Effect of upper gastrointestinal endoscopy on cardiopulmonary changes in very old patients

Seinelä, Lauri; Reinikainen, Pekka; Ahvenainen, Jari

doi:10.1016/s0167-4943(03)00002-5

Cited by 26 publications

(17 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Cardiopulmonary complications in elderly patients have been evaluated during gastroscopy. Elderly patients who undergo gastroscopy may be at risk of developing cardiopulmonary complications resulting from preexisting cardiovascular diseases, the sympathetic response when the gastroscope is inserted through the throat, and prolonged procedure time (5,6,19,20). In addition, elderly patients may be more susceptible to silent myocardial ischemia.…”

Section: A B Cmentioning

confidence: 99%

“…Despite the benefits of using anesthesia for gastroscopy, it has significant drawbacks. Anesthesia can delay patient recovery and discharge time, and increases the risk of cardiopulmonary complications, which are understood to account for ~50% mortality and ~60% morbidity associated with upper gastrointestinal endoscopy (5,6). This risk is increased in elderly patients or those with cardiovascular diseases and upper gastrointestinal bleeding (7).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Safety and efficacy of etomidate and propofol anesthesia in elderly patients undergoing gastroscopy: A double-blind randomized clinical study

Meng

Cao

Liu

et al. 2016

Experimental and Therapeutic Medicine

View full text Add to dashboard Cite

Abstract. The aim of the present study is to compare the safety, efficacy and cost effectiveness of anesthetic regimens by compound, using etomidate and propofol in elderly patients undergoing gastroscopy. A total of 200 volunteers (65-79 years of age) scheduled for gastroscopy under anesthesia were randomly divided into the following groups: P, propofol (1.5-2.0 mg/kg); E, etomidate (0.15-0.2 mg/kg); P+E, propofol (0.75-1 mg/kg) followed by etomidate (0.075-0.1 mg/kg); and E+P, etomidate (0.075-0.01 mg/kg) followed by propofol (0.75-1 mg/kg). Vital signs and bispectral index were monitored at different time points. Complications, induction and examination time, anesthesia duration, and recovery and discharge time were recorded. At the end of the procedure, the satisfaction of patients, endoscopists and the anesthetist were evaluated. The recovery (6.1±1.2 h) and discharge times (24.8±2.8 h) in group E were significantly longer compared with groups P, P+E and E+P (P<0.05). The occurrence of injection pain in group P+E was significantly higher compared with the other three groups (P<0.05). In addition, the incidence of myoclonus and post-operative nausea and vomiting were significantly higher in group P+E compared with the other three groups (P<0.05). There was no statistical difference among the four groups with regards to the patients' immediate, post-procedure satisfaction (P>0.05). Furthermore, there was no difference in the satisfaction of anesthesia, as evaluated by the anesthetist and endoscopist, among the four groups (P>0.05). The present study demonstrates that anesthesia for gastroscopy in elderly patients can be safely and effectively accomplished using a drug regimen that combines propofol with etomidate. The combined use of propofol and etomidate has unique characteristics which improve hemodynamic stability, cause minimal respiratory depression and less side effects, provide rapid return to full activity and result in high levels of satisfaction.

show abstract

Section: A B Cmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Safety and efficacy of etomidate and propofol anesthesia in elderly patients undergoing gastroscopy: A double-blind randomized clinical study

Meng

Cao

Liu

et al. 2016

Experimental and Therapeutic Medicine

View full text Add to dashboard Cite

show abstract

“…Decrease in visceral pain with age (18) can be a plausible explanation why older patients tolerate more. Conversely, a more fixed mesocolon in younger patients might cause more pain and less tolerance for that particular age group (31) . Higher tolerance with age was gradually observed until 60 years old.…”

Section: Agementioning

confidence: 99%

“…This can be determined by appropriate indication (29) , adequate mucosa visibility, minimum discomfort and risk to the patient, low rate of complications and good patient cooperation (3) . Particularly at higher risk for complications (31) are the elderly, patients with cardiopathies and thus more prone to desaturation, and those with poor tolerance regarding heart disease and arrhythmias.…”

Section: Introductionmentioning

confidence: 99%

What Are the Most Important Factors Regarding Acceptance to the Colonoscopy?

Ussui

Silva

Borges

et al. 2013

Arq. Gastroenterol.

