Author: Judah J. Collins D. Gaidos J. Hou W. Forsmark C. Draganov P.
Publisher: Springer Publishing Company
ISSN: 0163-2116
Source: Digestive Diseases and Sciences, Vol.55, Iss.9, 2010-09, pp. : 2584-2591
Disclaimer: Any content in publications that violate the sovereignty, the constitution or regulations of the PRC is not accepted or approved by CNPIEC.
Abstract
Sedation of patients for deep small bowel enteroscopy presents unique challenges and is traditionally provided by anesthesiologists. No study has directly evaluated gastroenterologist-guided, nurse-administered sedation for deep enteroscopy. Further, no comparison exists between gastroenterologist-guided versus anesthesiologist-guided sedation during deep enteroscopy.To evaluate safety and efficacy of performing deep (spiral) enteroscopy using gastroenterologist-guided sedation and compare outcomes between patients receiving gastroenterologist-guided and anesthesiologist-guided sedation.This prospective case series contains 91 consecutive patients who underwent deep enteroscopy with spiral Endo-Ease Discovery SB overtube. Of the patients, 64 received gastroenterologist-guided and 27 received anesthesiologist-guided sedation.In the 64 patients receiving gastroenterologist-guided sedation, successful completion occurred in 59 of 64 enteroscopies (92.2%). Mean insertion depth was 231.0 ± 85.8 cm beyond the ligament of Treitz. Total procedure time was 39.9 ± 15.7 min (diagnostic time 34.7 ± 12.3 min; therapy time 5.2 ± 8.9 min). Positive findings were noted in 32 cases (50.0%), with therapy performed in 27 cases (42.2%). Six minor complications occurred. Compared to the anesthesiologist-guided sedation group, there was no difference in patient characteristics except mean American Society of Anesthesiologists score (2.5 ± 0.5 in gastroenterologist-guided group versus 2.7 ± 0.6 in anesthesiologist-guided group;
Related content
Nurse-Administered Propofol Sedation in Nonagerians: Extending the Panacea
Digestion, Vol. 78, Iss. 1, 2008-09 ,pp. :
By Slagelse Charlotte Vilmann Peter Hornslet Pernille Hammering Anne Mantoni Teit
Scandinavian Journal of Gastroenterology, Vol. 46, Iss. 12, 2011-12 ,pp. :
Human Reproduction, Vol. 17, Iss. 8, 2002-08 ,pp. :