Evaluation of preferable insertion routes for esophagogastroduodenoscopy using ultrathin endoscopes

Satoshi Ono, Keiko Niimi, Mitsuhiro Fujishiro, Yu Takahashi, Yoshiki Sakaguchi, Chiemi Nakayama, Chihiro Minatsuki, Rie Matsuda, Itsuko Hirayama-Asada, Yosuke Tsuji, Satoshi Mochizuki, Shinya Kodashima, Nobutake Yamamichi, Atsuko Ozeki, Lumine Matsumoto, Yumiko Ohike, Tsutomu Yamazaki, Kazuhiko Koike

研究成果: ジャーナルへの寄稿記事査読

3 被引用数 (Scopus)

抄録

Aim: To evaluate the discomfort associated with esophagogastroduodenoscopy (EGD) using an ultrathin endoscope through different insertion routes. Methods: This study (January 2012-March 2013) included 1971 consecutive patients [male/female (M/F), 1158/813, 57.5 ± 11.9 years] who visited a single institute for annual health checkups. Transnasal EGD was performed in 1394 patients and transoral EGD in 577. EGD-associated discomfort was assessed using a visual analog scale score (VAS score: 0-10). Results: Multivariate analysis revealed gender (M vs F: 4.02 ± 2.15 vs 5.06 ± 2.43) as the only independent predictor of the VAS score in 180 patients who underwent EGD for the first time; whereas it revealed gender (M vs F 3.60 ± 2.20 vs 4.84 ± 2.37), operator, age group (A: < 39 years; B: 40-49 years; C: 50-59 years; D: 60-69 years; E: > 70 years; A/B/C/D/E: 4.99 ± 2.32/4.34 ± 2.49/4.19 ± 2.31/3.99 ± 2.27/3.63 ± 2.31), and type of insertion as independent predictors in the remaining patients. Subanalysis for gender, age group, and insertion route revealed that the VAS score decreased with age regardless of gender and insertion route, was high in female patients regardless of age and insertion route, and was low in males aged over 60 years who underwent transoral insertion. Conclusion: Although comprehensive analysis revealed that the insertion route may not be an independent predictor of the VAS score, transoral insertion may reduce EGD-associated discomfort in elderly patients.

本文言語英語
ページ(範囲)5045-5050
ページ数6
ジャーナルWorld Journal of Gastroenterology
20
17
DOI
出版ステータス出版済み - 7 5月 2014
外部発表はい

フィンガープリント

「Evaluation of preferable insertion routes for esophagogastroduodenoscopy using ultrathin endoscopes」の研究トピックを掘り下げます。これらがまとまってユニークなフィンガープリントを構成します。

引用スタイル