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 24 May 2018

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News

Outpatient upper gastrointestinal endoscopy

Diagnostic esophago-gastroduodenoscopy is a generally safe procedure that has a small complication rate, find researchers in the latest issue of Digestive Endoscopy.

News image

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Few prospective studies look at the standards of the practice of esophago-gastroduodenoscopy (EGD) and its associated morbidity.

In this study, researchers from England prospectively recorded data for 1287 consecutive day-case diagnostic EGD procedures.

After 30 days, the team successfully contacted 1155 of these patients.
After 30 days, 10% of patients reported a problem.
Digestive Endoscopy

The team found that national recommendations for standard of care were met.

They found that 754 patients (70% of men and 49% of women) chose pharyngeal anesthesis (PA) as premedication. Two women had general anesthesia.

There were no immediate clinical complications. However, when the patients were contacted after 30 days, 10% reported a problem. One patient required hospital admission.

Of the patients who reported a problem, 51 of 119 had EGD performed under midazolam sedation (MS).

In addition, 25 of 119 patients required consultation with a health-care professional.

There were no deaths.

The team found that 79% of patients who underwent their procedure with PA and 95% who had MS, said they would prefer the same premedication if EGD was required in the future.

However, in subjects who had PA, 25% of women and 12% of men said they would prefer MS if EGD were required again.

Dr Syed Abbas's team concluded, "Diagnostic EGD is a safe procedure, but carries a small complication rate".

"Patients' gender, age, or patients' preference for sedation or endoscopist did not affect the morbidity rate".

"Although the majority, particularly men, chose to have EGD performed unsedated, a significant number, particularly women, would prefer MS if EGD was required again".

Dig Endosc 2004; 16(2): 113-6
22 March 2004

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