Gastrointestinal Endoscopy
Volume 64, Issue 6 , Pages 868-873 , December 2006

Unsedated ultrathin EGD by using a 5.2-mm–diameter videoscope: evaluation of acceptability and diagnostic accuracy

  • Akira Horiuchi, MD

      Affiliations

    • Corresponding Author InformationReprint requests: Akira Horiuchi, MD, Department of Gastroenterology, Showa Inan General Hospital, 3230 Akaho, Komagane 399-4191, Japan.
    • ,
  • Yoshiko Nakayama, MD

Received 26 September 2005 ,Accepted 2 January 2006.

References 

  1. Dean R, Dua K, Massey B, et al. A comparative study of unsedated transnasal esophagogastroduodenoscopy and conventional EGD. Gastrointest Endosc. 1996;44:422–424
  2. Zaman A, Hapke R, Sahagun G, et al. Unsedated peroral endoscopy with a video ultrathin endoscope: patient acceptance, tolerance, and diagnostic accuracy. Am J Gastroenterol. 1998;93:1260–1263
  3. Dumortier J, Ponchon T, Scoazec JY, et al. Prospective evaluation of transnasal esophagogastroduodenoscopy: feasibility and study on performance and tolerance. Gastrointest Endosc. 1999;49:285–291
  4. Sorbi D, Gostout CJ, Henry J, et al. Unsedated small-caliber esophagogastroduodenoscopy (EGD) versus conventional EGD: a comparative study. Gastroenterology. 1999;117:1301–1307
  5. Mulcahy HE, Riches A, Kiely M, et al. A prospective controlled trial of an ultrathin versus a conventional endoscope in unsedated upper gastrointestinal endoscopy. Endoscopy. 2001;33:311–316
  6. Garcia RT, Cello JP, Nguyen MH, et al. Unsedated ultrathin EGD is well accepted when compared with conventional sedated EGD: a multicenter randomized trial. Gastroenterology. 2003;125:1606–1612
  7. Waye JD. Worldwide use of sedation and analgesia for upper intestinal endoscopy. Gastrointest Endosc. 1999;50:888–891
  8. Yagi K, Nakamura A, Sekine A. Characteristic endoscopic and magnified endoscopic findings in the normal stomach without Helicobacter pylori infection. J Gastroenterol Hepatol. 2002;17:39–45
  9. Nakayama Y, Horiuchi A, Kumagai T, et al. Discrimination of normal gastric mucosa from Helicobacter pylori gastritis using standard endoscopes and a single observation site: studies in children and young adults. Helicobacter. 2004;9:95–99
  10. Kashiwagi H. Ulcers and gastritis. Endoscopy. 2005;37:110–115
  11. Singer AJ, Thodes HC. Determination of the minimally clinically significant difference on a patient visual analog satisfaction scale. Acad Emerg Med. 1998;5:1007–1011
  12. Lieberman DA, Wuerker CK, Katon RM. Cardiopulmonary risk of esophagogastroduodenoscopy: role of endoscope diameter and systemic sedation. Gastroenterology. 1985;88:468–472
  13. Bell GD. Preparation, premedication, and surveillance. Endoscopy. 2004;36:23–31
  14. Sorbi D, Chak A. Unsedated EGD. Gastrointest Endosc. 2003;58:102–110
  15. Shaker R, Saeian K. Unsedated transnasal laryngo-esophagogastroduodenoscopy: an alternative to conventional endoscopy. Am J Med. 2001;111(Suppl 8A):153S–156S
  16. Craig A, Hanlon J, Dent J, et al. A comparison of transnasal and transoral endoscopy with small-diameter endoscopes in unsedated patients. Gastrointest Endosc. 1999;49:292–296
  17. Zaman A, Hahn M, Hapke R, et al. A randomized trial of peroral versus transnasal unsedated endoscopy using an ultrathin videoendoscope. Gastrointest Endosc. 1999;49:279–284
  18. Wilkins T, Brewster A, Lammers J. Comparison of thin versus standard esophagogastroduodenoscopy. J Fam Pract. 2002;51:625–629
  19. Catanzaro A, Faulx A, Isenberg GA, et al. Prospective evaluation of 4-mm diameter endoscopes for esophagoscopy in sedated and unsedated patients. Gastrointest Endosc. 2003;57:300–304
  20. Thota PN, Zuccaro G, Vargo JJ, et al. A randomized prospective trial comparing unsedated esophagoscopy via transnasal and transoral routes using a 4-mm video endoscope with conventional endoscopy with sedation. Endoscopy. 2005;37:559–565

PII: S0016-5107(06)00144-1

doi: 10.1016/j.gie.2006.01.025

Gastrointestinal Endoscopy
Volume 64, Issue 6 , Pages 868-873 , December 2006

Article Tools

* Image Usage & Resolution