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To test the benefits of extra high carbohydrate liquid diet uptake 2 hours before ERCP in improving patients' early recovery.
Enhanced recovery after surgery (ERAS) has been formed of procedure which contains preoperative education, improvement of anesthesia, reducing the number of drainage tubes, and early diet after surgery. In recent years, because of its positive advantages, ERAS was widely accepted in surgical fields.
For upper gastrointestinal surgery, high-carbohydrate drinks can be given 2 hours before surgery in order to guarantee the stability of blood glucose and circulation during the operation. It obviously reduce the preoperative thirst, hunger, irritability and even the incidence of postoperative complications.
However ERAS program is rarely studied in ERCP. Theoretically we can use ERAS as a strategy to reduce post-ERCP uncomfortable and complications.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| High carbohydrate liquid diet | Experimental | No need preoperative fasting more than 6 hours. Uptake 400ml high carbohydrate liquid diet 2 hours before ERCP. |
|
| Routine ERCP group | No Intervention | Preoperative fasting more than 6 hours as usual. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 400ml high carbohydrate liquid diet before ERCP | Procedure | 400ml high carbohydrate liquid diet uptake 2 hours before ERCP |
|
| Measure | Description | Time Frame |
|---|---|---|
| Levels of fatigue (Fatigue Scale-14 scoring system) | The patients always feel tired and faint. The clinical manifestation includes slow to respond, the flexibility and coordination disorders. | 6 months |
| Abdominal pain | Pain score (scores:1-10) | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| The average incubation time | The time of total procedure | 6 months |
| Successful cannulation time | From first achieve the papilla to success cannulation |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Xun Li, M.D., Ph. D. | Hepatopancreatobiliary Surgery Institute of Gansu Province | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Third Military Medical University | Chongqing | Chongqing Municipality | 400038 | China | ||
| The first hospital of Lanzhou university |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37620294 | Derived | Meng W, Leung JW, Wang Z, Li Q, Zhang L, Zhang K, Wang X, Wang M, Wang Q, Shao Y, Zhang J, Yue P, Zhang L, Zhu K, Zhu X, Zhang H, Hou S, Cai K, Sun H, Xue P, Liu W, Wang H, Zhang L, Ding S, Yang Z, Zhang M, Weng H, Wu Q, Chen B, Jiang T, Wang Y, Zhang L, Wu K, Yang X, Wen Z, Liu C, Miao L, Wang Z, Li J, Yan X, Wang F, Zhang L, Bai M, Mi N, Zhang X, Zhou W, Yuan J, Suzuki A, Tanaka K, Liu J, Nur U, Weiderpass E, Li X. Safety of high-carbohydrate fluid diet 2 h versus overnight fasting before non-emergency endoscopic retrograde cholangiopancreatography: A single-blind, multicenter, randomized controlled trial. Chin Med J (Engl). 2024 Jun 20;137(12):1437-1446. doi: 10.1097/CM9.0000000000002820. Epub 2023 Aug 24. |
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| ID | Term |
|---|---|
| D005221 | Fatigue |
| ID | Term |
|---|---|
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| 6 months |
| Postoperative abdominal distention | Distention uncomfortable | 6 months |
| Postoperative nausea and vomiting | Nausea or vomiting after procedure | 6 months |
| Complications | Pancreatitis, cholangitis, bleeding, aspiration, et,al. | 6 months |
| Blood glucose | Intra-operative blood glucose and 2 hours' blood glucose after procedure | 6 months |
| Intraoperative residues in stomach | The volume of stomach residues | 6 months |
| The time eating | The time of eager to eat after procedure | 6 months |
| Length of hospital stay | Days of hospital stay | 6 months |
| Lanzhou |
| Gansu |
| 730000 |
| China |
| The Second Affiliated Hospital of Guangzhou Medical University | Guangzhou | Guangdong | 510260 | China |
| The Second Hospital of Hebei Medical University | Shijiazhuang | Hebei | 050000 | China |
| Tongji medical collage,Huazhong University of science and technology | Wuhan | Hubei | 430022 | China |
| Second Xiangya Hospital, Central South University | Changsha | Hunan | 410011 | China |
| The First Hospital of Jilin University | Changchun | Jilin | 130021 | China |
| General Hospital of Ningxia Medical University | Yingchuan | Ningxia | 750004 | China |
| The first affiliated hospital of Xi 'an jiaotong university | Xi'an | Shaanxi | 710061 | China |
| Shandong jiaotong Hospital | Jinan | Shandong | 250000 | China |
| Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine | Shanghai | Shanghai Municipality | 200092 | China |
| Taiyuan Iron and Steel Corporation Hospital | Taiyuan | Shanxi | 030008 | China |
| Tianjin Nankai Hospital | Tianjin | Tianjin Municipality | 300100 | China |
| The First Teaching Hospital of Xinjiang Medical University | Ürümqi | Xinjiang | 830054 | China |
| Shulan Hospital of Zhejiang University | Hangzhou | Zhejiang | 310003 | China |