Effects of Preoperative Honey Drink on Gastric Content, Perioperative Discomfort and Insulin Resistance in Patients Undergoing Open Colorectal Surgery a Randomized, Controlled Trial
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2016, Vol 14, Issue 7
Abstract
Background and Aims: Preoperative fasting and surgery cause uncomfortable condition, metabolic stress and insulin resistance for the patient. A recent study in colorectal patients indicates that even small elevations of insulin resistance increase the risk of complications. Preoperative carbohydrate can reduce perioperative discomfort and insulin resistance. We investigated the effects of honey as preoperative carbohydrate-rich drink on the residual gastric contents, perioperative discomfort, and insulin resistance. Methods: Randomized, prospective, controlled study. Thirty colorectal cancer patients who underwent elective open colorectal surgery were randomized and divided into the treatment or control group. Patients in treatment group (n = 15) received 250 ml water containing 50 ml honey on the evening and 2-3 hours preoperatively. Control patients (n = 15) underwent overnight fasting. Three different discomfort variables (thirst, hunger and tiredness), residual gastric content, plasma glucose, insulin concentrations and insulin resistance index were recorded during the perioperative period. Results: Patient and operative characteristics did not differ between groups. There was no statistical difference between the two groups with respect to gastric residue content. Subjective well-being was significantly better in the treatment group. Plasma glucose, serum insulin levels and insulin resistance index were found to remain significantly lower in the treatment group. Conclusion: The preoperative honey drink does not appear to alter the volume of residual gastric contents, suggesting that this is safe procedure. Preoperative honey intake is advantageous due to reducing perioperative discomfort and insulin resistance.
Authors and Affiliations
Sudiyatmo . , M. Iqbal Rivai, Nasman Puar, Nur Indrawaty Lipoeto
Keywords
Related Articles
- EP ID EP340424
- DOI 10.9734/BJMMR/2016/24374
- Views 80
- Downloads 0
Seroprevalence and Factors Associated with Herpes Simplex Virus Type 2 and Chlamydia trachomatis among Women Attending AIDS Care Unit at the Bonassama District Hospital
Background: Infections with Herpes Simplex Virus Type-2 (HSV-2) and Chlamydia trachomatis is the most common cause of genital ulcer disease and cervicitis worldwide. There is little information on the prevalence of these...
A Body Divided: Toward Reunification of the Paradigm
Symptoms without obvious physical cause are commonly reported in medical practice; when chronic, they can have a significant influence on patients' well-being. When traditional medicine is unable to provide relief, suffe...
Combination of Platelet Rich Fibrin with Hydroxyapatite in Treating a Large Periapical lesion-Case Report of Young Patient
The primary goal of any dental treatment is the maintenance of the natural dentition in health and for optimum function, and esthetics. Successful treatment for periapical lesion depends on removal of lesion along with c...
Prevalence of Self Reported Sleep Problems among Patients with HIV Infection in Sokoto, Nigeria
Background: Sleep disturbance results in physical, mental and emotional disturbances among patients with HIV infection. In spite of these observations, studies of sleep problems among HIV patients from Sub-Saharan Africa...
Use of Cranial Computed Tomography (CT) in Elderly Patients Presenting After a Fall: Can We Predict Those Having Abnormal Head CT Scans
Aims: Identify factors predictive of increased risk of intracranial injury and assess the ability of the non-age related components of the New Orleans head CT criteria (NOC) to guide decision-making. Study Design: Retros...