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Ultrathin endoscope flexibility can predict discomfort associated with unsedated transnasal esophagogastroduodenoscopy 被引量:1

Ultrathin endoscope flexibility can predict discomfort associated with unsedated transnasal esophagogastroduodenoscopy
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摘要 AIM: To evaluate the effects of choice of insertion route and ultrathin endoscope types. METHODS: This prospective study (January-June 2012) included 882 consecutive patients who underwent annual health checkups. Transnasal esophagogastroduodenoscopy (EGD) was performed in 503 patients and transoral EGD in 235 patients using six types of ultrathin endoscopes. Patients were given a choice of insertion route, either transoral or transnasal, prior to EGD examination. For transoral insertion, the endo-scope was equipped with a thin-type mouthpiece and tongue depressor. Conscious sedation was not used for any patient. EGD-associated discomfort was assessed using a visual analog scale (VAS; no discomfort 0maximum discomfort 10). RESULTS: Rates of preference for transnasal insertion were significantly higher in male (male/female 299/204 vs 118/117) and younger patients (56.8 ± 11.2 years vs 61.3 ± 13.0 years), although no significant difference was found in VAS scores between transoral and transnasal insertion (3.9 ± 2.3 vs 4.1 ± 2.5). Multivariate analysis revealed that gender, age, operator, and endoscope were independent significant predictors of VAS for transnasal insertion, although gender, age, and endoscope were those for transoral insertion. Further analysis revealed only the endoscopic flexibility index (EFI) as an independent significant predictor of VAS for transnasal insertion. Both EFI and tip diameter were independent significant predictors of VAS for transoral insertion. CONCLUSION: Flexibility of ultrathin endoscopes can be a predictor of EGD-associated discomfort, especially in transnasal insertion. AIM: To evaluate the effects of choice of insertion route and ultrathin endoscope types. METHODS: This prospective study (January-June 2012) included 882 consecutive patients who underwent annual health checkups. Transnasal esophagogastroduodenoscopy (EGD) was performed in 503 patients and transoral EGD in 235 patients using six types of ultrathin endoscopes. Patients were given a choice of insertion route, either transoral or transnasal, prior to EGD examination. For transoral insertion, the endo-scope was equipped with a thin-type mouthpiece and tongue depressor. Conscious sedation was not used for any patient. EGD-associated discomfort was assessed using a visual analog scale (VAS; no discomfort 0maximum discomfort 10). RESULTS: Rates of preference for transnasal insertion were significantly higher in male (male/female 299/204 vs 118/117) and younger patients (56.8 ± 11.2 years vs 61.3 ± 13.0 years), although no significant difference was found in VAS scores between transoral and transnasal insertion (3.9 ± 2.3 vs 4.1 ± 2.5). Multivariate analysis revealed that gender, age, operator, and endoscope were independent significant predictors of VAS for transnasal insertion, although gender, age, and endoscope were those for transoral insertion. Further analysis revealed only the endoscopic flexibility index (EFI) as an independent significant predictor of VAS for transnasal insertion. Both EFI and tip diameter were independent significant predictors of VAS for transoral insertion. CONCLUSION: Flexibility of ultrathin endoscopes can be a predictor of EGD-associated discomfort, especially in transnasal insertion.
出处 《World Journal of Gastrointestinal Endoscopy》 CAS 2013年第7期346-351,共6页 世界胃肠内镜杂志(英文版)(电子版)
关键词 ESOPHAGOGASTRODUODENOSCOPY ULTRATHIN ENDOSCOPE Visual analog scale DISCOMFORT Surveillance Esophagogastroduodenoscopy Ultrathin endoscope Visual analog scale Discomfort Surveillance
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  • 1Mika Yuki,Yuji Amano,Yoshinori Komazawa,Hiroyuki Fukuhara,Toshihiro Shizuku,Shun Yamamoto,Yoshikazu Kinoshita.Unsedated transnasal small-caliber esophagogastroduoden oscopy in elderly and bedridden patients[J].World Journal of Gastroenterology,2009,15(44):5586-5591. 被引量:8
  • 2Waring JP,Baron TH,Hirota WK,et al.Guidelines for conscioussedation and monitoring during gastrointestinal endoscopy. Gastrointestinal Endoscopy . 2003
  • 3Yokoyama A,Kumagai Y,Yokoyama T, et al.Health risk appraisal models for mass screening for esophageal and pharyngeal cancer: an endoscopic follow-up study of cancer-free Japanese men. Cancer Epidemiology Biomarkers and Prevention . 2009
  • 4Oda I,Gotoda T,Hamanaka H,et al.Endoscopicsubmucosal dissection for early gastric cancer:techinicalfeasibility,operation time and complications from a largeconsecutive series. Digestive Endoscopy . 2005
  • 5Ohkuwa M,Hosokawa K,Boku N,Ohtu A,Tajiri H,Yoshida S.New endoscopic treatment for intramucosal gastric tumors using an insulated-tip diathermic knife. Endoscopy . 2001
  • 6Yoshida T,Inoue H,Usui S,Satodate H,Fukami N,Kudo SE.Narrow-band imaging system with magnifying endos- copy for superficial esophageal lesions. Gastrointestinal Endoscopy . 2004
  • 7Abe K,Miyaoka M.Trial of transnasalesophagogastroduodenoscopy. Digestive Endoscopy . 2006
  • 8Hayashi Y,Yamamoto Y,Suganuma T,Okada K,Nego M,Imada S,Imai M,Yoshimoto K,Ueki N,Hirasawa T,Ura- gami N,Tsuchida T,Fujisaki J,Hoshino E,Takahashi H,Iga- rashi M.Comparison of the diagnostic utility of the ultrathin endoscope and the conventional endoscope in early gastric cancer screening. Digestive Endoscopy . 2009
  • 9Kuraoka K,Hoshino E,Tsuchida T,Fujisaki J,Takahashi H,Fujita R.Early esophageal cancer can be detected by screen-ing endoscopy assisted with narrow-band imaging (NBI). Hepato Gastroenterology . 2009
  • 10Yoshizawa M,Osawa H,Yamamoto H,Kita H,Nakano H,Satoh K,Shigemori M,Tsukui M,Sugano K.Diagnosis of ele-vated-type early gastric cancers by the optimal band imagingsystem. Gastrointestinal Endoscopy . 2009

