Effects of supplemental oxygen on cardiac rhythm during upper gastrointestinal endoscopy: a randomised controlled double blind trial.

Abstract:

:To investigate the effects of supplemental oxygen on cardiac rhythm during gastroscopy, 103 patients aged over 60 were randomised to receive either supplemental oxygen or air at 2 litres/minute during the procedure. Pulse rate, blood pressure, oxygen saturation, and a Holter cardiac trace were monitored before, during, and for one hour after the gastroscopy. A wide range of electrocardiographic abnormalities were recorded in both oxygen and air groups, of which ventricular and supraventricular ectopic beats were the most common. There were no significant differences in the rate of occurrence of any clinically important cardiac abnormality either between the oxygen and air groups or between the three monitored periods before, during, and after gastroscopy. There were significantly fewer patients, however, with supraventricular extra systoles when oxygen was given during gastroscopy (p < 0.05). Although supplemental oxygen during gastroscopy significantly improved oxygen saturation (p < 0.001; 95% confidence intervals for the difference between the means: 2.9 to 4.7), there was no correlation between oxygen saturation and any electrocardiographic changes. It is concluded that electrocardiographic abnormalities are common in patients over 60, but this study found no evidence that they are induced by gastroscopy. Supplemental oxygen increases oxygen saturation but does not reduce the incidence of clinically important cardiac arrhythmias.

journal_name

Gut

journal_title

Gut

authors

Bowling TE,Hadjiminas CL,Polson RJ,Baron JH,Foale RA

doi

10.1136/gut.34.11.1492

subject

Has Abstract

pub_date

1993-11-01 00:00:00

pages

1492-7

issue

11

eissn

0017-5749

issn

1468-3288

journal_volume

34

pub_type

临床试验,杂志文章,随机对照试验

相关文献

GUT文献大全
  • Ultrasound guided fine needle biopsy of early hepatocellular carcinoma complicating liver cirrhosis: a multicentre study.

    abstract:BACKGROUND:Because hepatic cirrhosis is a major risk factor for hepatocellular carcinoma, recent guidelines by the European Association for the Study of the Liver (EASL) on clinical management of hepatocellular carcinoma recommend periodic ultrasound surveillance of cirrhotic patients with immediate workup for nodules ...

    journal_title:Gut

    pub_type: 杂志文章,多中心研究

    doi:10.1136/gut.2003.032359

    authors: Caturelli E,Solmi L,Anti M,Fusilli S,Roselli P,Andriulli A,Fornari F,Del Vecchio Blanco C,de Sio I

    更新日期:2004-09-01 00:00:00

  • Surgery in amoebic colitis.

    abstract::The feasibility of surgery in amoebic colitis is presented by illustrative case histories in two patients. Subtotal colectomy and ileostomy were carried out for fulminating colitis in the one and exteriorization, excision, and subsequent re-anastomosis of a localized perforated area of bowel in the other. It is sugges...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.11.11.941

    authors: Stein D,Bank S

    更新日期:1970-11-01 00:00:00

  • Glucosamine synthetase activity of the colonic mucosa in membranous colitis.

    abstract::Glucosamine synthetase, the first enzyme in glycoprotein synthesis, has been measured in serial rectal biopsies in four patients with membranous colitis. In two of the patients the levels of the enzyme were very high initially and in the other two patients the enzyme levels rose to a peak above the normal range after ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.18.3.229

    authors: Goodman MJ,Kent PW,Truelove SC

    更新日期:1977-03-01 00:00:00

  • Location of tumour necrosis factor alpha by immunohistochemistry in chronic inflammatory bowel disease.

    abstract::This study determined the location and tissue density of cells immunoreactive for tumour necrosis factor alpha (TNF alpha) in intestinal specimens from 24 patients with chronic inflammatory bowel disease (15 with Crohn's disease, nine with ulcerative colitis) and 11 controls. There was significantly increased density ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.34.12.1705

    authors: Murch SH,Braegger CP,Walker-Smith JA,MacDonald TT

    更新日期:1993-12-01 00:00:00

  • Statistical analysis of the lactulose/breath hydrogen test in the measurement of orocaecal transit: its variability and predictive value in assessing drug action.