View full text Add to dashboard Cite

-Context -Colonoscopy plays an indubitable role in the setting of clinical practice, however, it is an invasive exam; complex, lengthy, embarrassing, not devoid of risks and discomfort that yields fear and anxiety in the majority of patients. In a new era of rising competition between health institutions, where the quality of health care and client satisfaction are praised, studies regarding tolerance-related colonoscopy issues yield great potential to be explored. In the present study, tolerance is defined as willingness to repeat the exam. Objectives -Evaluate information associated to bowel preparation, the exam itself and post-examination period that might interfere with the tolerance to the colonoscopy. Methods -Analysis of the tolerance to the colonoscopy at three stages (pre, post, and during) through a checklist: patient's questionnaire and a medical assessment form were used. Results -In this present study, 91.2% of 373 patients exhibited positive tolerance to the colonoscopy. Aspects related to a negative level of tolerance were patient gender (12.9% of women versus 3.2% of men would not repeat the exam), age extremes (less than 20 years and greater than 80 years of age), and abdominal pain, both during the bowel preparation and after the procedure. Conclusions -Gender, age, patient cooperation and abdominal pain were the decisive components regarding tolerance to the colonoscopy. Notably, in two phases of the exam, the abdominal pain was the most important feature associated to a lessened tolerance. HEADINGS -Colonoscopy. Patient satisfaction. Abdominal pain.

show abstract

“…Asimismo, algunos problemas similares se han observado en otros procedimientos endoscópicos, especialmente en pacientes ancianos que padecen enfermedades cardíacas (23,24) . Se piensa que las complicaciones cardiopulmonares, ocurren al menos en el 60% de la morbilidad y el 50% de la mortalidad asociada con la endoscopía digestiva alta, y hasta un 50% de las muertes relacionadas con la CPRE (25) .…”

Section: Introductionunclassified

Factores asociados a complicaciones de la colangiopancreatografía retrógrada endoscópica en un hospital de alta complejidad

Quispe-Mauricio¹,

Sierra-Cahuata²,

Callacondo³

et al. 2010

Rev Peru Med Exp Salud Publica

View full text Add to dashboard Cite

RESUMENEl tratamiento endoscópico de las enfermedades de la vía biliar es posible gracias a la colangiopancreatografía retrógrada endoscópica (CPRE); no obstante, no está exenta de complicaciones. Objetivos. Describir las características e indicaciones de la CPRE y determinar los factores asociados al desarrollo de complicaciones tras la realización de este procedimiento. Materiales y métodos. Se realizó un estudio observacional retrospectivo en el Departamento de Gastroenterología del Hospital Nacional Guillermo Almenara Irigoyen en Lima, Perú; desde marzo de 2002 a junio de 2005. Resultados. Se evaluaron 294 informes en 280 pacientes, la mediana de la edad fue 58 y 155 (52,7%) fueron mujeres; cinco procedimientos se efectuaron en la Unidad de Cuidados Intensivos (UCI). La indicación más frecuente fue la coledocolitiasis en el 67,3% de los casos, 205 (69,7%) procedimientos fueron exitosos complicándose sólo 33 de ellos. Las complicaciones más frecuentes fueron la pancreatitis aguda y la hemorragia, en 16 y 13 pacientes, respectivamente. No se reportó casos de perforación o defunción. La canulación del conducto pancreático más de una vez fue un factor asociado (OR=2,01; IC95%: 1,11 -5,92; p=0,03). Conclusiones. El 11,2% de los casos se complicaron, siendo la pancreatitis aguda y la hemorragia leve las complicaciones más frecuentes. Sólo la canulación al conducto pancreático en más de una oportunidad es un factor asociado para tener complicaciones. Palabras clave: Pancreatocolangiografía retrógrada endoscópica; Complicaciones; Pancreatitis; Hemorragia; Canulación (fuente: DeCS BIREME). FACTORS ASSOCIATED TO COMPLICATIONS OF ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY IN A THIRD-LEVEL HOSPITAL ABSTRACTEndoscopic treatment of the bile duct diseases is possible thanks to the ERCP (endoscopic retrograde cholangio pancreatography), nevertheless, it is not free of complications. Objectives. To describe the characteristics and indications of the ERCP and determine the factors associated to the development of complications after performing the procedure. Materials and methods. An observational retrospective study was done in the Gastroenterology Department of the Hospital Guillermo Almenara Irigoyen in Lima, Peru, from March 2002 to June 2005. Results. 294 registers on 280 patients were evaluated, the median age was 58 and 155 (52.7%) were women, five procedures we done in the intensive care unit (ICU). The most frequent indication was choledochus litiasis in 67.3% cases. 205 (69.7%) procedures were successful, only 33 presented complications. The most frequent complications were acute pancreatitis and hemorrhage, in 16 and 13 patients respectively. There were no cases of perforation or death. Pancreatic duct cannulation more than once was an associated factor (OR=2.01; 95%CI: 1.11-5.92; p=0.03). Conclusions. 11.2% of cases presented complications, being acute pancreatitis and mild hemorrhage the most frequent complications. Only pancreatic duct cannulation more than once is an associated factor for having complicatio...

show abstract

Effect of upper gastrointestinal endoscopy on cardiopulmonary changes in very old patients

Cited by 26 publications

References 19 publications

Safety and efficacy of etomidate and propofol anesthesia in elderly patients undergoing gastroscopy: A double-blind randomized clinical study

Safety and efficacy of etomidate and propofol anesthesia in elderly patients undergoing gastroscopy: A double-blind randomized clinical study

What Are the Most Important Factors Regarding Acceptance to the Colonoscopy?

Factores asociados a complicaciones de la colangiopancreatografía retrógrada endoscópica en un hospital de alta complejidad

Contact Info

Product

Resources

About