OBJECTIVES: Esophagoduodenoscopy and colonoscopy can be done as bidirectional endoscopy in the same session. The aim of this study was to compare anesthetic requirements and hemodynamic effects in esophagoduodenoscopy or colonoscopy done first for bidirectional endoscopy. MATERIAL AND METHODS: Eighty patients, aged 18-70 years with an American Society of Anesthesiologists Classification (ASA) as I-III, were included randomly into this study. The patients were allocated into two groups: Group C: first colonoscopy followed by esophagoduodenoscopy. Group E: first esophagoduodenoscopy followed by colonoscopy. All patients received standard anesthesia with 1 µg/kg fentanyl and 1 mg/kg propofol. Demographical variables, Heart rate SpO2, Ramsey Sedation Score were recorded every 10 minutes. Total propofol consumption, retching during esophagoduodenoscopy and time to reach cecum were also recorded. Endoscopist and patient satisfaction were questioned. RESULTS: Retching during esophagoduodenoscopy was not statistically significantly different in both groups. Total procedure duration and esophagoduodenoscopy duration were statistically significant longer in Group E. Complication frequency was higher in Group E. Endoscopist and patient satisfaction were lower in Group E. There was no difference in time to reach the cecum and the recovering period. Additional propofol dose was increased in Group E. CONCLUSION: Regarding shorter procedural duration, lower consumption amount of propofol and fewer complications, it could be a better choice to start bidirectional procedure with colonoscopy first.
OBJECTIVES: Esophagoduodenoscopy and colonoscopy can be done as bidirectional endoscopy in the same session. The aim of this study was to compare anesthetic requirements and hemodynamic effects in esophagoduodenoscopy or colonoscopy done first for bidirectional endoscopy. MATERIAL AND METHODS: Eighty patients, aged 18-70 years with an American Society of Anesthesiologists Classification (ASA) as I-III, were included randomly into this study. The patients were allocated into two groups: Group C: first colonoscopy followed by esophagoduodenoscopy. Group E: first esophagoduodenoscopy followed by colonoscopy. All patients received standard anesthesia with 1 µg/kg fentanyl and 1 mg/kg propofol. Demographical variables, Heart rate SpO2, Ramsey Sedation Score were recorded every 10 minutes. Total propofol consumption, retching during esophagoduodenoscopy and time to reach cecum were also recorded. Endoscopist and patient satisfaction were questioned. RESULTS: Retching during esophagoduodenoscopy was not statistically significantly different in both groups. Total procedure duration and esophagoduodenoscopy duration were statistically significant longer in Group E. Complication frequency was higher in Group E. Endoscopist and patient satisfaction were lower in Group E. There was no difference in time to reach the cecum and the recovering period. Additional propofol dose was increased in Group E. CONCLUSION: Regarding shorter procedural duration, lower consumption amount of propofol and fewer complications, it could be a better choice to start bidirectional procedure with colonoscopy first.
Authors: Audrey H Calderwood; Lukejohn W Day; V Raman Muthusamy; James Collins; Ralph David Hambrick; Andrew S Brock; Nalini M Guda; Jonathan M Buscaglia; Bret T Petersen; Navtej S Buttar; Lauren G Khanna; Vladimir M Kushnir; Aparna Repaka; Nicolas A Villa; Glenn M Eisen Journal: Gastrointest Endosc Date: 2018-03-21 Impact factor: 9.427
Authors: Ja Sung Choi; Young Hoon Youn; Sang Kil Lee; Jin Yi Choi; Hee Man Kim; Yu Jin Kim; Ki Jun Han; Hyeon Geun Cho; Si Young Song; Jae Hee Cho Journal: Surg Endosc Date: 2013-01-26 Impact factor: 4.584
Authors: Hacer Şebnem Türk; Meltem Aydoğmuş; Oya Ünsal; Hakan Mustafa Köksal; Mehmet Eren Açik; Sibel Oba Journal: Braz J Anesthesiol Date: 2013 Jul-Aug
Authors: Osman Zekai Oner; Rojbin Karakoyun Demirci; Umut Rıza Gündüz; Arif Aslaner; Umit Koç; Nurullah Bülbüller Journal: Int J Clin Exp Med Date: 2013-08-01