Effects of preoperative oral carbohydrate loading on preoperative and postoperative comfort in patients planned to undergo elective cholecystectomy: A prospective randomized controlled clinical trial

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dc.authorid0000-0002-9178-7843en_US
dc.contributor.authorGök, Mehmet Ali
dc.contributor.authorKafadar, Mehmet Tolga
dc.contributor.authorYeğen, Serkan Fatih
dc.date.accessioned2021-09-02T12:10:19Z
dc.date.available2021-09-02T12:10:19Z
dc.date.issued2020en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalıen_US
dc.descriptionWOS:000611564700002
dc.description.abstractBackground: Cholecystectomy is a widespread abdominal procedure. A period of 8-hour-fasting for this relatively rapid surgery negatively affects the patients’ comfort.Objectives:The current study aimed to evaluate the effects of the presurgical intake of carbohydrates on patients’ comfort.Methods:This prospective study was carried out on 42 cholecystectomy patients (with theAmerican Society of Anesthesiologistsgrade of I-II) divided into two groups. The patients in group 1 underwent laparoscopic cholecystectomy after an 8-hour-fasting period. The subjects in group 2 received a carbohydrate-rich solution with 12.5% dextrose before the surgery (125 g of sugar melted in 1 L of water; 800 and 200 mL 8 and 2 h before the surgery, respectively). Thirst, hunger, and nausea at the 9thpreoperative hour and 30 min before the surgery in addition to nauseaand vomiting at the 2nd, 8th, and 24thpostoperative hours were assessed in both groups.Results:The mean age and body mass index (BMI)values of the patients were 48.38±12.68 years and 29.85±5.20 kg/m², respectively. The mean operational time was 36.5 min (range: 26-114 min). No difference was observed between the two groups in terms of age, BMI, and operational time. The investigation 30 min before cholecystectomy revealed that the rates of hungry and thirsty patients were higher in group 1, compared to those reported for group 2 (P=0.003 and P=0.032). Nevertheless, at the 2ndand 8thpostoperative hours, the rate of patientsʼ complaining of nausea was higher in group 2 in comparison to that of group 1 (P=0.048 and P=0.014).Conclusion:It is suggested that the intake of carbohydrate-rich fluids up to the preoperative 2ndhour decreased presurgical hunger/thirst. The results of this study are in line with the findings of previous studies. It is believed that the intake ofCHO-rich solutions up to 2 h before surgery may provide comfort by decreasing hunger/thirst. Nevertheless, it is necessary to take into account a potential rise in a feeling of nausea among these patientsen_US
dc.identifier.citationGök, M. A., Kafadar, M.T. ve Yeğen, S.F. (2020). Effects of preoperative oral carbohydrate loading on preoperative and postoperative comfort in patients planned to undergo elective cholecystectomy: A prospective randomized controlled clinical trial. Iranian Red Crescent Medical Journal, 22(11), 1-6.en_US
dc.identifier.doi10.32592/ircmj.2020.22.11.107
dc.identifier.endpage6en_US
dc.identifier.issn2074-1804
dc.identifier.issn2074-1812
dc.identifier.issue11en_US
dc.identifier.startpage1en_US
dc.identifier.urihttps://ircmj.org/index.php/IRCMJ/article/view/107/115
dc.identifier.urihttps://hdl.handle.net/11468/7419
dc.identifier.volume22en_US
dc.identifier.wosWOS:000611564700002
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.institutionauthorKafadar, Mehmet Tolga
dc.language.isoenen_US
dc.publisherZemansalamati Publ.en_US
dc.relation.ispartofIranian Red Crescent Medical Journal
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCarbohydrateen_US
dc.subjectLaparoscopic cholecystectomyen_US
dc.subjectPreoperative fastingen_US
dc.titleEffects of preoperative oral carbohydrate loading on preoperative and postoperative comfort in patients planned to undergo elective cholecystectomy: A prospective randomized controlled clinical trialen_US
dc.titleEffects of preoperative oral carbohydrate loading on preoperative and postoperative comfort in patients planned to undergo elective cholecystectomy: A prospective randomized controlled clinical trial
dc.typeArticleen_US

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