Current sedation and monitoring practice for colonoscopy: an International Observational Study (EPAGE).


BACKGROUND AND STUDY AIMS:Sedation and monitoring practice during colonoscopy varies between centers and over time. Knowledge of current practice is needed to ensure quality of care and help focus future research. The objective of this study was to examine sedation and monitoring practice in endoscopy centers internationally. PATIENTS AND METHODS:This observational study included consecutive patients referred for colonoscopy at 21 centers in 11 countries. Endoscopists reported sedation and monitoring practice, using a standard questionnaire for each patient. RESULTS:6004 patients were included in this study, of whom 53 % received conscious/moderate sedation during colonoscopy, 30 % received deep sedation, and 17 % received no sedation. Sedation agents most commonly used were midazolam (47 %) and opioids (33 %). Pulse oximetry was done during colonoscopy in 77 % of patients, blood pressure monitoring in 34 %, and electrocardiography in 24 %. Pulse oximetry was most commonly used for moderately sedated patients, while blood pressure monitoring and electrocardiography were used predominantly for deeply sedated patients. Sedation and monitoring use ranged from 0 % to 100 % between centers. Oxygen desaturation (






Froehlich F,Harris JK,Wietlisbach V,Burnand B,Vader JP,Gonvers JJ,EPAGE Study Group.




Has Abstract


2006-05-01 00:00:00












  • Colon polyps and cancer.

    abstract::Several important studies on screening for colorectal neoplasia were published in 1998-99, including average-risk as well as high-risk groups, and different strategies such as endoscopy, fecal occult blood tests, and other more specific markers of neoplasia. Some of these studies included the use of interventions othe...


    pub_type: 杂志文章,评审


    authors: Kronborg O

    更新日期:2000-02-01 00:00:00

  • High proximal migration rate of a partially covered "big cup" duodenal stent in patients with malignant gastric outlet obstruction.

    abstract::Endoscopic placement of self-expandable metal stents (SEMS) has emerged as a palliative treatment for patients with malignant gastric outlet obstruction (GOO). Recently, a new partially covered "big cup" SEMS has been developed to prevent both stent migration and tissue ingrowth. The aim of the study was to evaluate s...


    pub_type: 临床试验,杂志文章


    authors: van den Berg MW,Walter D,Vleggaar FP,Siersema PD,Fockens P,van Hooft JE

    更新日期:2014-02-01 00:00:00

  • Didactic training vs. computer-based self-learning in the prediction of diminutive colon polyp histology by trainees: a randomized controlled study.

    abstract::Background and study aim Experts can accurately predict diminutive polyp histology, but the ideal method to train nonexperts is not known. The aim of the study was to compare accuracy in diminutive polyp histology characterization using narrow-band imaging (NBI) between participants undergoing classroom didactic train...


    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Khan T,Cinnor B,Gupta N,Hosford L,Bansal A,Olyaee MS,Wani S,Rastogi A

    更新日期:2017-12-01 00:00:00

  • Capsule endoscopy in patients with suspected Crohn's disease and negative endoscopy.

    abstract:BACKGROUND AND STUDY AIMS:The aim of the present study was to assess the value of capsule endoscopy in the diagnostic work-up of patients in whom there is a clinical suspicion of small bowel Crohn's disease that cannot be confirmed using traditional techniques. PATIENTS AND METHODS:A total of 21 patients (14 men, seve...


    pub_type: 杂志文章


    authors: Herrerías JM,Caunedo A,Rodríguez-Téllez M,Pellicer F,Herrerías JM Jr

    更新日期:2003-07-01 00:00:00

  • Assessment of depth of invasion in rectal cancer by endosonography.

    abstract::Pre-operative staging of rectal cancer could be significantly improved by the imaging method of endorectal ultrasound. Using high-frequency transducers a complex rectal wall pattern was demonstrated. Depending on in vitro or in vivo examinations and on US probes of different frequency the current interpretation is not...


    pub_type: 杂志文章


    authors: Feifel G,Hildebrandt U,Dhom G

    更新日期:1987-03-01 00:00:00

  • Endoscopic retrograde cholangiography and sphincterotomy for complicated hepatic hydatid cyst.

    abstract::We report on the results of 20 endoscopic cholangiographies indicated for hepatic hydatid disease: 14 for pre-operative investigation and 6 for post-surgical complications. In 4 out of 14 cases, endoscopic retrograde cholangiography (ERC) was not an effective procedure for the pre-operative diagnosis of complicated he...


    pub_type: 杂志文章


    authors: Ponchon T,Bory R,Chavaillon A

    更新日期:1987-07-01 00:00:00

  • Evaluation of endoscopic retrograde cholangiopancreatography under conscious sedation and general anesthesia.

