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GE-Portuguese Journal of Gastroenterology
Print version ISSN 2341-4545
Abstract
CORREIA, Catarina et al. Quality Standards in Upper Gastrointestinal Endoscopy: Can Deep Sedation Influence It?. GE Port J Gastroenterol [online]. 2024, vol.31, n.2, pp.25-33. Epub Apr 15, 2024. ISSN 2341-4545. https://doi.org/10.1159/000528977.
Introduction:
According to the guideline published by ESGE/UEG, a high-quality esophagogastroduodenoscopy (EGD) implies the application of some criteria that enable better healthcare outcomes. Although intra-procedural performance measures are dependent on patient factors, there is no reference to sedation practices in the guideline mentioned above.
Objective:
This study aimed to evaluate whether deep sedation influences EGD performance measures established by ESGE/UEG.
Methods:
This was a cross-sectional study, with a prospective enrollment, that considered for inclusion consecutive patients referred for EGD. Two questionnaires were used to assess performance measures and patient satisfaction after EGD.
Results:
Sedation had a statistically significant impact on most quality indicators, including complete examination (77.2% without sedation vs. 97.8% with sedation), inspection time (6.17 ± 3.45 vs. 8.39 ±2.67 min), photodocumentation (78% vs. 97.8%), biopsies (39.3% vs. 60.7%), and patient satisfaction (5.42 ± 2.93 vs. 9.1 ± 1.19). The main reason for an incomplete procedure was patient intolerance (82.6%).
Discussion:
Deep sedation of patients submitted to EGD proved to be a determinant in the applicability of the ESGE/UEG quality indicators. Patient intolerance was eliminated in the group with sedation, enhancing procedure completeness, adequate pathology identification, management, and consequently, the effectiveness of the exam.
Conclusion:
Sedation administration should be considered in patients undergoing EGD since it ensures a high-quality procedure.
Keywords : Upper gastrointestinal endoscopy; Quality standards; Sedation.