Which should go first during same-day bidirectional endosocopy with propofol sedation?

Yu Hsi Hsieh, Hwai Jeng Lin, Kuo Chih Tseng

研究成果: 雜誌貢獻文章同行評審

17 引文 斯高帕斯(Scopus)

摘要

Background and Aim: Same-day bidirectional endoscopy, including esophagogastroduodenoscopy (EGD) and colonoscopy, is frequently performed to screen for cancer and gastrointestinal bleeding. However, the optimal sequence for the procedures is unclear thus far. The aim of this study was to evaluate the optimal sequence for same-day bidirectional endoscopy. Methods: Consecutive patients undergoing same-day bidirectional endoscopy under propofol sedation were randomized to either the colonoscopy-first group (colonoscopy followed by EGD, n=87) or the EGD-first group (EGD followed by colonoscopy, n=89). We evaluated the propofol dose, procedure duration, patient tolerance and recovery, adverse events, and endoscopic findings. The patient tolerance was assessed with a 0-10 visual analog scale. Results: Total procedure times, patients' tolerance and recovery, adverse events, and endoscopic findings were similar between the two groups. The total propofol dose was significantly higher for the colonoscopy-first group than for the EGD-first group (mean 95% credibility limit: 135.7 [70-201.4]mg vs 124.7 [64.1-185.3]mg, respectively, P=0.024). Patients in the colonoscopy-first group moved significantly more during colonoscopy than those in the EGD-first group: 1.1 (0-3.8) versus 0.6 (0-2.9) scores, respectively (P=0.024). Conclusion: The optimal sequence for same-day bidirectional endoscopy is EGD followed by colonoscopy. In this order, the procedure is better tolerated, and patients require a lower overall dose of propofol.

原文英語
頁(從 - 到)1559-1564
頁數6
期刊Journal of Gastroenterology and Hepatology (Australia)
26
發行號10
DOIs
出版狀態已發佈 - 2011

ASJC Scopus subject areas

  • 消化內科
  • 肝病

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