RecruitingNCT06600035

Gastric Ultrasound in Elective Surgical Diabetic Patients

Sponsor

Tanta University

Enrollment

130 participants

Start Date

Sep 17, 2024

Study Type

OBSERVATIONAL

Conditions

Gastric Ultrasound

Summary

The aim of this study is to evaluate the role of gastric ultrasound in elective surgical diabetic patients.

Eligibility

Min Age: 18 Years

Inclusion Criteria3

Age ≥ 18 years.
Both sexes.
Undergoing elective surgery.

Exclusion Criteria8

American Society of Anesthesiology (ASA) physical status \>III.
Body mass index (BMI) outside the range of 18.5-40 Kg/m2.
History of upper gastrointestinal disease or previous surgery on the esophagus, stomach, or upper abdomen.
Abnormalities of the upper gastrointestinal tract, such as gastric tumors and recent upper gastrointestinal bleeding (within the preceding 1 month).
Taking preoperative medicines that may delay gastric emptying (e.g., anticholinergic agents, opioids).
Hypothyroidism.
Current smoking history.
Pregnancy.

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Interventions

DEVICEGastric ultrasound

A curved array, low-frequency (2-5 MHz) transducer providing a scan depth up to 30 cm will be used. Patients will be scanned in the supine position followed by right lateral decubitus (RLD) position. The sonographic appearance of the gastric antrum will be classified as Grade 0,1 or 2, signifying empty antrum, fluid detected in RLD position only and antral fluid in both supine and RLD positions, respectively, based on the appearance in both the positions. Cross-sectional area (CSA) will be calculated by using two perpendicular diameters-anteroposterior (AP) and craniocaudal (CC) and the formula for area of an ellipse:CSA = (AP × CC × π)/4