The researchers evaluated the times and costs associated with unsedated small-caliber esophagogastroduodenoscopy (scEGD) as compared with conventional EGD (cEGD) with sedation.
They reported their findings in the September issue of the Journal of Clinical Gastroenterology.
A total of 16 patients underwent scEGD with the Pentax EG-1840 (outside diameter, 6 mm) without sedation.
|Mean cost of procedure:|
- Small-caliber EGD: $462
- Conventional EGD: $587
|Journal of Clinical Gastroenterology|
A control group of 16 patients was matched for age, sex, day, and indication of procedure.
The time of procedure, time in procedure room, time in recovery room, and procedure costs were determined in both the study and control groups.
After the procedure, scEGD patients completed surveys. These consisted of visual-analogue scales to assess tolerance and preference regarding sedation for future procedures.
The investigators found that procedure time, procedure room time, and recovery room time were 5.2, 16.3, and 9 minutes for scEGD, respectively. For cEGD, the times were 13.5, 34.9, and 41.3 minutes, respectively.
The mean cost of scEGD, excluding physician fees, was $462. This was significantly lower than the cost for cEGD ($587).
Survey results revealed good tolerance for the unsedated procedure.
Dr Adam B. Gorelick, of the University of Michigan Medical Center, Ann Arbor, concluded on behalf of his colleagues, "Unsedated scEGD was well tolerated. It resulted in a shorter time of procedure, less time spent in procedure room, reduced recovery room time, and lower costs, as compared with cEGD with sedation."