    abstract::The variability in the orocaecal transit time as measured by the lactulose/breath hydrogen method has been studied for three conditions: lactulose given with a meal, subjects sitting; lactulose given with a meal, subjects semirecumbent; lactulose given in aqueous solution, subjects semirecumbent. Thirty three healthy ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.30.2.171

    authors: Staniforth DH,Rose D

    更新日期:1989-02-01 00:00:00

  • Increased activity of digestive enzymes in ileal enterocytes adapting to proximal small bowel resection.

    abstract::The ability of adapting ileal enterocytes to express different digestive enzymes in their brush border membranes was tested in young female Wistar rats (n = 72) receiving 60% proximal small bowel resection. In control rats with intestinal transection both neutral aminopeptidase and alpha-glucosidase activities were sh...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.28.8.981

    authors: Chaves M,Smith MW,Williamson RC

    更新日期:1987-08-01 00:00:00

  • Performance measures in three rounds of the English bowel cancer screening pilot.

    abstract:OBJECTIVES:To compare performance measures across all three rounds of the English bowel cancer screening faecal occult blood test pilot and their relation to social deprivation and ethnicity. METHODS:In each round in three primary care trusts, data for a restricted population of over 48,500 aged 60-69 years were analy...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2010.236430

    authors: Moss SM,Campbell C,Melia J,Coleman D,Smith S,Parker R,Ramsell P,Patnick J,Weller DP

    更新日期:2012-01-01 00:00:00

  • Effects of single daily doses of a pyridil-2-tetrahydrothiophene derivative (40749 RP) on 24 hour H+ activity, nocturnal acid output, gastrin and pepsinogen I profiles in duodenal ulcer patients.

    abstract::40749 RP is a pyridil-2-tetrahydrothiophene derivative, belonging to a new class of gastric antisecretory drugs. We compared its effects on gastric secretion with cimetidine. Intragastric acidity, nocturnal acid output, gastrin and pepsinogen-I profiles were measured in patients with duodenal ulcer in clinical remissi...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.27.4.423

    authors: Malè PJ,Griessen M,Cunningham MG,Frydman AM,Garoflid-Oprescu NA,De Peyer R,Loizeau E

    更新日期:1986-04-01 00:00:00

  • Chronic pancreatitis and cystic fibrosis.

    abstract::Recent discoveries of trypsinogen and trypsin inhibitor mutations in patients with chronic pancreatitis (CP) support the hypothesis that an inappropriate activation of pancreatic zymogens to active enzymes within the pancreatic parenchyma starts the inflammatory process. Current data suggest that CP may be inherited d...

    journal_title:Gut

    pub_type: 杂志文章,评审

    doi:10.1136/gut.52.suppl_2.ii31

    authors: Witt H

    更新日期:2003-05-01 00:00:00

  • Profound spatial clustering of simultaneous peptic ulcers.

    abstract::In an endoscopic study of 90 consecutive patients with more than one peptic ulcer, the ulcers in an individual were profoundly spatially clustered. Clustering of ulcer locations was shown using a non-parametric test of clustering (Kruskal-Wallis statistic with 89 degrees of freedom = 151.31, probability of observing t...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.30.10.1329

    authors: Cappell MS

    更新日期:1989-10-01 00:00:00

  • Evaluation of the nitrosamine hypothesis of gastric carcinogenesis in precancerous conditions.

