John J Vargo1. 1. Section of Therapeutic Endoscopy, Department of Gastroenterology, Digestive Disease Institute, and Cleveland Clinic Lerner College of Medicine, Cleveland, Ohio 44195, USA.
Abstract
BACKGROUND: Moderate sedation during endoscopy may pose increased risks among obese patients. OBJECTIVE: To review the literature that considers aspects of sedation within the obese population and to identify gaps in our knowledge. DESIGN: Literature-based review. RESULTS: There may be increased risks among obese patients undergoing moderate sedation. In particular, the presence of obstructive sleep apnea may identify a subset of patients at higher risk for complications. LIMITATIONS: English language literature only. CONCLUSIONS: Although obesity may be associated with increased risks of procedural sedation, future studies should better clarify such risks to better inform clinical decision making.
BACKGROUND: Moderate sedation during endoscopy may pose increased risks among obesepatients. OBJECTIVE: To review the literature that considers aspects of sedation within the obese population and to identify gaps in our knowledge. DESIGN: Literature-based review. RESULTS: There may be increased risks among obesepatients undergoing moderate sedation. In particular, the presence of obstructive sleep apnea may identify a subset of patients at higher risk for complications. LIMITATIONS: English language literature only. CONCLUSIONS: Although obesity may be associated with increased risks of procedural sedation, future studies should better clarify such risks to better inform clinical decision making.
Authors: Sachin Wani; Riad Azar; Christine E Hovis; Robert M Hovis; Gregory A Cote; Matthew Hall; Lawrence Waldbaum; Vladimir Kushnir; Dayna Early; Daniel K Mullady; Faris Murad; Steven A Edmundowicz; Sreenivasa S Jonnalagadda Journal: Gastrointest Endosc Date: 2011-12 Impact factor: 9.427
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