Abstract
| Original language | English |
|---|---|
| Journal | BMC Gastroenterology |
| Volume | 11 |
| DOIs | |
| Publication status | Published - 2011 |
| Externally published | Yes |
Fingerprint
Keywords
- adult
- age distribution
- aged
- anxiety
- article
- body mass
- clinical trial
- controlled clinical trial
- controlled study
- esophagogastroduodenoscopy
- female
- gastroesophageal reflux
- human
- interview
- major clinical study
- male
- mean arterial pressure
- medical specialist
- modified mallampati classification
- non invasive measurement
- oropharynx
- oxygen saturation
- patient education
- patient satisfaction
- peptic ulcer
- peroral esophagogastroduodenoscopy tolerance
- physical tolerance
- prediction
- pulse rate
- reliability
- sensitivity and specificity
- sex difference
- smoking
- adolescent
- blood pressure
- digestive tract endoscopy
- evaluation
- gastrointestinal symptom
- glottis
- heart rate
- histology
- middle aged
- palate
- physiology
- predictive value
- retrospective study
- soft palate
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Blood Pressure
- Endoscopy, Digestive System
- Female
- Gagging
- Gastroesophageal Reflux
- Glottis
- Heart Rate
- Humans
- Male
- Middle Aged
- Palate, Soft
- Patient Satisfaction
- Peptic Ulcer
- Predictive Value of Tests
- Retrospective Studies
- Uvula
- Young Adult
Cite this
Modified mallampati classification as a clinical predictor of peroral esophagogastroduodenoscopy tolerance. / Huang, Hsin-Hung; Lee, Meei-Shyuan; Shih, Yu-Lueng; Chu, Heng-Cheng; Huang, Tien-Yu; Hsieh, Tsai-Yuan.
In: BMC Gastroenterology, Vol. 11, 2011.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Modified mallampati classification as a clinical predictor of peroral esophagogastroduodenoscopy tolerance
AU - Huang, Hsin-Hung
AU - Lee, Meei-Shyuan
AU - Shih, Yu-Lueng
AU - Chu, Heng-Cheng
AU - Huang, Tien-Yu
AU - Hsieh, Tsai-Yuan
N1 - 被引用次數：7 Export Date: 22 March 2016 CODEN: BGMAB 通訊地址: Hsieh, T.-Y.; Division of Gastroenterology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical CenterTaiwan; 電子郵件： tyh1216@ms46.hinet.net 參考文獻: Abraham, N., Barkun, A., Larocque, M., Fallone, C., Mayrand, S., Baffis, V., Cohen, A., Joseph, L., Predicting which patients can undergo upper endoscopy comfortably without conscious sedation (2002) Gastrointest Endosc, 56, pp. 180-189. , 10.1016/S0016-5107(02)70175-2, 12145594; Zaman, A., Hapke, R., Sahagun, G., Katon, R.M., Unsedated peroral endoscopy with a video ultrathin endoscope: patient acceptance, tolerance, and diagnostic accuracy (1998) Am J Gastroenterol, 93, pp. 1260-1263. , 10.1111/j.1572-0241.1998.00406.x, 9707048; Mulcahy, H.E., Kelly, P., Banks, M.R., Connor, P., Patchet, S.E., Farthing, M.J., Fairclough, P.D., Kumar, P.J., Factors associated with tolerance to, and discomfort with, unsedated diagnostic gastroscopy (2001) Scand J Gastroenterol, 36, pp. 1352-1357. , 10.1080/003655201317097245, 11761029; Waring, J.P., Baron, T.H., Hirota, W.K., Goldstein, J.L., Jacobson, B.C., Leighton, J.A., Mallery, J.S., Faigel, D.O., Guidelines for conscious sedation and monitoring during gastrointestinal endoscopy (2003) Gastrointest Endosc, 58, pp. 317-322. , 10.1067/S0016-5107(03)00001-4, 14528201; Levy, N., Abinader, E., Continuous electrocardiographic monitoring with Holter electrocardiocorder throughout all stages of gastroscopy (1977) Am J Dig Dis, 22, pp. 1091-1096. , 10.1007/BF01072863, 930908; Quine, M.A., Bell, G.D., McCloy, R.F., Charlton, J.E., Devlin, H.B., Hopkins, A., Prospective audit of upper gastrointestinal endoscopy in two regions of England: safety, staffing, and sedation methods (1995) Gut, 36, pp. 462-467. , 10.1136/gut.36.3.462, 1382467, 7698711; Fisher, N.C., Bailey, S., Gibson, J.A., A prospective, randomized controlled trial of sedation vs. no sedation in outpatient diagnostic upper gastrointestinal endoscopy (1998) Endoscopy, 30, pp. 21-24. , 10.1055/s-2007-993723, 9548039; Froehlich, F., Schwizer, W., Thorens, J., Kohler, M., Gonvers, J.J., Fried, M., Conscious sedation for gastroscopy: patient tolerance and cardiorespiratory parameters (1995) Gastroenterology, 108, pp. 697-704. , 10.1016/0016-5085(95)90441-7, 7875472; Lazzaroni, M., Bianchi, P.G., Preparation, premedication, and surveillance (2005) Endoscopy, 37, pp. 101-109. , 10.1055/s-2004-826149, 15692924; Mallampati, S.R., Gatt, S.P., Gugino, L.D., Desai, S.P., Waraksa, B., Freiberger, D., Liu, P.L., A clinical sign to predict difficult tracheal intubation: a prospective study (1985) Can Anaesth Soc J, 32, pp. 429-434. , 10.1007/BF03011357, 4027773; Samsoon, G.L., Young, J.R., Difficult tracheal intubation: a retrospective study (1987) Anaesthesia, 42, pp. 487-490. , 10.1111/j.1365-2044.1987.tb04039.x, 3592174; Tan, C.C., Freeman, J.G., Throat spray for upper gastrointestinal endoscopy is quite acceptable to patients (1996) Endoscopy, 28, pp. 277-282. , 10.1055/s-2007-1005453, 8781790; Mahajan, R.J., Johnson, J.C., Marshall, J.B., Predictors of patient cooperation during gastrointestinal endoscopy (1997) J Clin Gastroenterol, 24, pp. 220-223. , 10.1097/00004836-199706000-00007, 9252844; 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PY - 2011
