Carbohydrate Rich Drink Reduces Pre-endoscopic Discomfort for Patients Going for Elective Endoscopic Procedures

Tan Tock Seng Hospital

Status: Completed

Conditions: Vomiting; Thirst; Hunger; Depression; Fatigue; Anxiety; Lethargy; Abdominal Pain

Treatments: Other: Nestle Preload; Other: Water

Study type: Interventional

Funder types: Other

Identifiers

NCT05342116

2017/00872

Details and patient eligibility

About

The study is a randomised controlled trial that aims to evaluate whether carbohydrate loading pre-endoscopy can improve patients' overall satisfaction and is not associated with negative impact on endoscopic quality or increased complications. A questionnaire will be completed by participants prior to endoscopy.

Full description

Currently, the evidence of usage of CHO is mainly for pre-operative patients and has never been evaluated for use in patients before endoscopic procedures which would also require them to fast substantially. Using the same principles of perioperative care, the aim of this a pilot study is to evaluate if Preload usage prior to endoscopic procedures will minimise patient discomfort secondary to fasting with alleviation of preprocedural thirst, hunger and anxiety symptoms. As a result, it may also reduce the urge for patients to drink and ingest prior to endoscopy, which may translate to last minute cancellation of procedures and wastage of precious resources. We believe it will improve overall patient experience and compliance to preprocedural fasting, without significant risks for patients or affecting the quality of endoscopy.

Enrollment: 300 patients

Sex: All

Ages: 21 to 80 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Planned for elective gastroscopy.
• Able to communicate to give informed consent and complete the questionnaire
• 21 to 80 year old
• ASA physical status I-II

Exclusion criteria

• Medications that might impair gastrointestinal motility
• Conditions that may impair gastrointestinal motility, gastroesophageal reflux, pregnancy
• Potential for difficult airway management.
• Diabetic patients.
• American Society of Anesthesiology (ASA) physical status III or more
• Unable to communicate to give informed consent or complete the questionnaire

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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300 participants in 3 patient groups

Fasting Arm

No Intervention group

Description:

Patient will fast at least 6 hours prior to endoscopy

Water Arm

Active Comparator group

Description:

Patient will drink 400 ml of water 2 to 4 hours prior to endoscopy

Treatment:

Other: Water

CHO Arm

Experimental group

Description:

Patient will drink 400 ml of Preload 2 to 4 hours prior to endoscopy

Treatment:

Other: Nestle Preload