    abstract:BACKGROUND AND STUDY AIMS:In adults, general anesthesia is usually only provided during endoscopic retrograde cholangiopancreatography (ERCP) when prior attempts using conscious sedation have failed. It was hypothesized that in our hospital, other factors might be associated with general anesthesia for ERCP. The aim of...


    pub_type: 杂志文章


    authors: Raymondos K,Panning B,Bachem I,Manns MP,Piepenbrock S,Meier PN

    更新日期:2002-09-01 00:00:00

  • Primary anal melanoma associated with melanosis of the upper gastrointestinal tract.

    abstract::A 49-year old severely ill man, with no digestive complaints, was admitted to our hospital. Abdominal ultrasound was suggestive of hepatic metastases. Endoscopy revealed multiple, flat and polypoid, pigmented lesions in the esophagus, stomach and duodenum. Biopsy showed only melanotic pigment, without malignant cells....


    pub_type: 杂志文章


    authors: Horowitz M,Nobrega MM

    更新日期:1998-09-01 00:00:00

  • Helicobacter pylori eradication: the best long-term prophylaxis for ulcer bleeding recurrence?

    abstract::Peptic ulcer is the most common cause of acute intestinal hemorrhage. Helicobacter pylori is now accepted as being a pathogenetic agent in chronic active gastritis, and is strongly associated with ulcer disease. Eradication of H. pylori reduces significantly the rate of ulcer recurrence. Preliminary data demonstrate t...


    pub_type: 杂志文章,评审


    authors: Jaspersen D

    更新日期:1995-10-01 00:00:00

  • Dilatation of benign esophageal strictures by peroral fiberendoscopic bougienage.

    abstract::A low risk procedure for dilation of esophageal strictures is peroral bougienage under direct endoscopic vision with a flexible fiberscope. First the stricture is inspected using the foreward lens of the fiberscope, and then dilated with conventional bougies according to its nature and size under direct visual control...


    pub_type: 杂志文章


    authors: Huchzermeyer H,Freise J,Becker H

    更新日期:1977-11-01 00:00:00

  • Value of EUS in early detection of pancreatic ductal adenocarcinomas in patients with intraductal papillary mucinous neoplasms.

    abstract:BACKGROUND AND STUDY AIMS:Pancreatic ductal adenocarcinomas (PDAC) sometimes arise in patients with intraductal papillary mucinous neoplasms (IPMNs). This study examined the incidence of PDACs concomitant to or derived from branch duct IPMNs. The usefulness of endoscopic ultrasonography (EUS) relative to other imaging ...


    pub_type: 杂志文章


    authors: Kamata K,Kitano M,Kudo M,Sakamoto H,Kadosaka K,Miyata T,Imai H,Maekawa K,Chikugo T,Kumano M,Hyodo T,Murakami T,Chiba Y,Takeyama Y

    更新日期:2014-01-01 00:00:00

  • Electrohydraulic impulse lithotripsy of bladder stones with URAT-I.

    abstract::The electrohydraulic method of crushing bladder stones due to many aforesaid advantages can fully replace mechanical lithotripsy as being both more effective and having little danger of traumas. In rare cases when the stone cannot be crushed with Urat-I its removal should be performed by way of cystomy. ...


    pub_type: 杂志文章


    authors: Trapeznikova MF,Borodulin GG

    更新日期:1977-03-01 00:00:00

  • Endoscopic balloon hydrodilatation and endoprosthetic treatment of esophageal and esophageal anastomotic strictures.

    abstract::In 37 patients with benign stenosis of the esophagus and esophageal anastomoses, the method of dilatation using special balloon catheters under endoscopic control was employed, and adequate dilatation of the stenotic region accomplished. In comparison with balloon dilators, bougies exert forces along the radial axis, ...


    pub_type: 杂志文章


    authors: Gallinger YuI,Chernousov AF,Andreev AL,Vantsian EN

    更新日期:1989-01-01 00:00:00

  • Endoscopic gallstone extraction following hydrostatic balloon dilatation of stricture in the common bile duct.

    abstract::A patient with long-standing biliary complaints and a previous cholecystojejunostomy, reputed to be suffering from primary biliary cirrhosis was, on endoscopic retrograde cholangiography (ERC), found to have several large gallstones proximal to a stenosis in the common bile duct. After endoscopic papillotomy (EPT), an...


    pub_type: 杂志文章


    authors: Stave R,Osnes M

    更新日期:1985-07-01 00:00:00

  • Wireless pH capsule--yield in clinical practice.

    abstract::Wireless pH monitoring is one of the recent technologies that focus on improving the diagnosis of gastroesophageal reflux disease (GERD). The capsule, which is fixed within the esophagus, transmits data via telemetry to an external receiver. The capsule is usually inserted 6 cm above the squamocolumnar junction during...


