Upper gastrointestinal endoscopy: Are preparatory interventions or conscious sedation effective A randomized trial

Trevisani, Lucio; Sartori, Sergio; Gaudenzi, Piergiorgio; Gilli, Giuseppe; Matarese, Giancarlo; Gullini, S.; Abbasciano, Vincenzo

doi:10.3748/wjg.v10.i22.3313

Cited by 52 publications

(39 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, this result may be biased by the presence of higher anxiety levels in ultrathin endoscope groups than in control group. Indeed, anxiety is well known to decrease patient compliance, making EGD execution more difficult [3,24] . Such a bias could also explain the surprising observation that patients who underwent peroral EGD with a 6-mm endoscope complained of greater gagging than those who underwent peroral EGD with a 9.8-mm endoscope.…”

Section: Discussionmentioning

confidence: 99%

Unsedated ultrathin upper endoscopy is better than conventional endoscopy in routine outpatient gastroenterology practice: A randomized trial

Trevisani

Cifalà²,

Sartori³

et al. 2007

WJG

Self Cite

View full text Add to dashboard Cite

AIM: to compare the feasibility and patients' tolerance of esophagogastroduodenoscopy (EGD) using a thin endoscope with those of conventional oral EGD and to determine the optimal route of introduction of smallcaliber endoscopes. METHODS:One hundred and sixty outpatients referred for diagnostic EGD were randomly allocated to 3 groups: conventional (C)-EGD (9.8 mm in diameter), transnasal (TN)-EGD and transoral (TO)-EGD (5.9 mm in diameter). Pre-EGD anxiety was measured using a 100-mm visual analogue scale (VAS). After EGD, patients and endoscopists completed a questionnaire on the pain, nausea, choking, overall discomfort, and quality of the examination either using VAS or answering some questions. The duration of EGD was timed. Blood oxygen saturation (SaO2) and heart rate (HR) were monitored during EGD. RESULTS:Twenty-one patients refused to participate in the study. The 3 groups were well-matched for age, gender, experience with EGD, and anxiety. EGD was completed in 91.1% (41/45), 97.5% (40/41), and 96.2% (51/53) of cases in TN-EGD, TO-EGD, and C-EGD groups, respectively. TN-EGD lasted longer (3.11 ± 1.60 min) than TO-EGD (2.25 ± 1.45 min) and C-EGD (2.49 ± 1.64 min) (P < 0.05). The overall tolerance was higher (P < 0.05) and the overall discomfort was lower (P < 0.05) in TN-EGD group than in C-EGD group. EGD was tolerated "better than expected" in 73.2% of patients in TN-EGD group and 55% and 39.2% of patients in TO-EGD and C-EGD groups, respectively (P < 0.05). Endoscopy was tolerated "worst than expected" in 4.9% of patients in TN-EGD group and 17.5% and 23.5% of patients in TO-EGD and C-EGD groups, respectively (P < 0.05). TN-EGD caused mild epistaxis in one case. The ability to insufflate air, wash the lens, and suction of the thin endoscope were lower than those of conventional instrument (P < 0.001). All biopsies performed were adequate for histological assessment. CONCLUSION:Diagnostic TN-EGD is better tolerated than C-EGD. Narrow-diameter endoscope has a level of diagnostic accuracy comparable to that of conventional gastroscope, even though some technical characteristics of these instruments should be improved. Transnasal EGD with narrow-diameter endoscope should be proposed to all patients undergoing diagnostic EGD.

show abstract

Section: Discussionmentioning

confidence: 99%

Unsedated ultrathin upper endoscopy is better than conventional endoscopy in routine outpatient gastroenterology practice: A randomized trial

Trevisani

Cifalà²,

Sartori³

et al. 2007

WJG

Self Cite

View full text Add to dashboard Cite

show abstract

“…While conscious sedation is routinely used during lower endoscopies, the role of conscious sedation during an upper endoscopy is still insufficiently defined (10). The use of conscious sedation varies from country to country, continent to continent, and even in different endoscopy centres within the same country.…”

Section: Discussionmentioning

confidence: 99%

“…The use of conscious sedation varies from country to country, continent to continent, and even in different endoscopy centres within the same country. The use of conscious sedation is associated with higher costs, an extension of the duration of the procedure, the need for the monitoring of vital functions and an increasing incidence of complications (10,12,14,16,18).…”

Section: Discussionmentioning

confidence: 99%

“…Fear, anxiety and feelings of shame may affect the submission of the examination and complicate the communication between the patient and endoscopic team. These problems will increase the dissatisfaction of the patient and may lead to possible injury and inability to complete the examination (1,7,10,11). Previous studies have indicated that approximately 5% of patients refused a proposed endoscopic examination, and an additional 10% required persuasion to undergo the examination.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Serbian Translation and Cross-Cultural Validation of the Questionnaire for Assessing Patient Satisfaction with Endoscopic Examination of the Digestive Tract

Janković

2018

Serbian Journal of Experimental and Clinical Research

View full text Add to dashboard Cite

Patient satisfaction is a key indicator to assess the quality of gastrointestinal endoscopy. Th e aim of this study was to examine the Serbian translation and cross-cultural validation of the questionnaire for the assessment of satisfaction in patients who underwent gastrointestinal endoscopy.After SAŽETAK Zadovoljstvo pacijenata je ključan indikator za procenu kvaliteta gastrointestinalne endoskopije. Cilj ove studije je bio prevod i međukulturalna validacija upitnika za procenu zadovoljstva kod pacijenata koji su podvrgnuti gastrointestinalnoj endoskopiji. Nakon dobijanja saglasnosti autora originalnog upitnika, prevod i međukulturalna validacija GESQ upitnika izvršena je u skladu sa vodičima Međunarodnog društva za farmakoekonomiju i ishode istraživanja (ISPOR). Studija je sprovedena u Centru za Gastroenterohepatologiju (GEH)

show abstract

“…No obstante, la literatura indica que la mayoría de las complicaciones durante el examen endoscópico se relacionan con la sedación 4 . Particularmente el riesgo de depresión cardiopulmonar ha sido constatada en pacientes de edad avanzada 5,6 .…”

Section: Introductionunclassified

Ansiedad en gastroscopias: Comparación de dos intervenciones de enfermería en gastroscopias sin sedación.

García-Sierra

Sáez

Sánchez

2013

eglobal

View full text Add to dashboard Cite

Upper gastrointestinal endoscopy: Are preparatory interventions or conscious sedation effective A randomized trial

Abstract: Conscious sedation can improve the tolerance to EGD. Male gender and young age are predictive factors of bad tolerance to the procedure.

Cited by 52 publications

References 36 publications

Unsedated ultrathin upper endoscopy is better than conventional endoscopy in routine outpatient gastroenterology practice: A randomized trial

Unsedated ultrathin upper endoscopy is better than conventional endoscopy in routine outpatient gastroenterology practice: A randomized trial

Serbian Translation and Cross-Cultural Validation of the Questionnaire for Assessing Patient Satisfaction with Endoscopic Examination of the Digestive Tract

Ansiedad en gastroscopias: Comparación de dos intervenciones de enfermería en gastroscopias sin sedación.

Contact Info

Product

Resources

About