|
KMID : 0931320140140010039
|
|
대한상부위장관.헬리코박터학회지
2014 Volume.14 No. 1 p.39 ~ p.44
|
|
|
The Effect of Oral Cola Ingestion for Endoscopic Inspection of Remnant Stomach: Randomized Case Control Study
|
|
Kim Ho
Kim Key-Hyeon
Kim Ji-Won
Jeoung Yong
Yoo Yang-Jae
Joo Moon-Kyung
Lee Beom-Jae
Kim Ji-Hoon
Yeon Jong-Eun
Park Jong-Jae
Byun Kwan-Soo
Bak Young-Tae
Lee Sang-Woo
|
|
|
Abstract
|
|
|
Background/Aims: Nasogastric administration of cola for dissolution of phytobezoar was reported but the mechanism is not well understood. We aimed to evaluate the efficacy of cola ingestion for upper gastrointestinal endoscopy in patients who have had distal gastrectomy.
Materials and Methods: Patients were enrolled from July 2007 to October 2007 and all previously received subtotal gastrectomy. We conducted a randomized case-control study which the patients were randomly assigned to two groups. Group A had preparation with cola and group B had no preparation. Cola preparation group ingested about 1,500 mL of cola between 7 PM to 10 PM in the evening before the procedure. Two examiners who were blinded to the type of preparation performed the endoscopy. We assessed the degree of food residue and bile reflux by Japanese classification.
Results: A total of 70 patients were included. The comparison of clinical and laboratory characteristics between the two groups showed no statistically significant difference. During endoscopy, food residue was less found in group A than B, but without statisti-cally significance (group A=12.1%, group B=21.6%, P=0.087). However, bile reflux was significantly less found in group A than B (group A=36.4%, group B=67.6%, P=0.015). Multivariate analysis, cola preparation significantly reduced food residue (OR, 0.032; P=0.001) and bile reflux (OR, 0.102; P=0.001).
Conclusions: Preparation with cola in the evening before endoscopic examination may provide a good quality of preparation in pa-tient with remnant stomach after distal gastrectomy.
|
|
|
KEYWORD
|
|
|
Cola, Gastric stump, Gastrectomy, Food residue, Bile reflux
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|
|