Comparison of the safety of the application of painless gastroscopy and ordinary gastroscopy in chronic hypertension patients combined with early gastric cancer

Abstract

The aim of the present study was to compare the safety of the application of painless gastroscopy and ordinary gastroscopy for chronic hypertension patients combined with early gastric cancer. A total of 123 patients with early gastric cancer were selected at the Dongying People's Hospital from June, 2014 to August, 2016. The patients were randomly divided into the painless (n=63) and ordinary (n=60) gastroscopy groups. Proper pretreatment was performed according to whether anesthesia was performed or not. Arterial pressure, heart rate, and blood oxygen saturation were detected and compared before anesthesia, when gastroscope passed through the esophageal entrance plane, and after recovery from anesthesia. The incidence of nausea and vomiting, cough, dysphoria, throat discomfort and other adverse reactions during and after surgery were recorded and compared. Compared with the levels before anesthesia, the mean arterial pressure, heart rate and blood oxygen saturation were significantly reduced in painless gastroscopy when the gastroscope passed through the esophageal entrance plane (P<0.05). In the ordinary gastroscopy group, the mean arterial pressure, heart rate and blood oxygen saturation were significantly increased when the gastroscope passed through the esophageal entrance plane compared with the levels before anesthesia (P<0.05). Blood pressure decreased in the painless gastroscopy group whereas it increased in the ordinary gastroscopy group after anesthesia. The decrease in the painless gastroscopy group was lower than in the ordinary group. The incidence of intraoperative and postoperative adverse reactions including nausea, vomiting, cough, dysphoria, pharyngeal discomfort and other adverse reactions was significantly decreased in the painless gastroscopy group than in the ordinary gastroscopy group (P<0.05). The results suggest that the application of painless gastroscopy in chronic hypertension patients can significantly reduce the incidence of intraoperative and postoperative adverse reactions compared with that of the Gastric cancer ordinary gastroscopy. Thus, painless gastroscopy is safer than ordinary gastroscopy.

Outcome of Nursing Based on Health Belief United with Knowledge, Belief, and Practice Mode on Gastroscopy of Patients with Gastric Cancer

“…The causes of bad mood can be summarized as follows: (a) gastroscopy is an invasive examination, and patients who do not know much about it think that the operation will damage the throat and esophagus and are unwilling to cooperate with the examination; (b) in the process of examination, patients are prone to cough, nausea, and vomiting due to physical stimulation of gastroscope; (c) patients lack relevant knowledge about the monitoring of gastric cancer, the importance of gastroscopy, and the operation procedure of gastroscopy, especially for the first time. Therefore, during the nursing of gastroscopy, attention should be paid to the health guidance and emotional guidance of patients [20][21][22][23][24]. In this study, the mode group adopted the mode of knowledge, belief, and behavior nursing, which mainly applied the acquisition of knowledge, belief, and practice before the gastroscopy and process of gastroscopy and examination.…”

Analysis of gastroscopy results among healthy people undergoing a medical checkup: a retrospective study

“…Gastroscopy plays a major clinical role in the diagnosis of gastric diseases. The detection and diagnosis of upper gastrointestinal diseases through gastroscopic intervention was the most routine procedure [ 8 , 9 ]. The development of endoscopic technology has led to an increase in the diagnostic rate of early gastric cancer.…”

Analysis of gastroscopy results among healthy people undergoing a medical checkup: A retrospective study

“…Gastroscopy plays a major clinical role in the diagnosis of gastric diseases. The detection and diagnosis of upper gastrointestinal diseases by gastroscopic intervention was the most routine procedure [7][8] . The development of endoscopic technology has led to an increase in the diagnostic rate of early gastric cancer.…”