{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T03:52:12Z","timestamp":1792468332797,"version":"4.5.0"},"reference-count":17,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2017,9,13]],"date-time":"2017-09-13T00:00:00Z","timestamp":1505260800000},"content-version":"vor","delay-in-days":43,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Digest Diseases"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>There are currently no standardized guidelines for adequately determining the fasting period following gastric endoscopic submucosal dissection (ESD). The aim of this study was to determine the appropriate fasting period.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>The enrolled patients were randomized into a short and a long\u2010fasting group. In the short\u2010fasting group, patients had fasted until the day after the ESD. In the long\u2010fasting group, patients had fasted until 2 days after the ESD. A second\u2010look endoscopy was performed immediately prior to starting to eat meals. The primary end\u2010point was the measurement of discomfort\u2010related ESD after starting meals such as epigastric pain, heartburn, regurgitation, nausea and vomiting. Secondary end\u2010points included the bleeding rate after starting meals, hospital stay, patient satisfaction and hemostasis upon second\u2010look endoscopy.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>We analyzed data from 101 of 110 randomized patients. Both groups demonstrated similar baseline characteristics. There were no significant differences in reports of epigastric pain, heartburn, regurgitation, nausea and vomiting after starting meals. Both groups demonstrated similar hemostasis rates upon second\u2010look endoscopy (26% <jats:italic>vs<\/jats:italic> 31.4%, <jats:italic>P<\/jats:italic> = 0.551) and bleeding rate (4% <jats:italic>vs<\/jats:italic> 0%, <jats:italic>P<\/jats:italic> = 0.149). The duration of hospital stay was significantly shorter in the short\u2010fasting group (4.3 days <jats:italic>vs<\/jats:italic> 5.1 days, <jats:italic>P<\/jats:italic> &lt; 0.001), and patient satisfaction was greater (<jats:italic>P<\/jats:italic> = 0.003) than in the long\u2010fasting group.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>A short fasting protocol does not cause discomfort related to ESD or influence post\u2010ESD bleeding. Moreover, the short fasting protocol results in shorter hospital stays and greater patient satisfaction.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1751-2980.12501","type":"journal-article","created":{"date-parts":[[2017,6,23]],"date-time":"2017-06-23T22:08:21Z","timestamp":1498255701000},"page":"445-452","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Optimal duration of fasting period after endoscopic submucosal dissection for gastric epithelial neoplasia: A prospective evaluation"],"prefix":"10.1111","volume":"18","author":[{"given":"Kwang Hoon","family":"Oh","sequence":"first","affiliation":[{"name":"Department of Gastroenterology Gangneung Asan Hospital, Ulsan University College of Medicine  Gangneung Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang Jin","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Gangneung Asan Hospital, Ulsan University College of Medicine  Gangneung Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jong Kyu","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Gangneung Asan Hospital, Ulsan University College of Medicine  Gangneung Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,9,13]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s101200200031"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.4166\/kjg.2014.63.2.90"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10120-006-0389-0"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2006.03.932"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.5009\/gnl.2011.5.4.418"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1443-1661.2012.01376.x"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10120-006-0408-1"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1443-1661.2004.00413.x"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-009-0009-3"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2010.10.003"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2014.05.062"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1443-1661.2012.01347.x"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-013-3336-2"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2008.09.027"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-015-3693-x"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2013.02.008"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.5009\/gnl13226"}],"container-title":["Journal of Digestive Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2F1751-2980.12501","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1751-2980.12501","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T20:44:53Z","timestamp":1696279493000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1751-2980.12501"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,8]]},"references-count":17,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2017,8]]}},"alternative-id":["10.1111\/1751-2980.12501"],"URL":"https:\/\/doi.org\/10.1111\/1751-2980.12501","archive":["Portico"],"relation":{},"ISSN":["1751-2972","1751-2980"],"issn-type":[{"value":"1751-2972","type":"print"},{"value":"1751-2980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,8]]},"assertion":[{"value":"2017-03-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-06-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-09-13","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}