Document Detail


Comparison of the effects on cardiopulmonary function of ultrathin transnasal versus normal diameter transoral esophagogastroduodenoscopy in Japan.
MedLine Citation:
PMID:  17591059     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND/AIMS: Transnasal esophagogastroduodenoscopy (EGD) is reported to be more pleasant than conventional transoral EGD. In this study, we compared the hemodynamic effects of transnasal and transoral EGD. METHODOLOGY: The subjects were 120 patients with upper gastrointestinal conditions. Transnasal and transoral EGD were performed on 60 subjects each. Oxygen saturation, heart rate and blood pressure were monitored. Subjects were also asked for their condition with each EGD. RESULTS: VAS scores for discomfort at the insertion, and for trouble breathing and nausea during the procedure, were significantly lower for transnasal than for transoral EGD. A significant increase in the heart rate and significant decrease in oxygen saturation were seen only in the transoral group during EGD. The double product (heart rate x systolic blood pressure) was also significantly increased only in the transoral group. No significant changes were seen in the transnasal EGD. CONCLUSIONS: Double product has been reported to correlate with myocardial oxygen consumption. Transnasal EGD is a safe technique, and is not only less stressful to patients, but also has fewer hemodynamic effects than the transoral method.
Authors:
Takashi Kawai; Ikuko Miyazaki; Kenji Yagi; Mikinori Kataoka; Kohei Kawakami; Tetsuya Yamagishi; Atsushi Sofuni; Takao Itoi; Fuminori Moriyasu; Yoshiaki Osaka; Yuu Takagi; Tatsuya Aoki
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Hepato-gastroenterology     Volume:  54     ISSN:  0172-6390     ISO Abbreviation:  Hepatogastroenterology     Publication Date:    2007 Apr-May
Date Detail:
Created Date:  2007-06-26     Completed Date:  2007-08-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8007849     Medline TA:  Hepatogastroenterology     Country:  Greece    
Other Details:
Languages:  eng     Pagination:  770-4     Citation Subset:  IM    
Affiliation:
Endoscopy Center, Tokyo Medical University Hospital, 6-7-1 Nishi-Shinjuku, Shinjuku-ku, Tokyo 160-0023, Japan. t-kawai@tokyo-med.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Blood Pressure
Endoscopy, Digestive System / adverse effects*,  methods*
Female
Heart / physiology*
Heart Rate
Humans
Japan
Lung / physiology*
Male
Middle Aged
Mouth
Nose

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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