Conscious or unconscious:The impact of sedation choice on colon adenoma detection

查看全文 作　　者：Mark [1]Metwally;Nicholas [1]Agresti;William B [1]Hale;Victor [1]Ciofoaia;Ryan O'[1]Connor;Michael B [2]Wallace;Jonathan [1]Fine;Yun [3]Wang;Seth A [1]Gross

机构地区：[1]Department of Gastroenterology, Norwalk Hospital, 34 Stevens St. Norwalk, CT 06850, United States;[2]Department of Gastroenterology, Mayo Clinic, 4500 San Pablo Road, FL 32224, United States;[3]Department of Statistics, Yale University, 333 Cedar Street, New Haven, CT 06510, USA 34 Stevens St. Norwalk, CT 06850, United States

出　　处：《World Journal of Gastroenterology》索引2011年第17卷第34期,共4页

摘　　要：AIM: To determine if anesthesiologist-monitored useof propofol results in improved detection of adenomaswhen compared with routine conscious sedation. METHODS: This retrospective study was conductedat two separate hospital-based endoscopy units whereapproximately 12 000 endoscopic procedures are permed annually, with one endoscopy unit exclusivelyusing anesthesiologist-monitored propofol. Three thousand two hundred and fifty-two patients underwent initial screening or surveillance colonoscopies. Our primaryend point was the adenoma detection rate, def ined asthe number of patients in whom at least one adenomawas found, associated with the type of sedation. RESULTS: Three thousand two hundred and fi ftytwooutpatient colonoscopies were performed by fi ve selected endoscopists. At least one adenoma was detected in 27.6% of patients (95% CI = 26.0-29.1) with no difference in the detection rate between the anesthes-ologist propofol and group and the gastroenterologist-midazolam/fentanyl group (28.1% vs 27.1%, P = 0.53). CONCLUSION: The type of sedation used during colonoscopy does not affect the number of patients in whom adenomatous polyps are detected. 关键词：镇静胃镜检查肠腺检测结果异丙酚结肠镜网络连接检出率

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Conscious or unconscious:The impact of sedation choice on colon adenoma detection

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