The efficacy of on-demand sedation colonoscopy: a STROBE-compliant retrospective cohort study

Kaan, Hung Leng; Khor, Vincent; Liew, Wei Chee; Loh, Tian Fu; Leong, Sze Wai; Teo, Shuo Ling; Keh, Christopher Hang Liang

doi:10.1007/s00464-021-08351-y

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…В государственных клиниках Сингапура так же, как в США и Европе, «умеренная седация MF» при проведении рутинных эндоскопических процедур является стандартной практикой более чем в 90% случаев [16]. Умеренная седация выполняется не анестезиологом, а хирургом или гастроэнтерологом, которые проводят эндоскопию.…”

Section: умеренная аналгоседация бензодиазепинами и опиоидамиunclassified

Anesthesiological support during gastroscopy and colonoscopy: availability, effectiveness and safety of applied methods

Долгунов

Dolgunov

Balashova

et al. 2022

Tihookeanskij medicinskij žurnal

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The article presents the literature review on anesthesiological support during gastroscopy and colonoscopy including evaluation of availability, effectiveness, safety and patient’s comfort of the used methods. Data on the number of endoscopic interventions in gastrointestinal tract performed under general anesthesia and controlled sedation in Vladivostok hospitals is provided. Low availability of anesthesiological support for these procedures in public hospitals is stated. Reasonability of widespread use of moderate analgosedation during gastroscopy and colonoscopy is demonstrated.

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Section: умеренная аналгоседация бензодиазепинами и опиоидамиunclassified

Anesthesiological support during gastroscopy and colonoscopy: availability, effectiveness and safety of applied methods

Долгунов

Dolgunov

Balashova

et al. 2022

Tihookeanskij medicinskij žurnal

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“…Sedation has become a common practice in endoscopic operation over the past decades [5][6][7]. Several previous studies have shown that sedation could reduce pain of patients and improve the operator satisfaction [8][9][10][11], thus shortened the time of colonoscopy. Controversy surrounding the effect of sedation on quality indicator of colonoscopy, such as ADR had been reported in different country, yet little is known about the impact of sedation when controlling the other factors with a large-scale cohort.…”

Section: Introductionmentioning

confidence: 99%

Sedation Is Associated with Higher Polyp and Adenoma Detection Rates during Colonoscopy: A Retrospective Cohort Study

Tang

Xie

et al. 2023

Gastroenterology Research and Practice

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Background and Aims. Currently sedation is a common practice in colonoscopy to reduce pain of patients and improve the operator satisfaction, whereas its impact on examination quality, especially adenoma detection rate (ADR) is still controversial. Thus, we aimed to investigate the association of sedation with ADR. Methods. Consecutive patients receiving colonoscopy between January 2017 and January 2020 at the Nanjing Drum Tower Hospital, Nanjing, China, were collected. Univariate and multivariate logistic regression models were performed to investigate the association between sedation and ADR. Subgroup analysis and propensity score matching (PSM) analysis, as sensitivity analysis, were performed to validate the independent effect. Results. The ADR was significantly higher in cases with sedation (ADR: 36.9% vs. 29.1%, odds ratio [OR]: 1.42, 95% confidence interval [CI]: 1.31–1.55, P < 0.001 ). Multivariate analysis showed that the sedation was an independent factor associated with ADR (OR: 1.49, 95% CI: 1.35–1.65, P < 0.001 ). The effect was consistent in subgroup analyses ( P > 0.05 ) and PSM analysis (ADR: 37.6% vs. 29.1%, OR: 1.47, 95% CI: 1.33–1.63, P < 0.001 ). Conclusion. Sedation was associated with a higher polyp and ADR s during colonoscopy, which can promote the quality of colonoscopy.

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The efficacy of on-demand sedation colonoscopy: a STROBE-compliant retrospective cohort study

Cited by 2 publications

References 9 publications

Anesthesiological support during gastroscopy and colonoscopy: availability, effectiveness and safety of applied methods

Anesthesiological support during gastroscopy and colonoscopy: availability, effectiveness and safety of applied methods

Sedation Is Associated with Higher Polyp and Adenoma Detection Rates during Colonoscopy: A Retrospective Cohort Study

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