    pub_type: 杂志文章,评审


    authors: Roman S,Mion F,Zerbib F,Benamouzig R,Letard JC,Bruley des Varannes S

    更新日期:2012-03-01 00:00:00

  • Video endoscopy. Fundamentals and problems.

    abstract::The video system represents a new endoscopic technique with major advantages, some of which point the way into the future. This system permits a large number of persons to participate directly in the examination. Documentation is more comprehensive and more reliable, and pathological processes can be observed with the...


    pub_type: 杂志文章


    authors: Demling L,Hagel HJ

    更新日期:1985-09-01 00:00:00

  • Diagnosis and management of nonvariceal upper gastrointestinal hemorrhage: European Society of Gastrointestinal Endoscopy (ESGE) Guideline.

    abstract::This Guideline is an official statement of the European Society of Gastrointestinal Endoscopy (ESGE). It addresses the diagnosis and management of nonvariceal upper gastrointestinal hemorrhage (NVUGIH). Main Recommendations MR1. ESGE recommends immediate assessment of hemodynamic status in patients who present with ac...


    pub_type: 杂志文章,实务指引


    authors: Gralnek IM,Dumonceau JM,Kuipers EJ,Lanas A,Sanders DS,Kurien M,Rotondano G,Hucl T,Dinis-Ribeiro M,Marmo R,Racz I,Arezzo A,Hoffmann RT,Lesur G,de Franchis R,Aabakken L,Veitch A,Radaelli F,Salgueiro P,Cardoso R,Maia

    更新日期:2015-10-01 00:00:00

  • Quality of optical diagnosis of diminutive polyps and associated factors.

    abstract:BACKGROUND AND AIMS:The aim of the study was to identify endoscopist-related and procedural factors that may be associated with the quality of optical diagnosis of diminutive polyps using narrow-band imaging (NBI). METHODS:All subjects who participated in a randomized trial on cap-assisted colonoscopy were eligible fo...


    pub_type: 杂志文章


    authors: Pohl H,Bensen SP,Toor A,Gordon SR,Levy LC,Anderson PB,Anderson JC,Rothstein RI,Robertson DJ

    更新日期:2016-09-01 00:00:00

  • Two liters of polyethylene glycol-electrolyte lavage solution versus sodium phosphate as bowel cleansing regimen for colonoscopy: a prospective randomized controlled trial.

    abstract:BACKGROUND AND STUDY AIMS:As a bowel cleansing agent for colonoscopy, sodium phosphate (NaP) has been reported to have equal effectiveness and better patient tolerance in comparison with 4 l polyethylene glycol-electrolyte lavage (PEG-EL) solution. Poor patient tolerance is frequently associated with a large amount of ...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Poon CM,Lee DW,Mak SK,Ko CW,Chan KC,Chan KW,Sin KS,Chan AC

    更新日期:2002-07-01 00:00:00

  • Diagnosis of early gastric cancers in the upper part of the stomach by the endoscopic Congo red-methylene blue test.

    abstract::The clinicopathological features of the early gastric cancers in the upper part of the stomach, and the accuracy of their diagnosis by routine endoscopic examination were examined, and the accuracy of diagnosis of minute and flat cancers in the upper portion of the stomach by routine endoscopic examination and by the ...


    pub_type: 杂志文章


    authors: Tatsuta M,Iishi H,Okuda S,Taniguchi H

    更新日期:1984-07-01 00:00:00

  • The spiral enteroscopy training initiative: results of a prospective study evaluating the Discovery SB overtube device during small bowel enteroscopy (with video).

    abstract:BACKGROUND AND AIM:Indications for small-bowel enteroscopy are increasing, but advancing the endoscope to the ileum remains challenging, especially for less experienced operators. The aim was to evaluate the ease of use, safety, and efficacy of the Discovery SB overtube (Spirus Medical, Stoughton, Massachusetts, USA) d...


    pub_type: 杂志文章


    authors: Buscaglia JM,Dunbar KB,Okolo PI 3rd,Judah J,Akerman PA,Cantero D,Draganov PV

    更新日期:2009-03-01 00:00:00

  • DDW Report 2004 New Orleans: Capsule Endoscopy.

    abstract::Capsule endoscopy (CE) is still of considerable interest and, as in recent years, a large number of abstracts have been devoted to CE in various possible indications. As with the other reports, only the most relevant studies and those covering special and new aspects are discussed in detail here. The remaining abstrac...


    pub_type: 杂志文章


    authors: Rösch T

    更新日期:2004-09-01 00:00:00

  • Feasibility and safety of endoscopic evaluation of gastric emptying.

    abstract:BACKGROUND AND STUDY AIMS:Scintigraphy is the currently accepted method for evaluation of gastric emptying. Although quantitative, this method is complicated, time-consuming, and costly. If a simple endoscopic technique was available for those instances when quantification of an emptying abnormality is not needed, the ...


