科研之友
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摘要
Background/Purpose: Differences in patient tolerance, acceptance, and satisfaction of esophagogastroduodenoscopy (EGD) between transnasal (TN) and peroral (PO) routes using a 5-mm video endoscope. %26lt;br%26gt;Methods: A total of 220 enrolled patients were assigned randomly to two groups undergoing EGD-110 patients each for TN and PO. The successful rate, procedure time, and adverse events were recorded. After the procedure, patients answered a validated questionnaire of tolerance, acceptance, and satisfaction. %26lt;br%26gt;Results: There were 6 failures (5.7%) of nasal intubation and two nasal bleeding (2%) among 105 TN-EGD procedures. All PO patients (n=102) completed EGD successfully without adverse event. Compared to PO, the procedure of TN achieved lower successful rate (94% vs. 100%, p = 0.01), was complicated with epistaxis (2% vs. 0%) and took longer (mean +/- SD 19.9 +/- 6.1 min vs. 16.8 +/- 6.4 min, p=0.0001). The patients undergoing TN-EGD indicated less discomfort during passing pharynx (scores of 2.1 +/- 2.0 vs. 3.1 +/- 2.6, p=0.011) but more pain during inserting scope (scores of 2.2 +/- 1.6 vs. 1.5 +/- 1.8, p=0.0001). Eventually, there were no significant differences between TN and PO regarding the overall procedure discomfort (scores of 10.7 +/- 6.6 vs. 11.1 +/- 7.8 scores, p=0.9), satisfaction (scores of 41.2 +/- 4.2 vs. 41.3 +/- 4.6, p=0.91), and acceptability (87.8% vs. 94.2%, p=0.91). %26lt;br%26gt;Conclusion: PO intubation seems an excellent alternative method when using a 5-mm ultrathin endoscopy because it achieves comparable patient tolerance, acceptance, and satisfaction as TN intubation, takes less time and causes lower intubation failure and epistaxis.
- 出版日期2014-6
