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Table 1 Preparative dietary protocols at our institution

From: Change the preprocedural fasting policy for contrast-enhanced CT: results of 127,200 cases

 

Dietary preparation instructions

Solid food

Low residue/fiber food

Clear liquids

Clinical scenarios

 

Rice, steamed buns, noodles, bread, meat, vegetables, fruits, eggs, etc.

Congee, yogurt, milk, soy milk, soup, etc.

Water, juice, non-carbonated beverages, tea, etc.

Abdominal examination

The upper abdomen, the whole abdomen, or the combined examination involving the upper abdomen or the whole abdomen1 (the detection of the gastrointestinal cavity lesions is excluded)

Fast for 4 h

Fast for 3 h

Unrestricted ingestion

 

The lower abdomen (kidneys, adrenal glands, renal artery, urinary system, etc.), pelvic cavity (bladder, uterus, appendages, prostate, etc.)

Unrestricted ingestion (greasy and fried foods are excluded)

Unrestricted ingestion

Unrestricted ingestion

 

Three-dimensional imaging of the lumen (such as gastrointestinal cavity enhanced CT)

Fast for 4–6 h

Fast for 3 h

Unrestricted ingestion

Non-abdominal examination

Contrast-enhanced CT and angiography of head, neck, chest, limbs and other parts

Unrestricted ingestion (greasy and fried foods are excluded)

Unrestricted ingestion

Unrestricted ingestion

Special population

Severe esophageal diseases or gastric emptying disorders, patients at risk of aspiration2, patients require fasting for clinical treatment, examination under general anesthesia or sedation

Foods and water were restricted according to clinical treatment needs. Intravenous supplementation of sugar and salt water was performed when necessary

  1. 1The dietary preparation regimen of patients undergoing multi-site combined examination was based on the site that required fasting
  2. 2The risk of aspiration included disturbance of consciousness, increased intracranial pressure, and impaired swallowing reflex, and so on