Modified B-ultrasound method for measurement of antral section only to assess gastric function and guide enteral nutrition in critically ill patients

Liu, Ying; Yuan-fu, Gao; Yao, Ling; Li, Li

doi:10.3748/wjg.v23.i28.5229

Cited by 16 publications

(15 citation statements)

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“…Guidelines suggest that laxatives should be used in a gradual and individualized manner, taking into account their side effects [16]. Ultrasound can identify the location, morphology, and gastrointestinal dynamics of feces [17], thereby allowing targeted intervention and avoiding repeated enemas and oral laxatives, which may be harmful to patients and increase the workload for clinicians. In this study, intestinal ultrasound was used to establish a precise bowel cleansing program.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-Based Intestinal Cleansing Protocol for Critically Ill Adult Patients

Cai

et al. 2023

Preprint

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Aims and Objectives:To investigate the application of ultrasound in intestinal cleansing for critically ill adult patients. Patients: A total of 49 critically ill patients admitted to the intensive care unit (ICU) from December 2020 to April 2022 were selected and then randomly divided into a control group and an intervention group, with 25 cases in the control group and 24 cases in the intervention group. Design and Methods:The control group was offered routine intestinal cleansing measures, while the intervention group was given targeted laxatives, catharsis, or motility-promoting drugs according to the results of a gastrointestinal ultrasound evaluation. Before intervention and 24 hours after intervention, we compared several features between the two groups, including the transverse diameters of the ascending colon and the descending colon, time of first defecation, defecation frequency, number of defecations, and the abdominal circumferences of the ascending colon and the descending colon. Results: After intervention, the transverse diameters ofthe ascending colon and the descending colon in the intervention group were 3.21±0.39 cm and 3.09±0.26 cm, respectively, which were lower than those in the control group (P < 0.05). Additionally, in the intervention group, the first defecation time and abdominal circumference were lower than in the control group (P < 0.05), while the total number of defecations and the number of defecations within 24 hours were higher than in the control group (P < 0.05). There was a significant difference between the two groups regarding abdominal circumference. Conclusions: The ultrasound-based ICU enteric cleansing program achieves satisfactory intestinal cleansing and relieves the pain of patients with multiple enemas through accurate evaluation and targeted cleansing, which makes it worthy of promotion and application.

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Section: Discussionmentioning

confidence: 99%

Ultrasound-Based Intestinal Cleansing Protocol for Critically Ill Adult Patients

Cai

et al. 2023

Preprint

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“…25 This technique holds clinical value for evaluating a range of gastric motility parameters and allows for repeatable measurements on the same subject. It involves using ultrasound to monitor changes in stomach shape and volume after a test meal, with the gastric emptying rate calculated via a specific algorithm, 16,26 which is utilized in both patients with DGP and animal models. 17 Normal gastric emptying is dependent on gastric fundus relaxation and accommodation, peristaltic contraction of the gastric antrum, and pyloric relaxation.…”

Section: Discussionmentioning

confidence: 99%

Low‐intensity pulsed ultrasound at ST36 improves the gastric motility by TNF‐α/IKKβ/NF‐κB signaling pathway in diabetic rats

Jiang

et al. 2023

J of Gastro and Hepatol

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Background and AimLow‐intensity pulsed ultrasound (LIPUS) can effectively regulate the central and peripheral nervous system. However, whether LIPUS could act on acupuncture points to modulate the activity of peripheral nervous has rarely been studied. Our study aimed to investigate whether LIPUS at ST36 could improve gastric emptying in diabetic gastroparesis rats.MethodsSprague–Dawley male rats were divided into three groups: control group (CON), diabetic gastroparesis group (DM), and diabetic gastroparesis LIPUS treated group (LIPUS). The body weight and blood glucose were recorded every week. Glucose tolerance, gastric emptying rate, and gastric motility were measured before and after treatment. Gastric motility was assessed by ultrasonic examination and Muscle strip experiment. The expression level of c‐Kit was assessed by immunohistochemistry staining. Levels of TNF‐α, p‐NF‐κB p‐65, NF‐κB p‐65, and p‐IKKβ, IKKβ were measured by western blot.ResultsWe reported LIPUS at an intensity of 0.88 W/cm2 exhibited significant differences in functional recovery of gastric delayed emptying in diabetic rats. Through ultrasound gastric motility functional testing and analysis of gastric antral smooth muscle strips indirectly and directly proved the effectiveness of LIPUS for the recovery of gastric delayed emptying. Pathological analysis and western blot indicated that the mechanism by which LIPUS applied to ST36 improved gastric motility may be partially attributed to the inhibition of the TNF‐α/IKKβ/NF‐κB signaling pathway, thereby rescuing the damaged interstitial cells of Cajal network.ConclusionLIPUS at ST36 improved the gastric motility and rescued the damaged networks of interstitial cells of Cajal. LIPUS may have a promising therapeutic potential for diabetic gastroparesis.

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“…Ratings were depicted on a scale from 0 to 10, where higher scores denoted more severe conditions. A modi ed B-ultrasound technique [11] was employed to measure the antral MI for scanning (Fig. 2).…”

Section: Data Collectionmentioning

confidence: 99%

Safety and feasibility of early drinking water after general anesthesia recovery in patients undergoing daytime surgery

Lu,

Liu,

Jing

et al. 2024

Preprint

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Background Patients who are recovering from general anesthesia commonly exhibit symptoms such as dry lips, throat irritation, and thirst, prompting a desire to drink water in the post-anesthesia care unit (PACU). In this study, we aimed to evaluate the therapeutic effects and any potential complications of administering varying quantities of water to such patients. The primary objectives are to assess the safety and feasibility of early water intake after general anesthesia, specifically in the context of daytime surgery. Methods A total of 200 nongastrointestinal patients who underwent outpatient surgery were randomly assigned to four groups: Group A (drinking < 1 ml/kg), Group B (drinking 1–2 ml/kg), Group C (drinking > 2 ml/kg), and Group D (no water intake). We monitored changes in the assessment parameters before and after water consumption, as well as the incidence of post-drinking nausea and vomiting, and compared these outcomes among the four groups. Results Water intake led to a significant reduction in thirst, oropharyngeal discomfort, and pain scores and a notable increase in the gastric antrum motility index (MI), exhibiting statistical significance compared to the values before drinking (p < 0.05). Remarkably, higher water consumption correlated with enhanced gastrointestinal peristalsis. There was a significant difference in the antral MI among groups B, C, and A (p < 0.05). The occurrence of nausea and vomiting did not significantly differ among groups A, B, C, and D (p > 0.05). Early water consumption enhanced patient satisfaction with medical care, significantly varying from Group D (p < 0.05). Conclusion Non-gastrointestinal surgical patients who passed pre-drinking water assessments post GA(general anesthesia)recovery could safely ingest moderate amounts of water in the PACU. Early water intake is both safe and feasible, effectively fostering swift postoperative recovery.

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Modified B-ultrasound method for measurement of antral section only to assess gastric function and guide enteral nutrition in critically ill patients

Cited by 16 publications

References 50 publications

Ultrasound-Based Intestinal Cleansing Protocol for Critically Ill Adult Patients

Ultrasound-Based Intestinal Cleansing Protocol for Critically Ill Adult Patients

Low‐intensity pulsed ultrasound at ST36 improves the gastric motility by TNF‐α/IKKβ/NF‐κB signaling pathway in diabetic rats

Safety and feasibility of early drinking water after general anesthesia recovery in patients undergoing daytime surgery

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