Colonoscopy without sedation

Diseases of the Colon and Rectum
P A Cataldo

Abstract

Two hundred fifty-eight consecutive nonsedated colonoscopies were prospectively evaluated over an 18-month period. The cecum was intubated in 250 cases (97 percent). Polypectomies or biopsies were performed in 77 cases (31 percent). Indications for colonoscopy included history of polyps (32 percent), hematochezia (28 percent), family history of colon cancer (16 percent), prior history of colon cancer (9 percent), change in bowel habits (12 percent), abnormal flexible sigmoidoscopy (6 percent), and inflammatory bowel disease (3 percent). Sedation was withheld for the following reasons: patient preference (57 percent), medical problems (2 percent), prior resection (16 percent), surgeon preference (6.5 percent), lack of intravenous access (3 percent), and age (1 percent). Three patients (1.5 percent) required sedation to complete the procedure. Procedure-related pain was based on a scale from zero to three. One hundred thirty-nine patients (61 percent) rated their pain as either zero (no pain) or one (mild pain), and 217 patients (8 percent) indicated that they would prefer their next colonoscopy to be performed without sedation. One hundred twelve patients had previously undergone sedated colonoscopy. Ninety-two (92 percent) pref...Continue Reading

References

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Citations

Mar 16, 2005·Diseases of the Colon and Rectum·Yuuichi TakahashiKen Sakumoto
Mar 25, 1998·Gastrointestinal Endoscopy·J Natkins
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