    abstract::A 24 hour gastric aspiration study was carried out on nine Polya gastrectomy, eight pernicious anaemia, and nine matched control subjects. Intragastric pH, bacteria, nitrite, and N-nitroso compounds were assessed half hourly whilst ambulant and hourly when in bed. Both total and nitrate reducing bacterial counts were ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.27.5.491

    authors: Hall CN,Darkin D,Brimblecombe R,Cook AJ,Kirkham JS,Northfield TC

    更新日期:1986-05-01 00:00:00

  • Effects of cisapride on gastric emptying of oil and aqueous meal components, hunger, and fullness.

    abstract::To evaluate the effects of cisapride on gastric emptying of extracellular fat and hunger and fullness 10 volunteers consumed a meal consisting of 60 ml technectium-99m (99mTc)-V-thiocyanate labelled olive oil and 290 ml indium-113m (113mIn) labelled soup after taking cisapride (10 mg four times daily orally) and place...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.38.3.310

    authors: Jones KL,Horowitz M,Carney BI,Sun WM,Chatterton BE

    更新日期:1996-03-01 00:00:00

  • Methylation of the oestrogen receptor gene in non-neoplastic epithelium as a marker of colorectal neoplasia risk in longstanding and extensive ulcerative colitis.

    abstract:BACKGROUND:Surveillance colonoscopy is widely recommended in patients with longstanding and extensive ulcerative colitis (UC) in order to detect colorectal neoplasia at an early stage. However, it still remains questionable whether surveillance colonoscopy effectively enables early detection of UC associated neoplasia....

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2004.062059

    authors: Fujii S,Tominaga K,Kitajima K,Takeda J,Kusaka T,Fujita M,Ichikawa K,Tomita S,Ohkura Y,Ono Y,Imura J,Chiba T,Fujimori T

    更新日期:2005-09-01 00:00:00

  • Depicting SARS-CoV-2 faecal viral activity in association with gut microbiota composition in patients with COVID-19.

    abstract:OBJECTIVE:Although severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA was detected in faeces of patients with COVID-19, the activity and infectivity of the virus in the GI tract during disease course is largely unknown. We investigated temporal transcriptional activity of SARS-CoV-2 and its association wi...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2020-322294

    authors: Zuo T,Liu Q,Zhang F,Lui GC,Tso EY,Yeoh YK,Chen Z,Boon SS,Chan FK,Chan PK,Ng SC

    更新日期:2021-02-01 00:00:00

  • Ulcerative colitis in the United States Army in 1944. Follow-up with particular reference to mortality in cases and controls.

    abstract::This paper compares the mortality of 525 men admitted to U.S. Army hospitals in 1944 with ulcerative colitis compared with 518 controls matched for age, race, and rank. The excess mortality in the ulcerative colitis group as compared with the control group was due to approximately equal proportions of deaths from ulce...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.4.2.183

    authors: NEFZGER MD,ACHESON ED

    更新日期:1963-06-01 00:00:00

  • Decreased plasma isoleucine concentrations after upper gastrointestinal haemorrhage in humans.

    abstract:BACKGROUND:A decrease in arterial isoleucine values after intragastric blood administration in pigs has been observed. This contrasted with increased values of most other amino acids, ammonia, and urea. After an isonitrogenous control meal in these pigs all amino acids including isoleucine increased, and urea increased...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.39.1.13

    authors: Dejong CH,Meijerink WJ,van Berlo CL,Deutz NE,Soeters PB

    更新日期:1996-07-01 00:00:00

  • Expression of mutant p53 protein in hepatocellular carcinoma.

    abstract::p53 mutations are a common genetic finding in hepatocellular carcinoma from areas of high aflatoxin exposure. Recent small studies have shown that p53 gene mutations may be less common in areas with a low prevalence of hepatocellular carcinoma such as Great Britain. The protein product of mutant p53 can be detected im...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.35.1.98

    authors: Collier JD,Carpenter M,Burt AD,Bassendine MF

    更新日期:1994-01-01 00:00:00

  • Randomised controlled trial of lymphoblastoid interferon for chronic active hepatitis B.

