The Effectiveness of Clinical Hypnosis in the Digestive Endoscopy: A Multiple Case Report

Domínguez-Ortega, Luís; Rodríguez-Muñoz, S

doi:10.1080/00029157.2010.10404332

Cited by 7 publications

(6 citation statements)

References 14 publications

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“…Previous investigations show a positive effect of hypnosis on other medical procedures especially in terms of the need for medical sedation [19,[27][28][29]. Hypnosis can reduce the amount of medications needed or even completely replace benzodiazepines [22,[30][31][32].…”

Section: Effect Of Hypnosismentioning

confidence: 99%

Audio-guided self-hypnosis for reduction of claustrophobia during MR imaging: results of an observational 2-group study

Napp

Diekhoff

Stoiber³

et al. 2021

Eur Radiol

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Objectives To evaluate the influence of audio-guided self-hypnosis on claustrophobia in a high-risk cohort undergoing magnetic resonance (MR) imaging. Methods In this prospective observational 2-group study, 55 patients (69% female, mean age 53.6 ± 13.9) used self-hypnosis directly before imaging. Claustrophobia included premature termination, sedation, and coping actions. The claustrophobia questionnaire (CLQ) was completed before self-hypnosis and after MR imaging. Results were compared to a control cohort of 89 patients examined on the same open MR scanner using logistic regression for multivariate analysis. Furthermore, patients were asked about their preferences for future imaging. Results There was significantly fewer claustrophobia in the self-hypnosis group (16%; 9/55), compared with the control group (43%; 38/89; odds ratio .14; p = .001). Self-hypnosis patients also needed less sedation (2% vs 16%; 1/55 vs 14/89; odds ratio .1; p = .008) and non-sedation coping actions (13% vs 28%; 7/55 vs 25/89; odds ratio .3; p = .02). Self-hypnosis did not influence the CLQ results measured before and after MR imaging (p = .79). Self-hypnosis reduced the frequency of claustrophobia in the subgroup of patients above an established CLQ cut-off of .33 from 47% (37/78) to 18% (9/49; p = .002). In the subgroup below the CLQ cut-off of 0.33, there were no significant differences (0% vs 9%, 0/6 vs 1/11; p = 1.0). Most patients (67%; 35/52) preferred self-hypnosis for future MR examinations. Conclusions Self-hypnosis reduced claustrophobia in high-risk patients undergoing imaging in an open MR scanner and might reduce the need for sedation and non-sedation coping actions. Key Points • Forty percent of the patients at high risk for claustrophobia may also experience a claustrophobic event in an open MR scanner. • Self-hypnosis while listening to an audio in the waiting room before the examination may reduce claustrophobic events in over 50% of patients with high risk for claustrophobia. • Self-hypnosis may also reduce the need for sedation and other time-consuming non-sedation coping actions and is preferred by high-risk patients for future examinations.

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Section: Effect Of Hypnosismentioning

confidence: 99%

Audio-guided self-hypnosis for reduction of claustrophobia during MR imaging: results of an observational 2-group study

Napp

Diekhoff

Stoiber³

et al. 2021

Eur Radiol

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“…In addition, completeness of colonoscopy was observed in all patients in the successful group as compared with only half of them in the failure group. Dominguez-Ortega et al observed an efficacy of hypnosis used alone in EGD (n = 6) and colonoscopy (n = 22), with a good tolerance reported by the patient in 85% of cases (17). Elkins et al studied the effect of hypnosis in the management of pain and anxiety during colonoscopy performed for colorectal cancer screening.…”

Section: Discussionmentioning

confidence: 99%

Use of Hypnosis in Paediatric Gastrointestinal Endoscopy: A Pilot Study

et al. 2021

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Objectives: Experience of hypnosis in gastrointestinal (GI) endoscopy is scarce in children. Our aims were to assess the rate of successful GI endoscopy performed using hypnosis alone or in combination with midazolam, with or without additional equimolar mixture of oxygen and nitrous oxide (EMONO), and to identify predictive factors of successful endoscopy in children.Methods: This prospective single-centre study included children older than 6 years requiring a diagnostic esophagogastroduodenoscopy (EGD) or rectosigmoidoscopy. Ericksonian hypnosis was performed alone or in combination with midazolam, with or without additional EMONO. Successful endoscopy was defined by a complete and well-tolerated procedure. Levels of satisfaction of the endoscopist, nurse, and patient were assessed.Results: One hundred forty children [70 boys, median age: 12 years (Q1–Q3: 9–14)] were included over a 14-month period. They underwent EGD in 51.4% (n = 72) and rectosigmoidoscopy in 48.6% (n = 68) of cases. EMONO and midazolam were combined with hypnosis in 136 cases (97.1%). Successful endoscopy rate reached 82.9%. The procedure was interrupted due to poor tolerance and was rescheduled under general anaesthesia in 11 patients (7.9%). Predictive factors for successful endoscopy were older age (13 vs. 8 years, OR: 1.34, CI 95% [1.10–1.62], p = 0.003) and type of endoscopy (EGD vs. rectosigmoidoscopy, OR: 16.34 [2.14–124.68], p = 0.007). A good cooperation of the patient was reported by the endoscopist and the nurse in 88.4 and 86.9% of cases, respectively. Ninety-two per cent of patients mentioned that the procedure went well.Conclusions: Our study suggests that hypnosis combined with EMONO and/or midazolam is of additional value to perform diagnostic EGD or rectosigmoidoscopy in children older than 6 years without systematic need for general anaesthesia.

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“…Other effective methods to decrease patient anxiety and discomfort during colonoscopy are listening to music [14]; hypnosis; and inhalation of nitrous oxide, which improves the patient experience during the procedure and is rapidly eliminated [14,15], minimizing after effects and inconvenience to patients. Although nitrous oxide has not been considered to generate aerosol, this has not been investigated in research studies [16].…”

Section: E986mentioning

confidence: 99%

Covid-19 pandemic impact on colonoscopy service and suggestions for managing recovery

et al. 2020

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Background and aim As the post-peak phase of the epidemic is approaching, there is an urgent need of an action plan to help resume endoscopy activity. To manage the Covid-19 pandemic-imposed backlog of postponed colonoscopy examinations, an efficient approach is needed. The practice of on-demand sedation with benzodiazepines and/or opiates will allow most patients to complete a water-aided examination with minimal or no sedation. Other methods reported to minimize patient discomfort during colonoscopy can be used, in addition to water-aided techniques. Unsedated or minimally sedated patients who do not require recovery or require a shorter one allow rapid turnaround. The practice obviates the need for assistance with deep sedation from anesthesiologists, who may be in short supply. Trainee education in water-aided colonoscopy has been demonstrated to confer benefits. This review provides some insights into the impact of Covid-19 on endoscopy services, challenges ahead, and possible solutions to help recovery of colonoscopy work and training.

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The Effectiveness of Clinical Hypnosis in the Digestive Endoscopy: A Multiple Case Report

Cited by 7 publications

References 14 publications

Audio-guided self-hypnosis for reduction of claustrophobia during MR imaging: results of an observational 2-group study

Audio-guided self-hypnosis for reduction of claustrophobia during MR imaging: results of an observational 2-group study

Use of Hypnosis in Paediatric Gastrointestinal Endoscopy: A Pilot Study

Covid-19 pandemic impact on colonoscopy service and suggestions for managing recovery

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