Unanticipated full stomach at anesthesia induction in a type I diabetic patient with asymptomatic gastroparesis.
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.
Tokumine
Joho
J
Department of Anesthesiology, Faculty of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa, 903-0215, Japan.
Sugahara
Kazuhiro
K
Fuchigami
Tatsuya
T
Teruya
Koji
K
Nitta
Kenichi
K
Satou
Kimiyoshi
K
D000328:Adult; D000768:Anesthesia, General; D001786:Blood Glucose / Q000378:metabolism; D003922:Diabetes Mellitus, Type 1 / Q000150:complications*; D003930:Diabetic Retinopathy / Q000150:complications / Q000601:surgery; D004043:Dietary Fiber; D018589:Gastroparesis / Q000150:complications* / Q000503:physiopathology; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology; D008297:Male; D011015:Pneumonia, Aspiration / Q000209:etiology*; D012624:Seaweed; D014821:Vitrectomy
D001786:Blood Glucose; D004043:Dietary Fiber