Unsedated Colonoscopy: Impact on Quality Indicators.

Digestive Diseases and Sciences
Fatima KhanAnna Krigel

Abstract

In the USA, sedation is commonly used for colonoscopies; though colonoscopy can be successfully performed without sedation, outcomes data in this setting are scarce. To determine patient characteristics associated with undergoing unsedated colonoscopy and whether adenoma detection rate (ADR) and cecal intubation rate (CIR) differ between sedated and unsedated colonoscopy. Using a single-center electronic endoscopy database, we identified patients who underwent outpatient colonoscopy between 2011 and 2018 with or without sedation. We used multivariable logistic regression to determine factors associated with unsedated colonoscopy, CIR, and ADR. We identified 24,795 patients who underwent colonoscopy during the study period. Of these, 179 patients (0.7%) underwent unsedated colonoscopy. ADR was 27.4% in sedated and 21.2% in unsedated colonoscopies (p = 0.06); CIR was 95.8% in sedated and 85.5% in unsedated patients (p < 0.01). On multivariable analysis, male sex (OR 2.06, CI 1.52-2.79) and suboptimal bowel preparation (OR 1.75, CI 1.24-2.45) were associated with undergoing unsedated colonoscopy, while higher BMI was inversely associated with unsedated colonoscopy (BMI 25-29.9: OR 0.44, CI 0.25-0.77). On multivariable analysis, co...Continue Reading

References

Jan 1, 1990·Diseases of the Colon and Rectum·F N Herman
Mar 1, 1996·Diseases of the Colon and Rectum·P A Cataldo
Feb 1, 1996·Gastrointestinal Endoscopy·B P SaundersC B Williams
Aug 1, 1996·Gastrointestinal Endoscopy·V F EckardtG Bernhard
Jul 16, 1999·The American Journal of Gastroenterology·D S EarlyJ B Marshall
Jul 7, 2000·Gastrointestinal Endoscopy·M RistikankareJ Hartikainen
Dec 21, 2002·The American Journal of Gastroenterology·Ichiro YoshikawaMakoto Otsuki
Jun 9, 2005·Journal of Clinical Gastroenterology·Sukanya SubramanianDouglas K Rex
Nov 10, 2005·Gastrointestinal Endoscopy Clinics of North America·Douglas K Rex, Hesham K Khalfan
Nov 18, 2006·Endoscopy·R ConigliaroUNKNOWN Italian Society of Digestive Endoscopy (SIED) Sedation Commission
Feb 16, 2008·Digestive Diseases and Sciences·Felix W Leung
Feb 19, 2008·Gastrointestinal Endoscopy·Felix W LeungJoseph W Leung
May 1, 2008·The American Journal of Gastroenterology·Franco RadaelliUNKNOWN Italian Association of Hospital Gastroenterologists (AIGO)
Jan 13, 2009·Gastrointestinal Endoscopy·Edwin J LaiBrian C Jacobson
Feb 24, 2009·Gastrointestinal Endoscopy·John L PetriniWilliam V Hahn
Jul 14, 2011·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Jürgen PohlChristian Ell
Jul 26, 2011·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Vijay S KhianiCary P Gross
Jan 18, 2012·Gastrointestinal Endoscopy·Silvia PaggiVittorio Terruzzi
Nov 14, 2012·The American Journal of Gastroenterology·Christina BannertMonika Ferlitsch
May 8, 2014·World Journal of Gastroenterology : WJG·Abdulrahman M AljebreenFelix W Leung
May 10, 2015·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Sergio CadoniFelix W Leung
Jan 10, 2019·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Anna KrigelBenjamin Lebwohl

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association
Abdulrahman Aljebreen
Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association
Felix W Leung, Abdulrahman Aljebreen
World Journal of Gastrointestinal Endoscopy
Felix W LeungKonstantinos Triantafyllou
© 2021 Meta ULC. All rights reserved