    pub_type: 杂志文章


    authors: Attila T,Hellman RS,Krasnow AZ,Hofmann CL,Saeian K,Dua KS,Binion DG,Shaker R

    更新日期:2005-03-01 00:00:00

  • Endoscopic subtypes of colorectal laterally spreading tumors (LSTs) and the risk of submucosal invasion: a meta-analysis.

    abstract:BACKGROUND AND STUDY AIMS:Many studies have reported on laterally spreading tumors (LSTs), but systematic reviews of the data to determine their risk of containing submucosal invasion (SMI) are lacking. We systematically screened and analyzed the available literature to provide a more solid basis for evidence-based tre...


    pub_type: 杂志文章,meta分析


    authors: Bogie RMM,Veldman MHJ,Snijders LARS,Winkens B,Kaltenbach T,Masclee AAM,Matsuda T,Rondagh EJA,Soetikno R,Tanaka S,Chiu HM,Sanduleanu-Dascalescu S

    更新日期:2018-03-01 00:00:00

  • A new pull-through trocar technique for percutaneous operative endoscopy.

    abstract::A pull-through trocar is described which establishes a percutaneous access to the stomach and may immediately be used for endoscopy. The trocar is placed in a similar fashion to PEG probes. The technique was evaluated in animals. Using rigid endoscopes and instruments introduced through the trocar operative manipulati...


    pub_type: 杂志文章


    authors: Frimberger E,Classen M

    更新日期:1991-11-01 00:00:00

  • Dedicated Barrett's surveillance sessions managed by trained endoscopists improve dysplasia detection rate.

    abstract::Background and study aim Barrett's esophagus (BE)-associated dysplasia is an important marker for risk of progression to esophageal adenocarcinoma (EAC) and an indication for endoscopic therapy. However, BE surveillance technique is variable. The aim of this study was to assess the effect of dedicated BE surveillance ...


    pub_type: 杂志文章,多中心研究


    authors: Ooi J,Wilson P,Walker G,Blaker P,DeMartino S,O'Donohue J,Reffitt D,Lanaspre E,Chang F,Meenan J,Dunn JM

    更新日期:2017-06-01 00:00:00

  • Early clinical experience of the safety and effectiveness of Hemospray in achieving hemostasis in patients with acute peptic ulcer bleeding.

    abstract:BACKGROUND AND STUDY AIMS:Endoscopic therapy of upper gastrointestinal bleeding remains challenging with conventional endoscopic devices. Use of Hemospray, where a nanopowder with clotting abilities is sprayed onto the bleeding site, had been highly effective for management of arterial bleeding in a heparizined animal ...


    pub_type: 临床试验,杂志文章


    authors: Sung JJ,Luo D,Wu JC,Ching JY,Chan FK,Lau JY,Mack S,Ducharme R,Okolo P,Canto M,Kalloo A,Giday SA

    更新日期:2011-04-01 00:00:00

  • Hemodynamic efficacy of the new resolution clip device in comparison with high-volume injection therapy in spurting bleeding: a prospective experimental trial using the compactEASIE simulator.

    abstract:BACKGROUND AND STUDY AIMS:Peptic ulcers are the most frequent cause of gastrointestinal bleeding. The use of hemoclips has become established as an effective form of treatment in addition to injection therapy. However, hemoclips have not previously been compared with injection therapy in an experimental setting using o...


    pub_type: 杂志文章


    authors: Maiss J,Baumbach C,Zopf Y,Naegel A,Wehler M,Bernatik T,Hahn EG,Schwab D

    更新日期:2006-08-01 00:00:00

  • A blinded, randomized comparison of a novel, low-dose, triple regimen with fleet phospho-soda: a study of colon cleanliness, speed and success of colonoscopy.

    abstract:BACKGROUND AND STUDY AIMS:A clean colon is essential for an efficient examination. The aim of this study was to compare a novel low-dose, low volume triple regimen with Fleet Phospho-soda. METHODS:A blinded, experienced colonoscopist examined 132 consecutive patients randomly allocated to receive either a triple regim...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Chilton AP,O'Sullivan M,Cox MA,Loft DE,Nwokolo CU

    更新日期:2000-01-01 00:00:00

  • Complications in and performance of double-balloon enteroscopy (DBE): results from a large prospective DBE database in Germany.

    abstract:BACKGROUND AND STUDY AIMS:Double-balloon enteroscopy (DBE) has been established as an invaluable tool for the diagnosis and treatment of small-bowel diseases. To evaluate complications, procedural data, and diagnostic yield of DBE examinations in Germany the presented database was introduced. METHODS:A prospective dat...


    pub_type: 杂志文章


    authors: Möschler O,May A,Müller MK,Ell C,German DBE Study Group.

    更新日期:2011-06-01 00:00:00