Gastric emptying of "clear liquid drinks" assessed with gastric ultrasonography: a blinded, randomized pilot study

Sher Lu Pai, Elird Bojaxhi, Ilana I. Logvinov, Steven Porter, Neil G. Feinglass, Christopher B. Robards, Klaus D. Torp

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Protein-containing liquids may delay gastric emptying and increase risk of aspiration. Commercial whey protein nutritional drinks (WPNDs) are advertised as "clear liquid nutritional drinks" and can be mistaken for protein-free, carbohydrate-based clear liquids. We used gastric ultrasonography to compare gastric emptying of a protein-free, carbohydrate-based clear liquid with that of a WPND in healthy volunteers. METHODS: We recruited 19 adult (age ≥18 years) volunteers with a body mass index less than 40 kg/m2 and without a history of diabetes mellitus, dysphagia, prior gastric surgery, or allergy to the ingredients of apple juice (AJ) or a WPND. After fasting for eight hours, the volunteers randomly received 474 mL of AJ or a WPND. Gastric ultrasonographic measurements were obtained at baseline and at 0, 30, 60, and 120 minutes after ingestion of the liquid. RESULTS: We enrolled 19 volunteers. At 120 minutes after consumption, volunteers who ingested a WPND had a larger estimated gastric volume (GV) than volunteers who ingested AJ (median [interquartile range], 101.3 [70.0-137.4] vs. 50.6 [43.9-81.8] mL; P=.08). By using the 2-sample t test and an α level of .05, we determined that the study had 40% power to detect a significant difference in GV. Future studies need to include 24 participants per group to detect a significant difference. CONCLUSIONS: Although consumption of a WPND was associated with a larger estimated GV in this pilot study, a larger study is necessary to conclude whether patients must fast longer than two hours after consumption of a WPND.

Original languageEnglish (US)
Pages (from-to)165-171
Number of pages7
JournalMinerva anestesiologica
Volume86
Issue number2
DOIs
StatePublished - Feb 1 2020

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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    Pai, S. L., Bojaxhi, E., Logvinov, I. I., Porter, S., Feinglass, N. G., Robards, C. B., & Torp, K. D. (2020). Gastric emptying of "clear liquid drinks" assessed with gastric ultrasonography: a blinded, randomized pilot study. Minerva anestesiologica, 86(2), 165-171. https://doi.org/10.23736/S0375-9393.19.13822-9