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The assessment of esophagogastroduodenoscopy tolerance a prospective study of 300 cases.
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MedLine Citation:
PMID:  18493558     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Esophagogastroduodenoscopy (EGD) is useful in the diagnosis and evaluation of dyspepsia. We investigated factors that might be associated with self-reported patient tolerance of EGD and therefore might serve as objective, reliable and useful surrogates for self-reported patient tolerance. We also investigated factors that might influence EGD tolerance.
STUDY: We prospectively evaluated 300 cases prior, during and after an EGD procedure. None received sedation.
RESULTS: Seventy-nine percent of patients reported "good" tolerance of their EGD procedure. Other variables including (1) ease of intubation, (2) number and severity of retching episodes and (3) patient's cooperation during the endoscopic procedure, associated positively and robustly with patient self-reports of EGD tolerance. Evaluating the parameters that might predict EGD tolerance, only (4) age and (5) patient's gagging during Lidocaine throat spraying correlated closely with patient perception of EGD intolerance. Self-reported EGD tolerance did not correlate with gender, education level, body habitus (obesity), prior EGD experience, fear or anxiety about the procedure, procedure type or procedure duration.
CONCLUSIONS: Several parameters might be used instead of or in addition to patient perception of EGD tolerance. Age and patient gagging during Lidocaine throat spraying, but not patient fear and anxiety about the procedure can be used to predict EGD intolerance and used for selection of patients for sedation.
Authors:
A Farhadi; J Z Fields; S H Hoseini
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Diagnostic and therapeutic endoscopy     Volume:  7     ISSN:  1070-3608     ISO Abbreviation:  Diagn Ther Endosc     Publication Date:  2001  
Date Detail:
Created Date:  2008-05-21     Completed Date:  2011-07-14     Revised Date:  2014-07-30    
Medline Journal Info:
Nlm Unique ID:  9502019     Medline TA:  Diagn Ther Endosc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  141-7     Citation Subset:  -    
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Full Text
Journal Information
Journal ID (nlm-ta): Diagn Ther Endosc
ISSN: 1070-3608
ISSN: 1029-0516
Publisher: Hindawi Publishing Corporation
Article Information
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Copyright ? 2001 Hindawi Publishing Corporation.
open-access: This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received Day: 31 Month: 8 Year: 2001
Accepted Day: 31 Month: 8 Year: 2001
Print publication date: Year: 2001
Volume: 7 Issue: 3-4
First Page: 141 Last Page: 147
ID: 2362842
PubMed Id: 18493558
Publisher Item Identifier: S1070360801000133
DOI: 10.1155/DTE.7.141

The Assessment of Esophagogastroduodenoscopy Tolerance a Prospective Study of 300 Cases
Ashkan Farhadi14 Address: ashkan farhadi@rush.edu
Jeremy Z. Fields2
Seyed Hamid Bozorgnia Hoseini3
1Department of GastroenterologyMazandaran University of Medical SciencesSariIran
2Department of Internal MedicineDivision of Digestive DiseasesRush Presbyterian St Lukes Medical CenterChicagoILUSA
3General PractitionerNational Iranian Oil Company (NIOC)LavanIran
41725 W. Harrison St.Professional BuildingSuit 206ChicagoIL60612USA


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