BACKGROUND/AIMS: Data are scarce on endoscopic sedation practices outside the United States and Western Europe, particularly from developing nations. An Internet survey was used to assess endoscopic sedation practices in developing and developed countries. METHODS: Responses to a Web-based survey of sedation practices from 165 expert endoscopists from 81 countries were analyzed. The most common sedation method was defined as that used for >50% of endoscopies within a country. RESULTS: Responses were received from 84 endoscopists practicing in 46 countries (51% response rate; 32 responses from 22 developing countries and 52 responses from 24 developed countries). A combination of benzodiazepine and opioid was the most common method for esophagogastroduodenoscopy (EGD) in 40% of the countries and for colonoscopy in 56% of the countries. For propofol and unsedated endoscopy, the corresponding figures were 8% and 19% for EGD and 18% and 10% for colonoscopy. No single sedation method accounted for >50% of EGD and colonoscopy cases in 32% and 17% of the countries, respectively. There were no significant differences in the proportions of developing and developed countries using combined benzodiazepine and opioid, propofol, or unsedated endoscopy. CONCLUSIONS: Sedation is used for most endoscopic procedures worldwide, with sedation practice not differing significantly between developing and developed countries.
BACKGROUND/AIMS: Data are scarce on endoscopic sedation practices outside the United States and Western Europe, particularly from developing nations. An Internet survey was used to assess endoscopic sedation practices in developing and developed countries. METHODS: Responses to a Web-based survey of sedation practices from 165 expert endoscopists from 81 countries were analyzed. The most common sedation method was defined as that used for >50% of endoscopies within a country. RESULTS: Responses were received from 84 endoscopists practicing in 46 countries (51% response rate; 32 responses from 22 developing countries and 52 responses from 24 developed countries). A combination of benzodiazepine and opioid was the most common method for esophagogastroduodenoscopy (EGD) in 40% of the countries and for colonoscopy in 56% of the countries. For propofol and unsedated endoscopy, the corresponding figures were 8% and 19% for EGD and 18% and 10% for colonoscopy. No single sedation method accounted for >50% of EGD and colonoscopy cases in 32% and 17% of the countries, respectively. There were no significant differences in the proportions of developing and developed countries using combined benzodiazepine and opioid, propofol, or unsedated endoscopy. CONCLUSIONS: Sedation is used for most endoscopic procedures worldwide, with sedation practice not differing significantly between developing and developed countries.
Authors: R Campo; E Brullet; F Junquera; V Puig-Diví; M Vergara; X Calvet; J Marco; M Chuecos; A Sánchez; A Alcázar; M Ruiz; M Puig; J Real Journal: Gastroenterol Hepatol Date: 2004-11 Impact factor: 2.102
Authors: Lawrence B Cohen; Julie S Wecsler; John N Gaetano; Ariel A Benson; Kenneth M Miller; Valerie Durkalski; James Aisenberg Journal: Am J Gastroenterol Date: 2006-05 Impact factor: 10.864
Authors: S D Ladas; L Aabakken; J-F Rey; A Nowak; S Zakaria; K Adamonis; N Amrani; J J G H M Bergman; J Boix Valverde; S Boyacioglu; I Cremers; J Crowe; P Deprez; P Díte; M Eisen; R Eliakim; E D Fedorov; Z Galkova; T Gyokeres; L T Heuss; A Husic-Selimovic; F Khediri; K Kuznetsov; T Marek; M Munoz-Navas; B Napoleon; S Niemela; O Pascu; N Perisic; R Pulanic; E Ricci; F Schreiber; L B Svendsen; W Sweidan; A Sylvan; R Teague; M Tryfonos; D Urbain; J Weber; M Zavoral Journal: Digestion Date: 2006-11-27 Impact factor: 3.216
Authors: John K Triantafillidis; Emmanuel Merikas; Dimitrios Nikolakis; Apostolos E Papalois Journal: World J Gastroenterol Date: 2013-01-28 Impact factor: 5.742
Authors: Gustavo Andrade de Paulo; Fernanda P B Martins; Erika P Macedo; Manoel Ernesto P Gonçalves; Carlos Alberto Mourão; Angelo P Ferrari Journal: Endosc Int Open Date: 2015-01-16