Comparison of effectiveness, cost and safety between moderate sedation and deep sedation under esophagogastroduodenoscopy in Chinese population: a quasi-experimental study

Feng, Hao; Long, Zhilin; Chang, Hong-Xia; Lin, Tao; Liu, Fanrong; Lan, Ya; Zhang, Fangxin; Liu, Xiao

doi:10.1080/00365521.2022.2060050

Cited by 1 publication

(1 citation statement)

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“…This not only reduces the financial burden from decreased sedative agent usage but also has the potential to expedite turnover in the recovery room. Consequently, it could help alleviate some of the cost-related disadvantages associated with space and the requirement for assistants in TPT procedures [ 13 ]. Lastly, in the TPT, where the endoscopist and assistant jointly view the screen during the insertion and retrieval of the endoscope, it was anticipated that the polyp detection rate would be higher compared to the OPT, where the procedure is carried out alone.…”

Section: Discussionmentioning

confidence: 99%

Comparison of One-Person Technique and Two-Person Technique for Colonoscope Insertion: A Randomized Controlled Trial

Shin,

Choe,

Kim

et al. 2024

JCM

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Background: The one-person technique (OPT) for colonoscope insertion is recommended by professional societies and regarded as standard practice. However, the two-person technique (TPT) has shown several advantages over the OPT. The aim of this study was to evaluate the performance of the TPT compared to the OPT. Methods: In this prospective study, consecutive individuals presenting for outpatient colonoscopy were randomized to undergo colonoscopy by OPT or by TPT. The colonoscopies were performed by six endoscopists, two of whom were beginners, two with intermediate skills, and two who were experts. The primary endpoints were quality indicators for colonoscopy, including adenoma detection rate, cecal intubation rate, cecal insertion time, and total colonoscopy time. A secondary outcome was procedure tolerability, as assessed by both the patients and the endoscopists. Results: Two hundred and four subjects (117 males, mean age 54.3) were randomized to either one- (n = 102) or two-person (n = 102) colonoscopy. The adenoma detection rate was 30.4% in OPT group and 34.3% in TPT group. (p = 0.55). No significant differences between the two groups were found in terms of cecal intubation rate (98/102 vs. 98/102), insertion time (411 vs. 381 s), and total examination time (1426 vs. 1296 s). However, patients receiving the TPT had lower pain scores than patients receiving the OPT. Endoscopist fatigue measured with the FACIT-F was also significantly lower in the TPT group. Conclusion: The two-person colonoscopy method was not shown to be technically or clinically inferior. Rather, the TPT can improve patient tolerance and reduce endoscopist fatigue.

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Section: Discussionmentioning

confidence: 99%