{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T12:12:07Z","timestamp":1778155927935,"version":"3.51.4"},"reference-count":0,"publisher":"Biomedical Informatics","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Bioinformation"],"published-print":{"date-parts":[[2026,4,30]]},"abstract":"<jats:p>Although there are evidence-based guidelines for the recommended approach to pre-operative fasting, there is still an ongoing pattern of extended use of pre-operative fasting (\"nil by mouth after midnight\") in gastrointestinal surgeries which may result in increased levels of patient discomfort as well as post-operative complications. Therefore, it is of interest to evaluate patients' knowledge, attitudes and practices (KAP), related to pre-operative fasting among 200 elective gastrointestinal surgical patients and to assess its association with post-operative outcomes. The average fasting duration was 10.8 \u00b1 2.7 hours for solids and 8.2 \u00b1 2.3 hours for liquids, which was significantly longer than the guideline recommendations and the patients had higher rates of nausea, dehydration and wound infections as evidenced by lower KAP scores (p &lt; 0.05). Those patients who had a better understanding of pre-operative fasting as well as better practices of pre-operative fasting had shorter fasting periods and reduced complications after surgery. Thus, we show that a structured patient-centered approach for pre-operative fasting education and standardized means for communicating pre-operative fasting instructions lead to decreased periods of fasting and improved overall perioperative outcomes following gastrointestinal surgery.<\/jats:p>","DOI":"10.6026\/973206300222235","type":"journal-article","created":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T11:36:06Z","timestamp":1778153766000},"page":"2235-2239","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge, attitude and practice of pre-operative fasting in gastrointestinal surgery: Post-operative complications"],"prefix":"10.6026","volume":"22","author":[{"given":"Mohammed Mushthaque","family":"Muzammil","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Dr Moopen\u2019s Medical College, Wayanad, Kerala, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siddiqui","family":"R.A.","sequence":"additional","affiliation":[{"name":"Department of Pharmacology, NKP Salve Institute of Medical sciences & RC and LMH, Nagpur, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gourav Singh","family":"Shekhawat","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Rajasthan University of Health Science and Jai Durga College of Nursing, Rajasthan, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4070","published-online":{"date-parts":[[2026,4,30]]},"container-title":["Bioinformation"],"original-title":[],"deposited":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T11:36:07Z","timestamp":1778153767000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.bioinformation.net\/022\/973206300222235.htm"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,30]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2026,4,30]]},"published-print":{"date-parts":[[2026,4,30]]}},"URL":"https:\/\/doi.org\/10.6026\/973206300222235","relation":{},"ISSN":["0973-8894","0973-2063"],"issn-type":[{"value":"0973-8894","type":"print"},{"value":"0973-2063","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,30]]}}}