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Patient tolerance and acceptance of unsedated ultrathin esophagoscopy.

Abstract：

BACKGROUND:Unsedated endoscopy has not gained wide acceptance in the United States. Factors that may predict tolerance and acceptance of unsedated endoscopy are ill defined. METHODS:Outpatients referred for standard EGD were recruited to undergo unsedated ultrathin esophagoscopy (UUE) with a new 3.1-mm battery-powered esophagoscope before sedated EGD. They rated preprocedure and postprocedure anxiety levels with the Profile of Mood States Tension/Anxiety subscale (POMS-SF T/A). They also rated symptoms and overall acceptability and listed procedural preference between EGD and UUE. Patients who refused UUE noted a reason for refusal and also completed the anxiety questionnaire. RESULTS:Fifty-two of 98 patients recruited agreed to participate, and underwent both UUE and EGD. Patients who refused UUE were significantly more anxious (mean anxiety score, 8.2 vs. 4.5, p < 0.005). Participants reported no significant difference between preprocedural (4.6 vs. 5.3) or postprocedural (3.5 vs. 2.6) anxiety for UUE versus standard EGD. After undergoing both procedures, only 46% stated they would prefer UUE to EGD in the future. Patients who chose the peroral approach were more likely to prefer UUE than those who chose the transnasal approach (58% vs. 23%, p = 0.02). CONCLUSIONS:Patient acceptance of unsedated endoscopy even with an ultrathin instrument is limited. Anxiety assessment by the POMS-SF T/A can identify patients willing to undergo UUE. Patients who choose transoral UUE may be more willing to repeat the procedure.

journal_name

Gastrointest Endosc

journal_title

Gastrointestinal endoscopy

authors

Faulx AL,Catanzaro A,Zyzanski S,Cooper GS,Pfau PR,Isenberg G,Wong RC,Sivak MV Jr,Chak A

doi

10.1067/mge.2002.123274

keywords:

subject

Has Abstract

pub_date

2002-05-01 00:00:00

pages

620-3

issue

6

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(02)43437-2

journal_volume

55

pub_type

杂志文章

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