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PubMed · 9174042

Office procedures. Esophagogastroduodenoscopy.

T E Norris
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Abstract

This article describes diagnostic esophagogastroduodenoscopy and its use by primary care physicians. Included in the discussion are reviews of indications and contraindications, patient preparation (including sedation and monitoring), equipment and supplies needed, pertinent normal anatomy, techniques, and applicable common pathologic findings.

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Procedural SedationContraindicationsEndoscopy, Digestive SystemFamily PracticeGastrointestinal DiseasesHumansMonitoring, PhysiologicOffice VisitsPatient Education as TopicJournal ArticleReview

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BibTeXRIS

T E Norris. 1997. Office procedures. Esophagogastroduodenoscopy.. https://doi.org/10.1016/s0095-4543(05)70396-1

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PubMed2006

Use of sedation for routine diagnostic upper gastrointestinal endoscopy: a European Society of Gastrointestinal Endoscopy Survey of National Endoscopy Society Members.

BACKGROUND/AIMS: Sedation rates may vary among countries, depending on patients' and endoscopists' preferences. The aim of this survey was to investigate the rate of using premedication for routine diagnostic upper gastrointestinal (UGI) endoscopy in endoscopy societies, members of the European Society of Gastrointestinal Endoscopy (ESGE). METHODS: We evaluated a multiple-choice questionnaire which was e-mailed to representatives of national endoscopy societies, which are members of the ESGE. The questionnaire had 14 items referring to endoscopy practices in each country and the representatives' endoscopy units. RESULTS: The response rate was 76% (34/45). In 47% of the countries, less than 25% of patients undergo routine diagnostic UGI endoscopy with conscious sedation. In 62% of the responders' endoscopy units, patients are not asked their preference for sedation and do not sign a consent form (59%). Common sedatives in use are midazolam (82%), diazepam (38%) or propofol (47%). Monitoring equipment is not available 'in most of the endoscopy units' in 46% (13/28) of the countries. Though they were available in 91% of the national representatives' endoscopy units, they are rarely (21%) used to monitor unsedated routine diagnostic UGI endoscopy. CONCLUSIONS: In about 50% of ESGE-related countries, less than 25% of patients are sedated for routine diagnostic UGI endoscopy. Major issues to improve include availability of monitoring equipment and the use of a consent form.

Procedural Sedation↗