Lidocaine spray on an endoscope immediately before insertion improves patient tolerance to endoscopy: A single center, clinical observational study
| Autor: | Jin-Hyuck Hwang, Min Jung Park, Seung Joo Kang, Sang Hyub Lee, Ban Seok Lee, Byung Hyo Cha |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Endoscope Lidocaine Single Center Gagging 03 medical and health sciences 0302 clinical medicine medicine Radiology Nuclear Medicine and imaging lcsh:RC799-869 Belching Hepatology medicine.diagnostic_test business.industry Gastroenterology Endoscopy Surgery Endoscopy gastrointestinal Patient tolerance Oncology 030220 oncology & carcinogenesis Anesthesia lcsh:Diseases of the digestive system. Gastroenterology 030211 gastroenterology & hepatology Observational study Pharyngeal anesthesia business medicine.drug |
| Zdroj: | Gastrointestinal Intervention, Vol 5, Iss 1, Pp 67-71 (2016) |
| ISSN: | 2636-0012 2636-0004 |
| DOI: | 10.18528/gii150029 |
| Popis: | Background : Topical pharyngeal anesthesia reduces discomfort during upper gastrointestinal endoscopy (UGIE) but may not increase tolerance to the procedure. This case-control study was performed to assess whether lidocaine spray on the endoscope in addition to pharyngeal anesthesia improves patient tolerance to endoscopy we performed. Methods : Patients who underwent UGIE were assigned to either the case group where the endoscope was treated with 2 sprays of 10% lidocaine before insertion or the control group given only conventional pharyngeal anesthesia. And we compared the frequency of belching and retching during endoscopy. Results : Among 497 eligible patients, 262 were assigned to the case group and 235 to the control group. There were significant differences between the two groups in belching (odds ratio [OR] = 0.15, 95% confidence interval [CI] = 0.09-0.24, P < 0.01) and retching (OR = 0.22, 95% CI = 0.15-0.34, P = 0.01) during endoscopy using multivariate analysis. Younger patients (OR = 0.96, 95% CI = 0.94-0.98, P < 0.01) and female patients (OR = 2.16, 95% CI = 1.40-3.33, P = 0.01) had belching more frequently than older patients and male patients, respectively. Retching was more frequent in sedated patients (OR = 0.39, 95% CI = 0.25-0.61, P = 0.01) and those with gastro-esophageal reflux disease (OR = 1.48, 95% CI = 1.00-2.21, P = 0.06). Conclusion : Use of lidocaine spray on the endoscope improves patient tolerance during UGIE compared to only conventional pharyngeal anesthesia. |
| Databáze: | OpenAIRE |
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