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 24 February 2018

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News

Unsedated ultrathin EGD versus conventional sedated EGD

Patients undergoing unsedated ultrathin EGD are as satisfied as patients undergoing sedated conventional EGD, find physicians in the December issue of Gastroenterology.

News image

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In the United States, upper gastrointestinal endoscopy is usually performed using intravenous sedation.

However, sedation increases the rate of both complications and costs of endoscopy.

Unsedated esophagogastroduodenoscopy (EGD) using conventional 8–11-mm endoscopes is an alternative to sedated endoscopy. This is generally perceived as unacceptable to many patients.

Unsedated EGD using ultrathin 5–6-mm endoscopes is better tolerated.
There was no difference in overall patient satisfaction.
Gastroenterology

In this study, physicians compared unsedated ultrathin EGD (UT-EGD) with sedated conventional EGD (C-EGD).

The team randomized 80 patients, scheduled to undergo elective outpatient EGD, to either unsedated UT-EGD or sedated C-EGD.

The physicians determined that baseline characteristics of patients in the 2 groups were similar.

They identified no significant differences in overall patient satisfaction or willingness to repeat the procedure between the 2 study groups.

There was a significant difference in median total procedure time.

The team calculated that the mean total procedure cost was $512.4 for sedated C-EGD and $328.6 for unsedated UT-EGD.

Dr Ruel Garcia's team concluded, "Patients undergoing unsedated UT-EGD are as satisfied as patients undergoing sedated C-EGD.

"[Patients] are just as willing to repeat an unsedated UT-EGD".

"Unsedated UT-EGD was also faster, less costly, and may allow greater accessibility to this procedure".

Gastroenterol 2003; 125(6):
12 December 2003

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