| Upper gastrointestinal endoscopy without sedation: a prospective study of 2000 examinations. | |
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MedLine Citation:
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PMID: 2714608 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Various drugs are used for sedation prior to upper gastrointestinal endoscopy, some with undesirable side effects. In an attempt to avoid these side effects, 2000 upper diagnostic gastrointestinal endoscopies were performed in a period of 4 years between 1982 and 1986, without any sedation, using Olympus GIF-Q and GIF-P3 gastroscopes. Anxiety, ease of introduction of gastroscope, tolerance of the procedure, and the overall success of the procedure were assessed. Most patients were calm (81.2%); 94.4% had an easy introduction of the gastroscope, 80.3% tolerated the procedure well; and 94.2% of the endoscopies were completely successful. There were no complications, and only four examinations failed (0.2%). Sedation had to be used (intravenous diazepam) in 32 patients due to excessive anxiety and an inability to introduce the gastroscope and in three children under 10 years (1.6%). The average time needed to complete an endoscopy without sedation was found to be 9.5 min, nearly half of the average time needed before this study when sedation was routinely given. It is concluded that upper gastrointestinal endoscopy without sedation can be a safe, quick, well-tolerated procedure. |
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Authors:
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H A al-Atrakchi |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Gastrointestinal endoscopy Volume: 35 ISSN: 0016-5107 ISO Abbreviation: Gastrointest. Endosc. Publication Date: 1989 Mar-Apr |
Date Detail:
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Created Date: 1989-06-14 Completed Date: 1989-06-14 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0010505 Medline TA: Gastrointest Endosc Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 79-81 Citation Subset: IM |
Affiliation:
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Department of Surgery, University of Mosul Medical College, Mosul Republican Teaching Hospital, Iraq. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Child Diazepam* Female Gastroscopy / methods* Humans Male Middle Aged Premedication* Prospective Studies |
| Chemical | |
Reg. No./Substance:
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439-14-5/Diazepam |
| Comments/Corrections | |
Comment In:
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Gastrointest Endosc. 1989 Nov-Dec;35(6):581
[PMID:
2599303
]
Gastrointest Endosc. 1990 Jul-Aug;36(4):417-8 [PMID: 2210294 ] Gastrointest Endosc. 1989 Nov-Dec;35(6):581 [PMID: 2599304 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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