Correlation between fasting time and bleeding, infection, and perforation after high-frequency electroresection of polyps under colonoscopy.
Shijie Huaren Xiaohua Zazhi 2023;
31:973-980. [DOI:
10.11569/wcjd.v31.i23.973]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/26/2023] [Revised: 09/14/2023] [Accepted: 11/27/2023] [Indexed: 12/08/2023] Open
Abstract
BACKGROUND
Endoscopic mucosal resection (EMR) is a common method for treating colorectal polyps. The duration of fasting after the operation has been the focus of clinical attention. However, there is currently a lack of research on the correlation between fasting duration and the occurrence of bleeding, infection, and perforation.
AIM
To explore the relationship between fasting time and bleeding, infection, and perforation after colonoscopic electro-resection of polyps to provide guidance on fasting strategies for postoperative patients.
METHODS
In a cohort of 14857 colorectal polyp patients admitted to the Second People's Hospital of Luqiao District from 2000 to 2023, a case-control study design with matching propensity scores was used to evaluate the risk of bleeding and perforation after polypectomy in adults aged 40 years and older; 3505 patients with short-term postoperative fasting and 9669 patients with prolonged postoperative fasting met the study criteria. A total of 2560 patients in each group were matched for further analysis. The postoperative fasting time of the experimental group was 2 h, and the postoperative fasting time of the control group was 24 h. The liquid food was gradually replaced with semi-liquid food and ordinary food according to the size of the incision and the effect of the operation. The postoperative follow-up duration was 1 mo, and the incidence of postoperative bleeding, infection, and perforation in both groups was recorded.
RESULTS
In the short fasting group, the rates of bleeding, infection, and perforation were 0.64%, 0.07%, and 0.07%, respectively. In the long fasting group, the rates of bleeding, infection, and perforation were 0.40%, 0.04%, and 0.04%, respectively. There was no significant difference between the two groups in terms of the rates of bleeding, infection, and perforation.
CONCLUSION
Based on these results, it can be preliminarily concluded that the duration of postoperative fasting may not have a significant effect on the incidence of bleeding, infection, and perforation after colonoscopic high-frequency electroresection of polyps. For choosing fasting time, strategies can be developed according to the specific situation and actual needs of the patient. However, it is important to note that this is only a retrospective study and more clinical studies are needed to further validate our findings and explore other possible influencing factors.
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