Author(s)

Li Ma¹, Fan Yang², Zhiqin Zhu², Tianhao Li³, Isaac Kumi Adu^4,5, Peixue Wang^2*

¹Department of Gastroenterology, Jianli People’s Hospital, Jianli, China.
²Department of Gastroenterology, The First People’s Hospital of Jingzhou City (The First Affiliated Hospital of Yangtze University), Jingzhou, China.
³Endoscopy Center, The First People’s Hospital of Jingzhou (The First Affiliated Hospital of Yangtze University), Jingzhou, China.
⁴Health Science Center, Yangtze University, Jingzhou, China.
⁵Department of Internal Medicine, Kings and Queens Medical University College and Teaching Hospital, Akosombo, Ghana.

Objective: To investigate the effect of oral glucose combined with short-term intravenous nutrition on the prevention of hypoglycemia after endoscopic colorectal polypectomy and to provide guidance for better management of such patients. Methods: 860 patients who underwent endoscopic colorectal polypectomy for colorectal polyps in the Department of Gastroenterology of the First Affiliated Hospital of Yangtze University from January 2020 to December 2021 were selected for the study. The patients were divided into experimental and control groups according to the random number table method, with 430 patients in each group. In the control group, 3 L of polyethylene glycol electrolyte dispersion was used for preoperative intestinal preparation and postoperative fasting was performed routinely for 24 h. Short-term intravenous nutrition support was provided by rehydration, and finger blood glucose was monitored at 1, 4, and 8 h after intravenous infusion or when there were symptoms such as panic and cold sweat; in the experimental group, oral glucose intervention was implemented on the basis of the control group. The incidence of postoperative hypoglycemia, quality of bowel preparation, and tolerance of patients during bowel preparation were compared between the 2 groups. Results: The incidence of postoperative blood glucose < 3.9 mmol/L, incidence of hypoglycemic reaction, and incidence of hypoglycemia in the experimental group were significantly lower than those in the control group, and there were no significant differences in intestinal cleanliness and tolerability between the experimental and control groups. Conclusion: Based on the present study population, oral glucose combined with short-term intravenous nutrition can effectively prevent the incidence of hypoglycemia in patients after endoscopic colorectal polypectomy; however, this was limited to a single-center study and the number of cases was small.

Colorectal Polyps, Endoscopic Polypectomy, Intravenous Nutrition, Glucose, Hypoglycemia

Ma, L. , Yang, F. , Zhu, Z. , Li, T. , Adu, I. and Wang, P. (2023) Oral Glucose Combined with Short-Term Intravenous Nutrition for the Prevention of Hypoglycemia after Endoscopic Colorectal Polypectomy. Yangtze Medicine, 7, 155-161. doi: 10.4236/ym.2023.73015.