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Unanticipated full stomach at anesthesia induction in a type I diabetic patient with asymptomatic gastroparesis

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Abstract

We encountered a case of unanticipated full stomach at anesthesia induction, despite a 12-h fasting period, in a type I diabetes patient with diabetic neuropathy presenting for elective vitrectomy for proliferative diabetic retinopathy. The patient had ingested seaweed 24 h prior to the surgery, and it was later found in the aspirated gastric content. Gastrointestinal dysfunction due to diabetic neuropathy and the high fiber content of the ingested seaweed are the probable causes of unanticipated full stomach in our case.

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Authors and Affiliations

  1. Department of Anesthesiology, Faculty of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa, 903-0215, Japan

    Joho Tokumine, Kazuhiro Sugahara, Tatsuya Fuchigami, Koji Teruya & Kenichi Nitta

  2. Department of Anesthesia, Nakagami Hospital, Okinawa, Japan

    Kimiyoshi Satou

Authors
  1. Joho Tokumine
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  2. Kazuhiro Sugahara
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  3. Tatsuya Fuchigami
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  4. Koji Teruya
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  5. Kenichi Nitta
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  6. Kimiyoshi Satou
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Tokumine, J., Sugahara, K., Fuchigami, T. et al. Unanticipated full stomach at anesthesia induction in a type I diabetic patient with asymptomatic gastroparesis. J Anesth 19, 247–248 (2005). https://doi.org/10.1007/s00540-005-0321-5

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  • DOI: https://doi.org/10.1007/s00540-005-0321-5

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