed due to PORT and ESD, and significant differences in the ESD procedure time or hospital stay was not noted. Conclusion. PORT up to two hours before upper gastrointestinal ESD is feasible.
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publishDate 2020-01-01
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series Gastroenterology Research and Practice
spelling doaj-art-57f3f9f7b545423ab80c582d088b05f92025-02-03T05:51:10ZengWileyGastroenterology Research and Practice1687-61211687-630X2020-01-01202010.1155/2020/43725034372503Feasibility and Safely of Oral Rehydration Therapy before Upper Gastrointestinal Endoscopic Submucosal DissectionYasutoshi Shiratori0Takashi Ikeya1Kenji Nakamura2Katsuyuki Fukuda3Department of Gastroenterology, St. Luke’s International Hospital, Tokyo 104-8560, JapanDepartment of Gastroenterology, St. Luke’s International Hospital, Tokyo 104-8560, JapanDepartment of Gastroenterology, Tokyo Dental University Ichikawa General Hospital, Chiba 272-8513, JapanDepartment of Gastroenterology, St. Luke’s International Hospital, Tokyo 104-8560, JapanBackground/Aims. Preoperative oral rehydration therapy (PORT), often used before surgery, is rarely performed before endoscopy. Only a few reports of PORT before upper gastrointestinal endoscopy are available. This study is aimed at evaluating the safety and feasibility of PORT before upper gastrointestinal endoscopic submucosal dissection (ESD). Methods. We used alginade water (125 mL, Nestle Co., Kobe, Japan) for PORT. Alginade water is a flavored sports drink, which is palatable and promotes wound healing due to a high concentration of alginate. We conducted a single-center single-arm prospective feasibility study of PORT in 244 patients who underwent upper gastrointestinal ESD. The group wherein PORT was administered up to two hours before ESD (n=120) was compared with the historical control group (non-PORT group, n=120). We investigated the total fluid intake, hematocrit change, complications due to PORT, complications during ESD, ESD procedure time, and length of hospital stay in each group. Results. The average fluid intake in the PORT group was 462.6 mL. No complications were observed due to PORT and ESD, and significant differences in the ESD procedure time or hospital stay was not noted. Conclusion. PORT up to two hours before upper gastrointestinal ESD is feasible.http://dx.doi.org/10.1155/2020/4372503
spellingShingle Yasutoshi Shiratori
Takashi Ikeya
Kenji Nakamura
Katsuyuki Fukuda
Feasibility and Safely of Oral Rehydration Therapy before Upper Gastrointestinal Endoscopic Submucosal Dissection
Gastroenterology Research and Practice
title Feasibility and Safely of Oral Rehydration Therapy before Upper Gastrointestinal Endoscopic Submucosal Dissection
title_full Feasibility and Safely of Oral Rehydration Therapy before Upper Gastrointestinal Endoscopic Submucosal Dissection
title_fullStr Feasibility and Safely of Oral Rehydration Therapy before Upper Gastrointestinal Endoscopic Submucosal Dissection
title_full_unstemmed Feasibility and Safely of Oral Rehydration Therapy before Upper Gastrointestinal Endoscopic Submucosal Dissection
title_short Feasibility and Safely of Oral Rehydration Therapy before Upper Gastrointestinal Endoscopic Submucosal Dissection
title_sort feasibility and safely of oral rehydration therapy before upper gastrointestinal endoscopic submucosal dissection
url http://dx.doi.org/10.1155/2020/4372503
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