Conscious Sedation Reduces Fear to the Test and Increases the Acceptability of Colonoscopy

Prospective Study of Combined Colon and Endometrial Cancer Screening in Women With Lynch Syndrome: A Patient-Centered Approach

“…1,4,12 In Lynch syndrome-associated colorectal cancers, regular colonoscopies have resulted in significantly decreased incidence (approximately 60%) and improved overall and colorectal cancer-related survival. 1,4,12 In Lynch syndrome-associated colorectal cancers, regular colonoscopies have resulted in significantly decreased incidence (approximately 60%) and improved overall and colorectal cancer-related survival.…”

“…3,5 Previously published prospective data suggest the benefit of colorectal cancer screening in Lynch syndrome carriers. 12 Given the similarity in the recommended intervals for colorectal and endometrial cancer screening in Lynch syndrome, it is reasonable to consider offering both tests concurrently under sedation for affected women. [6][7][8] Although data on the efficacy of endometrial cancer screening in this subset of patients are limited, current recommendations advise women to undergo annual endometrial biopsy (EMB) beginning between the ages of 30 to 35 years, or 10 years before the age at which a family member first received an endometrial cancer diagnosis.…”

Updated S3 Guideline “Sedation for Gastrointestinal Endoscopy” of the German Society of Gastroenterology, Digestive and Metabolic Diseases (DGVS) – June 2023 – AWMF-Register-No. 021/014

“…In contrast, in Germany 87 % of colonoscopies and 74 % of esophagogastroduodenoscopies are performed with sedation 13 51 . However, in Spain, less than 20 % patients are sedated during colonoscopy 52 . A recent Greek survey found that 83.3 % of patients are sedated during endoscopy 53 .…”

Aktualisierte S3-Leitlinie „Sedierung in der gastrointestinalen Endoskopie“ der Deutschen Gesellschaft für Gastroenterologie, Verdauungs- und Stoffwechselkrankheiten (DGVS)

“…In Italien gehört eine Sedierung zum Standardvorgehen, dagegen werden in Deutschland 87 % aller Koloskopien und 74 % der Ösophagogastroduodenoskopien mit Sedierung durchgeführt 13 51 . In Spanien werden dagegen weniger als 20 % der Patienten mit einer Sedierung koloskopiert 52 . Eine kürzlich durchgeführte Umfrage aus Griechenland ergab, dass 83,3 % der Patienten bei einer Endoskopie sediert werden 53 .…”