    abstract::Thirty male patients (27 homosexual) with biopsy proven chronic active hepatitis B were randomised to receive lymphoblastoid interferon (Wellferon) or no treatment. All patients were HBeAg positive and had continuing viral replication. Patients receiving treatment were given a single daily intramuscular injection of i...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.28.5.619

    authors: Anderson MG,Harrison TJ,Alexander G,Zuckerman AJ,Murray-Lyon IM

    更新日期:1987-05-01 00:00:00

  • Pk11195, a mitochondrial benzodiazepine receptor antagonist, reduces apoptosis threshold in Bcl-X(L) and Mcl-1 expressing human cholangiocarcinoma cells.

    abstract:BACKGROUND:Cholangiocarcinoma cells express high levels of the antiapoptotic proteins Bcl-X(L) and Mcl-1 and are markedly chemo- and radioresistant. Mitochondria have emerged as central players in apoptosis. Antiapoptotic members of the Bcl-2 protein family localise to the outer mitochondrial membrane and regulate mito...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.51.4.556

    authors: Okaro AC,Fennell DA,Corbo M,Davidson BR,Cotter FE

    更新日期:2002-10-01 00:00:00

  • Arachidonic acid and docosahexaenoic acid are increased in human colorectal cancer.

    abstract::Increased arachidonic acid concentrations in experimental rodent colonic cancer have been described recently. In humans, a reduced erythrocyte stearic acid to oleic acid ratio has been reported in patients with colorectal cancer and it has been proposed that similar changes exist in the cancer tissue. The long chain f...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.32.3.278

    authors: Neoptolemos JP,Husband D,Imray C,Rowley S,Lawson N

    更新日期:1991-03-01 00:00:00

  • Prevention and treatment of colon cancer by peroral administration of HAMLET (human α-lactalbumin made lethal to tumour cells).

    abstract:BACKGROUND:Most colon cancers start with dysregulated Wnt/β-catenin signalling and remain a major therapeutic challenge. Examining whether HAMLET (human α-lactalbumin made lethal to tumour cells) may be used for colon cancer treatment is logical, based on the properties of the complex and its biological context. OBJEC...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2012-303715

    authors: Puthia M,Storm P,Nadeem A,Hsiung S,Svanborg C

    更新日期:2014-01-01 00:00:00

  • Prostaglandin E2 formation by the gall bladder in experimental cholecystitis.

    abstract::Both experimental cholecystitis and luminal distension inhibit fluid absorption and stimulate motor activity in the gall bladder. These functional alterations are mimicked by exogenous prostaglandins (PGs) and inhibited by potent cyclooxygenase inhibitors, but direct evidence of a primary role of endogenous PGs is not...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.27.4.370

    authors: Thornell E,Jivegård L,Bukhave K,Rask-Madsen J,Svanvik J

    更新日期:1986-04-01 00:00:00

  • CPT2 downregulation adapts HCC to lipid-rich environment and promotes carcinogenesis via acylcarnitine accumulation in obesity.

    abstract:OBJECTIVE:Metabolic reprogramming of tumour cells that allows for adaptation to their local environment is a hallmark of cancer. Interestingly, obesity-driven and non-alcoholic steatohepatitis (NASH)-driven hepatocellular carcinoma (HCC) mouse models commonly exhibit strong steatosis in tumour cells as seen in human st...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2017-315193

    authors: Fujiwara N,Nakagawa H,Enooku K,Kudo Y,Hayata Y,Nakatsuka T,Tanaka Y,Tateishi R,Hikiba Y,Misumi K,Tanaka M,Hayashi A,Shibahara J,Fukayama M,Arita J,Hasegawa K,Hirschfield H,Hoshida Y,Hirata Y,Otsuka M,Tateishi K,

    更新日期:2018-08-01 00:00:00

  • In vivo effects of orally administered prednisolone on prostaglandin and leucotriene production in ulcerative colitis.

