MEASUREMENT OF STOMACH VOLUME iN PATIENTS WITH LIVER RELATED DISEASES KEPT STARVING BEFORE OPERATION USING SONOGRAPHY MACHINE .

Not yet recruiting

Conditions: Cholecystitis, unspecified, (2) ICD-10 Condition: K77||Liver disorders in diseases classified elsewhere, (3) ICD-10 Condition: K80||Cholelithiasis, (4) ICD-10 Condition: K82||Other diseases of gallbladder, (5) ICD-10 Condition: K83||Other diseases of biliary tract, (6) ICD-10 Condition: K74||Fibrosis and cirrhosis of liver, (7) ICD-10 Condition: K76||Other diseases of liver,

Brief Summary: There is increased chance of aspiration after general anesthesia due to suppression of upper airway protective reflexes and lower esophageal sphincter tone.1,2 Perioperative aspiration can lead to serious complications such as aspiration pneumonia. Thus patients scheduled to undergo elective surgery are asked to undergo preoperative fasting to prevent pulmonary aspiration1,3 . Patients with chronic liver disease 5 , cirrhosis4 , portal hypertension6 exhibit delayed gastric emptying because of autonomic dysfunction, impairment of certain gastrointestinal peptides such as motilin, cholecytokinin and glucagons that produce metabolic abnormalities in patients with chronic hepatobiliary disease. Patients with gall bladder disease exhibit delayed gastric emptying because of various mechanisms such as no hormonal stimuli from diseased gall bladder mucosa to mediate gastric motility and reflex pyloroduodenal ileus resulting from inflammation in and around the gall bladder14 . Ultrasonography is an emerging diagnostic tool for evaluating type and volume of gastric content8,10. Bedside gastric ultrasound may be an informative and potentially important tool for risk assessment and safe anesthetic management. Hence we decided to find correlation between hours of preoperative fasting time and gastric volume in patients with hepatobiliary disease by using gastric ultrasound

Recruitment & Eligibility

Inclusion Criteria

1)PATIENTS WITH HEPATOBILIARY DISEASE AGED MORE THAN 18 YEARS POSTED FOR ELECTIVE SURGERY.
1. PATIENTS GIVING CONSENTS FOR PERFORMING GASTRIC ULTRASOUND.

Exclusion Criteria

1)PREGNANT WOMEN,DIABETES MELITIS PATIENTS,OBESE PATIENTS BMI>25.
2)PATIENTS WITH ESOPHGEAL OR STOMACH PATHOLOGY LIKE ACHALSIA CARDIA,HIATUS HERNIA,CA ESOPHAGUS .
3)PATIENTS WHO HAS UNDERGONE GASTRECTOMY,GASTRIC BYPASS SURGERY.
4)PATIENTS WHO ARE UNABLE TO TURN OR LIE DOWN IN RIGHT LATERAL POSITION.
5)PATIENTS ON DRUG SUCH AS PROKINETIC METOCLOPRAMIDE,DOMPERIDONE.

Primary Outcome Measures

Name	Time	Method
DETERMINE THE CORRELATION, IF ANY, BETWEEN FASTING TIME AND ULTRASONOGRAPHICALLY CALCULATED GASTRIC VOLUME IN HEPATOBILIARY DISEASE PATIENTS PRESENTING TO ELECTIVE SURGERY.	USG ASSESSMENT IN IMMEDIATE PREOPERATIVE PERIOD

Secondary Outcome Measures

Name	Time	Method
TO FIND OUT THE INCIDENCE OF DELAYED GASTRIC EMPTYING IN HEPATOBILIARY DISEASE PATIENTS.	USG ASSESSMENT IN IMMEDIATE PREOPRATIVE PERIOD

Locations (1): GENERAL SURGERY OPERATION THREATERS OF LTMMC &GH SION MUMBAI 400022.
🇮🇳
Mumbai, MAHARASHTRA, India
GENERAL SURGERY OPERATION THREATERS OF LTMMC &GH SION MUMBAI 400022.
🇮🇳Mumbai, MAHARASHTRA, India
DR JYOTI SURYAWANSHI
Principal investigator
9881780589
suryawanshijyoti17@gmail.com