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  • 1Hiroya Nakata,Shotaro Enomoto,Takao Maekita,Izumi Inoue,Kazuki Ueda,Hisanobu Deguchi,Naoki Shingaki,Kosaku Moribata,Yoshimasa Maeda,Yoshiyuki Mori,Mikitaka Iguchi,Hideyuki Tamai,Hiroya Nakata,Nobutake Yamamichi,Mitsuhiro Fujishiro,Jun Kato,Masao Ichinose.Transnasal and standard transoral endoscopies in the screening of gastric mucosal neoplasias[J].World Journal of Gastrointestinal Endoscopy,2011,3(8):162-170. 被引量:1
  • 2AtsuhikoMurata,KazuyaAkahoshi,YorinobuSumida,HidehikoYamamoto,KazuhikoNakamura,HajimeNawata.Prospective randomized trial of transnasal versus peroral endoscopy using an ultrathin videoendoscope in unsedated patients[J]. Journal of Gastroenterology and Hepatology . 2007 (4)
  • 3Tsuneo Oyama,Akihisa Tomori,Kinichi Hotta,Syuko Morita,Ken Kominato,Masaki Tanaka,Yoshinori Miyata.Endoscopic Submucosal Dissection of Early Esophageal Cancer[J].Clinical Gastroenterology and Hepatology.2005(7)
  • 4Claar D. van der Maarel-Wierink,Jacques N.O. Vanobbergen,Ewald M. Bronkhorst,Jos M.G.A. Schols,Cees de Baat.Risk Factors for Aspiration Pneumonia in Frail Older People: A Systematic Literature Review[J].Journal of the American Medical Directors Association.2011(5)
  • 5T. Frieling,P. Schindler,R. Kuhlbusch-Zicklam,J. Heise,A. Hülsdonk,C. Kreysel.Krefelder CONTRA-Studie: Konventionelle diagnostische perorale ?sophago-Gastro-Duodenoskopie (?GD) vs. transnasale ?GD – eine prospektive randomisierte Studie zur unabh?ngigen Evaluation der Sedoanalgesie, des Endoskopdurchmessers und des Zugangswegs[J].Z Gastroenterol.2010(08)
  • 6Hirobumi Toyoizumi,Mitsuru Kaise,Hiroshi Arakawa,Jin Yonezawa,Yukinaga Yoshida,Masayuki Kato,Noboru Yoshimura,Ken-ichi Goda,Hisao Tajiri.Ultrathin endoscopy versus high-resolution endoscopy for diagnosing superficial gastric neoplasia[J].Gastrointestinal Endoscopy.2009(2)
  • 7Mitsuyo Yoshizawa,Hiroyuki Osawa,Hironori Yamamoto,Hiroto Kita,Hidetoshi Nakano,Kiichi Satoh,Masato Shigemori,Mamiko Tsukui,Kentaro Sugano.Diagnosis of elevated-type early gastric cancers by the optimal band imaging system[J].Gastrointestinal Endoscopy.2009(1)
  • 8Mitsuhiro Fujishiro,Naohisa Yahagi,Naomi Kakushima,Shinya Kodashima,Yosuke Muraki,Satoshi Ono,Nobutake Yamamichi,Ayako Tateishi,Yasuhito Shimizu,Masashi Oka,Keiji Ogura,Takao Kawabe,Masao Ichinose,Masao Omata.Endoscopic Submucosal Dissection of Esophageal Squamous Cell Neoplasms[J].Clinical Gastroenterology and Hepatology.2006(6)
  • 9KiminoriAbe,MasaakiMiyaoka.TRIAL OF TRANSNASAL ESOPHAGOGASTRODUODENOSCOPY[J].Digestive Endoscopy.2006(3)
  • 10J. Yagi,K. Adachi,N. Arima,S. Tanaka,T. Ose,T. Azumi,H. Sasaki,M. Sato,Y. Kinoshita.A Prospective Randomized Comparative Study on the Safety and Tolerability of Transnasal Esophagogastroduodenoscopy[J].Endoscopy.2005(12)

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