Y1 - 2011
N2 - Background: Unsedated esophagogastroduodenoscopy (EGD) is simpler and safer than sedated EGD; however, approximately 40% of patients cannot tolerate it. Early identification of patients likely to poorly tolerate unsedated EGD is valuable for improving compliance. The modified Mallampati classification (MMC) has been used to evaluate difficult tracheal intubation and laryngoscope insertion. We tried to assess the efficacy of MMC to predict the tolerance of EGD in unsedated patients.Methods: Two hundred patients who underwent an unsedated diagnostic EGD were recruited. They were stratified according to the view of the oropharynx as either MMC class I + II (good view) or class III + IV (poor view). EGD tolerance was assessed in three ways: gag reflex by endoscopist assessment, patient satisfaction by interview, and the degree of change in vital signs.Results: MMC was significantly correlated to gag reflex (P <0.001), patient satisfaction (P = 0.028), and a change of vital signs (P = 0.024). Patients in the poor view group had a 3.87-fold increased risk of gag reflex (P <0.001), a 1.78-fold increased risk of unsatisfaction (P = 0.067), and a 1.96-fold increased risk of a change in vital signs (P = 0.025) compared to those in the good view group.Conclusions: MMC appears to be a clinically useful predictor of EGD tolerance. Patients with poor view of oropharynx by MMC criteria may be candidates for sedated or transnasal EGD. © 2011 Huang et al; licensee BioMed Central Ltd.
AB - Background: Unsedated esophagogastroduodenoscopy (EGD) is simpler and safer than sedated EGD; however, approximately 40% of patients cannot tolerate it. Early identification of patients likely to poorly tolerate unsedated EGD is valuable for improving compliance. The modified Mallampati classification (MMC) has been used to evaluate difficult tracheal intubation and laryngoscope insertion. We tried to assess the efficacy of MMC to predict the tolerance of EGD in unsedated patients.Methods: Two hundred patients who underwent an unsedated diagnostic EGD were recruited. They were stratified according to the view of the oropharynx as either MMC class I + II (good view) or class III + IV (poor view). EGD tolerance was assessed in three ways: gag reflex by endoscopist assessment, patient satisfaction by interview, and the degree of change in vital signs.Results: MMC was significantly correlated to gag reflex (P <0.001), patient satisfaction (P = 0.028), and a change of vital signs (P = 0.024). Patients in the poor view group had a 3.87-fold increased risk of gag reflex (P <0.001), a 1.78-fold increased risk of unsatisfaction (P = 0.067), and a 1.96-fold increased risk of a change in vital signs (P = 0.025) compared to those in the good view group.Conclusions: MMC appears to be a clinically useful predictor of EGD tolerance. Patients with poor view of oropharynx by MMC criteria may be candidates for sedated or transnasal EGD. © 2011 Huang et al; licensee BioMed Central Ltd.
KW - adult
KW - age distribution
KW - aged
KW - anxiety
KW - article
KW - body mass
KW - clinical trial
KW - controlled clinical trial
KW - controlled study
KW - esophagogastroduodenoscopy
KW - female
KW - gastroesophageal reflux
KW - human
KW - interview
KW - major clinical study
KW - male
KW - mean arterial pressure
KW - medical specialist
KW - modified mallampati classification
KW - non invasive measurement
KW - oropharynx
KW - oxygen saturation
KW - patient education
KW - patient satisfaction
KW - peptic ulcer
KW - peroral esophagogastroduodenoscopy tolerance
KW - physical tolerance
KW - prediction
KW - pulse rate
KW - reliability
KW - sensitivity and specificity
KW - sex difference
KW - smoking
KW - adolescent
KW - blood pressure
KW - digestive tract endoscopy
KW - evaluation
KW - gastrointestinal symptom
KW - glottis
KW - heart rate
KW - histology
KW - middle aged
KW - palate
KW - physiology
KW - predictive value
KW - retrospective study
KW - soft palate
KW - Adolescent
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Blood Pressure
KW - Endoscopy, Digestive System
KW - Female
KW - Gagging
KW - Gastroesophageal Reflux
KW - Glottis
KW - Heart Rate
KW - Humans
KW - Male
KW - Middle Aged
KW - Palate, Soft
KW - Patient Satisfaction
KW - Peptic Ulcer
KW - Predictive Value of Tests
KW - Retrospective Studies
KW - Uvula
KW - Young Adult
U2 - 10.1186/1471-230X-11-12
DO - 10.1186/1471-230X-11-12
M3 - Article
VL - 11
JO - BMC Gastroenterology
JF - BMC Gastroenterology
SN - 1471-230X
ER -