KSGE
Search
- Page Path
- HOME > Search
Original Article
- Anesthesia care provider sedation versus conscious sedation for endoscopic ultrasound–guided tissue acquisition: a retrospective cohort study
-
Sneha Shaha
, Yinglin Gao, Jiahao Peng, Kendrick Che, John J. Kim, Wasseem Skef - Clin Endosc 2023;56(5):658-665. Published online July 3, 2023
- DOI: https://doi.org/10.5946/ce.2023.006
-
Graphical Abstract
Abstract
PDF - Background
/Aims: We aimed to study the effects of sedation on endoscopic ultrasound–guided tissue acquisition.
Methods
We conducted a retrospective study evaluating the role of sedation in endoscopic ultrasound–guided tissue acquisition by comparing two groups: anesthesia care provider (ACP) sedation and endoscopist-directed conscious sedation (CS).
Results
Technical success was achieved in 219/233 (94.0%) in the ACP group and 114/136 (83.8%) in the CS group (p=0.0086). In multivariate analysis, the difference in technical success between the two groups was not significant (adjusted odds ratio [aOR], 0.5; 95% confidence interval [CI], 0.234–1.069; p=0.0738). A successful diagnostic yield was present in 146/196 (74.5%) in the ACP group and 66/106 (62.3%) in the CS group, respectively (p=0.0274). In multivariate analysis, the difference in diagnostic yield between the two groups was not significant (aOR, 0.643; 95% CI, 0.356–1.159; p=0.142). A total of 33 adverse events (AEs) were observed. The incidence of AEs was significantly lower in the CS group (5/33 CS vs. 28/33 ACP; OR, 0.281; 95% CI, 0.095–0.833; p=0.022).
Conclusions
CS provided equivalent technical success and diagnostic yield for malignancy in endoscopic ultrasound–guided tissue acquisition. Increased AEs were associated with anesthesia for the endoscopic ultrasound–guided tissue acquisition. -
Citations
Citations to this article as recorded by
- Impact of Sedation Regimen on Diagnostic Adequacy in Endoscopic ultrasonography-Guided Tissue Acquisition of Solid Pancreatic Lesions
Luciano Lenz, Silvia Kim, Bruno Martins, Leika Miyahara Felipe, Sergio E. Matuguma, Andressa Abnader Machado, Renata Nobre, Marcelo Simas de Lima, Gustavo A. de Paulo, Adriana V. Safatle-Ribeiro, Fauze Maluf-Filho
Endoscopy International Open.2026;[Epub] CrossRef
- Impact of Sedation Regimen on Diagnostic Adequacy in Endoscopic ultrasonography-Guided Tissue Acquisition of Solid Pancreatic Lesions
- 4,954 View
- 75 Download
- 1 Crossref
First
Prev
