Korean J Gastrointest Endosc > Volume 29(3); 2004 > Article
Korean Journal of Gastrointestinal Endoscopy 2004;29(3): 119-125.
의식하 진정 내시경과 비교한 직경 6.5 mm 내시경의 유용성
남수연·김나영*·이창수·황진혁*·김진욱*·이동호*·정현채·송인성
서울대학교 의과대학 내과학교실, 간연구소, *분당서울대학교병원 내과
Usefulness of Unsedated 6.5 mm Endoscopy Compared with Sedated Standard Endoscopy
Su Youn Nam, M.D., Nayoung Kim, M.D.*, Chang Soo Lee, M.D., Jin-Hyeok Hwang, M.D.*,Jin-Wook Kim, M.D.*, Dong Ho Lee, M.D.*, Hyun Chae Jung M.D. and In Sung Song, M.D.
Departments of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, Korea, *Department of Internal Medicine, Seoul National University Bundang Hospital, Gyeonggi-do, Korea
Abstract
Background/Aim: Sedated endoscopy performed for higher compliance requires close monitoring and long recovery time. In addition, several side effects including even mortality could occur. This study was performed to evaluate the usefulness of unsedated 6.5 mm endoscopy compared with sedated standard endoscopy.
Methods:
One hundred eight patients were randomized into 2 groups (unsedated or sedated); unsedated endoscopy with 6.5 mm endoscope (58 patients); sedated endoscopy with standard endoscope (50 patients). Vital sign, time to recover walking ability and degree of amnesia were evaluated. The endoscopists' and patients' satisfaction and complication were estimated in terms of endoscopic score, visual analogue scale and complication score. Result: Oxygen saturation during the procedure significantly decreased in the sedated group. No difference was noted in endoscopists' and patients' satisfaction, but complication score was significantly decreased in the 6.5 mm scope group. The time for the induction of sedation was 3.4 minutes and the time to recover through walking ability was 36 minutes.
Conclusion:
From these results, there was no difference in either the endoscopists' or the patients' satisfaction between two groups, but complication and recovery time were significantly reduced in 6.5 mm group. Unsedated 6.5 mm endoscopy could be considered as a substitution for the sedated standard endoscopy. (Korean J Gastrointest Endosc 2004;29:119⁣125)
Key Words: 6.5 mm endoscopy, Sedated endoscopy
주요어: 6.5 mm 내시경, 의식하 진정 내시경
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