Original ArticlesPatient tolerance and acceptance of unsedated ultrathin esophagoscopy☆
Section snippets
Patients and methods
Outpatients referred for standard EGD from July to December 2000 were recruited for the study. Patients were excluded if they were unable to give consent. The protocol for the study was approved by the Institutional Review Board for Human Investigation at our institution. All patients in the study gave written informed consent for endoscopy as well as for participation in the research.
Results
A total of 98 patients (46 women, 52 men) were asked to participate in the study. Fifty-two patients (34 men and 18 women) were willing to participate. The mean age of the participants was 52 years (range, 20 to 84 years). Sixteen patients (33%) chose the transnasal approach and 36 (67%) the peroral approach for UUE. Ninety-five percent of the examinations with the ultrathin endoscope were completed. No complications were noted.
Discussion
The intravenous administration of sedative and analgesic drugs for EGD is routine in the United States and Western Europe. Adverse outcomes and fatalities have been reported, respectively, in 0.54% and 0.03% of patients undergoing EGD, and up to 50% to 60% of these are related to the use of conscious sedation.3, 9, 10 Conscious sedation is believed to improve patient tolerance and acceptance of endoscopy. However, it has significant disadvantages including the need for close monitoring during
References (19)
- et al.
Conscious sedation for gastroscopy: patient tolerance and cardiorespiratory parameters
Gastroenterology
(1995) - et al.
The measurement of clinical pain intensity: a comparison of 6 methods
Pain
(1986) - et al.
Cardiopulmonary risk of esophagogastroduodenoscopy: role of endoscope diameter and systemic sedation
Gastroenterology
(1985) - et al.
Unsedated transnasal EGD: an alternative approach to conventional esophagogastroduodenoscopy for documenting Helicobacter pylori eradication
Gastrointest Endosc
(1999) - et al.
Peroral ultrathin endoscopy in adult patients
Gastrointest Endosc
(1997) - et al.
Unsedated small caliber esophagogastroduodenoscopy (EGD) versus conventional EGD: a comparative study
Gastroenterology
(1999) - et al.
A comparison of transnasal and transoral endoscopy with small-diameter endoscopes in unsedated patients
Gastrointest Endosc
(1999) - et al.
A comparative study of unsedated transnasal esophagogastroduodenoscopy and conventional EGD
Gastrointest Endosc
(1996) - et al.
A randomized trial of peroral versus transnasal unsedated endoscopy using an ultrathin videoendoscope
Gastrointest Endosc
(1999)
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Reprint requests: Amitabh Chak, MD, University Hospitals of Cleveland, 11100 Euclid Ave, Cleveland, OH 44106-1736.