TY - JOUR
T1 - A single-center prospective study on pain alleviation during peroral upper endoscopy with an ultrathin endoscope
AU - Aya, Iwao
AU - Ichijima, Ryoji
AU - Sugita, Tomomi
AU - Nakayama, Masako
AU - Takasu, Ayaka
AU - Ogura, Kanako
AU - Gotoda, Takuji
AU - Kogure, Hirofumi
N1 - Publisher Copyright:
© 2023, BioMed Central Ltd., part of Springer Nature.
PY - 2023/12
Y1 - 2023/12
N2 - Background: The efficacy of transnasal endoscopy using an ultrathin endoscope has been reported in several studies. However, few studies regarding peroral endoscopy with ultrathin endoscopes with high resolution have been reported. This study investigates the pain alleviation of peroral endoscopy with an ultrathin endoscope. Methods: Patients with a history of peroral endoscopy using a conventional, normal-diameter scope with no sedation who underwent peroral esophagogastroduodenoscopy (EGD) using a thin scope between April-July 2022 were included in this study. After the procedure, the patients completed a questionnaire evaluating pain during the examination and willingness to repeat the procedure. The physicians were surveyed regarding their level of satisfaction. The primary endpoint was patient satisfaction, which corresponded to the rate of patients who rated the thin endoscope as more comfortable or somewhat more comfortable than the previously-used, conventional endoscope. Results: One hundred and forty-five patients were included in the analyses. Patient satisfaction was achieved in 86.2% (125/145) of patients. The median visual analog scale pain score was 3 (0–7) points in this study, which is significantly lower than the pain score after the previous endoscopy (5 (0–10) points; p < 0.001). In addition, 96% (24/25) of patients who underwent EGD by an expert and 95.8% (115/120) who underwent EGD by a non-expert were willing to repeat endoscopy using the thin scope (p = 0.69). Conclusion: Peroral endoscopy using a thin scope reduces patient pain regardless of the endoscopist’s experience.
AB - Background: The efficacy of transnasal endoscopy using an ultrathin endoscope has been reported in several studies. However, few studies regarding peroral endoscopy with ultrathin endoscopes with high resolution have been reported. This study investigates the pain alleviation of peroral endoscopy with an ultrathin endoscope. Methods: Patients with a history of peroral endoscopy using a conventional, normal-diameter scope with no sedation who underwent peroral esophagogastroduodenoscopy (EGD) using a thin scope between April-July 2022 were included in this study. After the procedure, the patients completed a questionnaire evaluating pain during the examination and willingness to repeat the procedure. The physicians were surveyed regarding their level of satisfaction. The primary endpoint was patient satisfaction, which corresponded to the rate of patients who rated the thin endoscope as more comfortable or somewhat more comfortable than the previously-used, conventional endoscope. Results: One hundred and forty-five patients were included in the analyses. Patient satisfaction was achieved in 86.2% (125/145) of patients. The median visual analog scale pain score was 3 (0–7) points in this study, which is significantly lower than the pain score after the previous endoscopy (5 (0–10) points; p < 0.001). In addition, 96% (24/25) of patients who underwent EGD by an expert and 95.8% (115/120) who underwent EGD by a non-expert were willing to repeat endoscopy using the thin scope (p = 0.69). Conclusion: Peroral endoscopy using a thin scope reduces patient pain regardless of the endoscopist’s experience.
KW - Reduction of discomfort undergoing upper endoscopy
KW - Transnasal ultrathin esophagogastroduodenoscopy)
KW - Upper GI tract
UR - http://www.scopus.com/inward/record.url?scp=85171655033&partnerID=8YFLogxK
U2 - 10.1186/s12876-023-02965-3
DO - 10.1186/s12876-023-02965-3
M3 - Article
C2 - 37735366
AN - SCOPUS:85171655033
SN - 1471-230X
VL - 23
JO - BMC Gastroenterology
JF - BMC Gastroenterology
IS - 1
M1 - 325
ER -