Impact of reducing the duration of fasting and no drinking on the experiences of older patients receiving painless gastroscopy: a randomized controlled trial

In this random trial of older patients undergoing painless gastroscopy, ingestion of 250 ml opaque liquid 4 h before, followed by 250 ml water 2 h before, improved pre-procedure comfort and patient satisfaction compared with conventional fasting. We observed no statistically significant increase in clinically identified gastric reflux, aspiration, or impaired endoscopic field clarity; however, the incidence of such adverse events was low, and the trial was not powered to exclude small increases in rare but serious complications. Larger studies would be required to definitively establish safety equivalence.