One- or two-operator techniques for oesophago-gastro-duodenoscopy in unsedated patients: A comparative prospective randomized study |
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Institution: | 1. Department of Gastroenterology, University of Health Sciences, Diskap? Yildirim Beyazit Training and Research Hospital, Ankara, Turkey;2. Department of Gastroenterology, Ankara Yildirim Beyazit University, School of Medicine, Ankara, Turkey;1. Departamento de Cirugía, Pediatría, Ginecología y Obstetricia, Universidad de Murcia, Murcia, España;2. Servicio de Cirugía General, Hospital General Universitario Reina Sofía, Murcia, España;3. Servicio de Radiología, Hospital General Universitario Reina Sofía, Murcia, España;1. Sección de Gastroenterología y Endoscopia Digestiva, Fundación Santa Fe de Bogotá y Universidad de los Andes, Bogotá, Colombia;2. Sección de Gastroenterología y Endoscopia Digestiva, Fundación Santa Fe de Bogotá, Bogotá, Colombia;3. Estudios Clínicos y Epidemiología Clínica, Fundación Santa Fe de Bogotá, Bogotá, Colombia;4. Departamento de Patología y Laboratorios, Fundación Santa Fe de Bogotá y Universidad de los Andes. Bogotá, Colombia;1. Servicio de Digestivo, Hospital Comarcal de Inca, Mallorca, España;2. Servicio de Digestivo, Hospital Can Misses, Ibiza, España;3. Servicio de Digestivo, Hospital Mateu Orfila, Menorca, España;4. Dirección General de Salut Pública i Participació, Conselleria de Salut, Govern de les Illes Balears, Mallorca, España;5. Grupo Multidisciplinar de Oncología Translacional (GMOT), Institut Universitari d’Investigació en Ciències de la Salut (IUNICS), Universitat de les Illes Balears, Palma de Mallorca, España;6. Instituto de Investigación Sanitaria Illes Balears (IdISBa), Hospital Universitario Son Espases, Palma de Mallorca, España;7. Ciber Fisiopatología Obesidad y Nutrición (CB06/03/0043) Instituto Salud Carlos III, Madrid, España |
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Abstract: | BackgroundThe standard oesophago-gastro-duodenoscopy procedure is performed with a single endoscopist (SE). Nurse-assisted (NA) oesophago-gastro-duodenoscopies have not yet been studied. We aimed to evaluate the efficacy of an NA endoscopy compared to an SE endoscopy.MethodsA prospective, single-center, randomized trial, in which 500 adult patients were divided into two groups. In the first group, patients underwent an endoscopy with an SE. In the second group, the endoscopy was performed with an NA. The ease of the procedure (scores 1–4; 1 difficult, 2 satisfactory, 3 easy, 4 very easy), evaluation of patient satisfaction (scores 1–4; 1 uncomfortable, 2 satisfactory, 3 comfortable, 4 very comfortable), total time of the procedure and vocal cord observation were determined as quality indicators.ResultsMean patient satisfaction scores in groups 1 and 2 were 2.98 ± 0.79 and 3.11 ± 0.78, respectively (p = 0.043), with uncomfortable ratings in 5.2% vs 4%, satisfactory in 16.8% vs 13.2%, comfortable in 53.2% vs 50.4%, and very comfortable in 24.8% vs 32.4% of patients in groups 1 and 2, respectively. Retching rates during the procedure were 54.4% and 45.2% (p = 0.040) in groups 1 and 2, respectively. No differences were seen in vocal cord observation (54.4% vs 56.0%), total procedure time (2.35 ± 1.56 vs 2.41 ± 1.48 min) and easy score (3.26 ± 0.603 vs 3.25 ± 0.64) in groups 1 and 2 for the procedures. Very easy, easy, satisfactory, and difficult ratings were given by 33.6% vs 34.8%, 60.4% vs 56.4%, 4.8% vs 7.6% and 1.2% vs 1.2% of groups 1 and 2, respectively.ConclusionsCompared with the conventional method, the assisted endoscopic technique provides more comfort and less gag reflex without increasing the processing time or difficulty of performing the procedure. |
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Keywords: | Upper gastrointestinal endoscopy Gastroscopy Nurse-assisted endoscopy Patient satisfaction Assisted endoscopy technique Endoscopia gastrointestinal superior Gastroscopia Endoscopia asistida por enfermería Satisfacción del paciente Técnica de endoscopia asistida |
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