Abstract:
INTRODUCTION
Gastric residual volume is vital for assessing gastric emptying and
gastrointestinal function. Traditional method of measuring gastric
residual volume (GRV) like aspiration through nasogastric (NG) tube are
invasive and uncomfortable. Ultrasonography (USG) emerged as non
invasive , reliable alternative , hence the present study is used for
evaluation of gastric volume among the diabetic and non-diabetic
population to minimize the intraoperative and post operative
complications like pulmonary aspiration. This study considered factors
such as diabetes duration, blood sugar levels, HbA1c, and fasting
duration in evaluation of gastric residual volume.
MATERIALS AND METHODS:
It is a comparative study , conducted on 104 patients undergoing for
elective surgeries at BLDE Hospital and research center, Vijayapura
during the academic year 2022-2024,we divided in tot 2 groups after
taking informed consent and fulfilling the inclusion criteria, group D is
having 52 patients who were having history of diabetes mellitus and
group ND who were non diabetic patients ,patients was then explained
about the procedure and were scanned in supine position and then
scanned in right lateral decubitus position ,then the ultrasonography
images of both were measured with following
diameters,
craniocaudal(CC), anteroposterior(AP), cross sectional area (CSA) andRESULTS :
The mean age of the participants was found to be 40.62 + 9.16yrs with
72.11% were male patients and 27.88% were female patient. Among the
patients there is significant higher mean level of CC diameter, AP
diameter and CSA in supine position in cases compared to controls.
(p<0.05) Similarly, there is significant higher mean level of CC diameter,
AP diameter and CSA in RLD position in cases compared to controls.
(p<0.05) The gastric volume was significantly higher in Diabetics
(39.07+ 8.39)compared to the Normal individuals(9.28+ 4.11) in the
study. (p<0.05)
CONCLUSION :
Diabetic patients have significantly higher fasting gastric volumes as
measured using point of care ultrasonography, in comparison to non
diabetic patients.