    abstract::It has been proposed that anti-inflammatory actions of corticosteroids rely on promotion of a natural peptide phospholipase A2 inhibitor, lipocortin, but in vivo effects on arachidonic acid metabolism have not been shown. Equilibrium dialysis of the rectum in patients with ulcerative colitis was used to determine whet...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.28.9.1095

    authors: Lauritsen K,Laursen LS,Bukhave K,Rask-Madsen J

    更新日期:1987-09-01 00:00:00

  • Opportunistic infections in patients with inflammatory bowel disease: prevention and diagnosis.

    abstract::Because of the increasing use of immunosuppressive and biological drugs, the occurrence of opportunistic infections has become a key safety issue for patients with inflammatory bowel disease (IBD). Consequently, improvement of healthcare workers' knowledge of this domain is urgent. In this review, the preventive measu...

    journal_title:Gut

    pub_type: 杂志文章,评审

    doi:10.1136/gut.2006.114660

    authors: Viget N,Vernier-Massouille G,Salmon-Ceron D,Yazdanpanah Y,Colombel JF

    更新日期:2008-04-01 00:00:00

  • Human peripheral and gastric lymphocyte responses to Helicobacter pylori NapA and AphC differ in infected and uninfected individuals.

    abstract:BACKGROUND:In this study, we identify the nature of the immunological response of human peripheral blood mononuclear cells (PBMC) and lamina propria gastric lymphocytes (LPL) to two Helicobacter pylori antigens, the neutrophil activating protein (NapA) and alkyl hydroperoxide reductase (AphC). These antigens were ident...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2003.025494

    authors: Windle HJ,Ang YS,Athie-Morales V,McManus R,Kelleher D

    更新日期:2005-01-01 00:00:00

  • Incorporation of intermediary products of 5-FU anabolism into colorectal cancer.

    abstract::In 18 patients intermediary anabolic metabolites of 5-FU were measured in normal colonic mucosa and colorectal cancer tissue of intravenous bolus injection or continuous infusion. Higher total concentrations of 5-FU products were found in the cancers when compared with normal colonic tissue. There appeared to be no ev...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.27.2.176

    authors: Giles GR,Woodhouse L,Finan PJ,Chisholm EM

    更新日期:1986-02-01 00:00:00

  • Pectin and complications after gastric surgery: normalisation of postprandial glucose and endocrine responses.

    abstract::Pectin has been shown to minimise the fall in blood glucose seen in patients who are troubled by hypoglycaemia attacks after gastric surgery. We therefore performed 50 g glucose tolerance tests with and without 14.5 g pectin on 11 post-gastric surgery patients. After pectin, the high postprandial levels of glucose, in...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.21.7.574

    authors: Jenkins DJ,Bloom SR,Albuquerque RH,Leeds AR,Sarson DL,Metz GL,Alberti KG

    更新日期:1980-07-01 00:00:00

  • Serum carcinoembryonic antigen in clinical disorders.

    abstract::Carcinoembryonic antigen (CEA) levels have been measured in the serum of 490 patients and 93 normal controls using the double antibody radioimmunoassay technique. Levels were elevated in 71 of patients with carcinomata of the gastrointestinal tract and in 42% with other types of malignancy. In patients with non-neopla...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.14.10.794

    authors: Booth SN,King JP,Leonard JC,Dykes PW

    更新日期:1973-10-01 00:00:00

  • Why portal hypertensive varices bleed and bleed: a hypothesis.

    abstract::Continued bleeding or early rebleeding is associated with a poor prognosis in patients with variceal haemorrhage. It is not clear why bleeding stops in some patients and continues or restarts in others. It is suggested that secondary haemodynamic changes in the splanchnic circulation after a bleed may contribute to th...

    journal_title:Gut

    pub_type: 杂志文章,评审

    doi:10.1136/gut.36.1.100

    authors: McCormick PA,Jenkins SA,McIntyre N,Burroughs AK

    更新日期:1995-01-01 00:00:00