title: Unanticipated full stomach at anesthesia induction in a type I diabetic patient with asymptomatic gastroparesis.
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.
authors: Department of Anesthesiology, Faculty of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa, 903-0215, Japan.
authors: Joho
authors: J
authors: Tokumine
authors: Kazuhiro
authors: K
authors: Sugahara
authors: Tatsuya
authors: T
authors: Fuchigami
authors: Koji
authors: K
authors: Teruya
authors: Kenichi
authors: K
authors: Nitta
authors: Kimiyoshi
authors: K
authors: Satou
mesh_terms: 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
chemical_list: D001786:Blood Glucose; D004043:Dietary Fiber