TITLE:
Safety and Feasibility of Oral Rehydration Solution Prior to Endoscopic Retrograde Cholangiopancreatography
AUTHORS:
Takamitsu Sasaki, Daisuke Kato, Ryohei Sakamoto, Satoshi Shinya, Hironari Shiwaku, Kanefumi Yamashita, Ryo Nakashima, Yuichi Yamashita
KEYWORDS:
Endoscopic Retrograde Cholangiopancreatography, Oral Rehydration Therapy, Oral Rehydration Solution, Post-ERCP Pancreatitis, Complication
JOURNAL NAME:
Surgical Science,
Vol.6 No.3,
February
28,
2015
ABSTRACT: Purpose: The safety of oral rehydration therapy before endoscopic
screening with respect to vital signs and complications after the screening
procedure was assessed in patients undergoing endoscopic retrograde
cholangiopancreatography (ERCP). Methods: A total of 107 patients scheduled for
ERCP were assigned to either the intravenous drip injection (DIV) group during
fasting (56 patients) or ORS group given oral rehydration solution (51
patients) prior to endoscopy. Vital signs after ERCP, including blood pressure
and temperature, blood biochemical data and the incidence of post-ERCP
complications were compared between the groups. Results: No cases of aspiration
pneumonia were detected in either groups. Moreover, there were no statistically
significant differences between the DIV group and ORS group in terms of the
biochemical data and vital signs after ERCP. The intergroup difference in the
development of pancreatitis after ERCP was 2.3% [95% CI: ?5.7, 10.3], which was
not statistically significant. Conclusions: The safety of oral rehydration
therapy was found to be equivalent to that of the customary practice of
infusion as a method for managing hydration and replenishing electrolytes in
patients receiving ERCP. Oral rehydration therapy may be easily utilized as
rehydration therapy prior to endoscopic screening for ERCP and other procedures.