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Efficacy and Safety of Etomidate in Comparison with Propofol or Midazolam as Sedative for Upper Gastrointestinal Endoscopy
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Jae Hyun Kim, Sanghwan Byun, Youn Jung Choi, Hye Jung Kwon, Kyoungwon Jung, Sung Eun Kim, Moo In Park, Won Moon, Seun Ja Park
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Clin Endosc 2020;53(5):555-561. Published online March 31, 2020
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DOI: https://doi.org/10.5946/ce.2019.210
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Abstract
PDFPubReaderePub
- Background
/Aims: In this study, we compared the efficacy and safety of etomidate with those of propofol or midazolam for the maintenance of sedation during endoscopy.
Methods The study enrolled patients who underwent sedative endoscopy in our hospital and divided them into three groups. Patients in each group were administered midazolam as induction therapy and were subsequently administered either midazolam (M + M group), propofol (M + P group), or etomidate (M + E group) as maintenance medication. The primary outcome was overall cardiovascular and respiratory adverse events.
Results In total, 105 patients who underwent sedative endoscopic examination were enrolled. The outcomes related to the procedure and sedation were not significantly different among the groups. Overall cardiovascular and respiratory adverse events were observed in 9 patients (25.7%) in the M + M group, 8 patients (23.5%) in the M + P group, and 10 patients (27.8%) in the M + E group. The logistic regression analysis revealed that etomidate use was not an independent risk factor for overall cardiovascular and respiratory adverse events.
Conclusions The outcomes following the use of etomidate for maintenance after induction with midazolam for sedation in upper gastrointestinal endoscopy were not inferior to those following midazolam or propofol use from the perspectives of safety and efficacy.
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Citations
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- Comparison of ciprofol–alfentanil and propofol–alfentanil sedation during bidirectional endoscopy: A prospective, double-blind, randomised, controlled trial
Jiqiang Zhang, Ruijuan Liu, Ruirui Bi, Xia Li, Mengjun Xu, Lijuan Li, Yuxi su, Wenjun Yan Digestive and Liver Disease.2024; 56(4): 663. CrossRef - Effects of Earmuffs and Eye Masks on Propofol Sedation during Spinal Anesthesia for Orthopedic Surgery: A Randomized Controlled Trial
Jin-Woo Park, Sung Il Bae, Jungyul Ryu, Seung Hyun Chung, Sang-Hwan Do Journal of Clinical Medicine.2023; 12(3): 899. CrossRef - Effect of intravenous anesthesia by etomidate in combination with propofol on gastrointestinal endoscopy
Bo CHEN, Ke ZHANG, Mingshuai YU Minerva Surgery.2023;[Epub] CrossRef - New sedatives and analgesic drugs for gastrointestinal endoscopic procedures
Jae Min Lee, Yehyun Park, Jin Myung Park, Hong Jun Park, Jun Yong Bae, Seung Young Seo, Jee Hyun Lee, Hyung Ku Chon, Jun-Won Chung, Hyun Ho Choi, Jun Kyu Lee, Byung-Wook Kim Clinical Endoscopy.2022; 55(5): 581. CrossRef - Drugs used for sedation in gastrointestinal endoscopy
Jun Kyu Lee Journal of the Korean Medical Association.2022; 65(11): 735. CrossRef - Comparative Safety Profiles of Sedatives Commonly Used in Clinical Practice: A 10-Year Nationwide Pharmacovigilance Study in Korea
Yeo-Jin Choi, Seung-Won Yang, Won-Gun Kwack, Jun-Kyu Lee, Tae-Hee Lee, Jae-Yong Jang, Eun-Kyoung Chung Pharmaceuticals.2021; 14(8): 783. CrossRef - Physical and Chemical Compatibility of Etomidate and Propofol Injectable Emulsions
Chunling Wang, Shengnan Wang, Cuishuan Wu, Li Lei, Dong-Xin Wang, Qiang Zhang Pharmacology.2021; 106(11-12): 644. CrossRef
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Is it Possible to Successfully Treat Locally Advanced Colon Cancer Using Pre-Operative Chemoradiotherapy?
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Ji Hun Choi, Jae Hyun Kim, Won Moon, Seung Hun Lee, Sung Uhn Baek, Byung Kwon Ahn, Jung Gu Park, Seun Ja Park
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Clin Endosc 2019;52(2):191-195. Published online November 9, 2018
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DOI: https://doi.org/10.5946/ce.2018.088
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Abstract
PDFPubReaderePub
- Pre-operative chemoradiotherapy (CRT) is a preferable treatment option for patients with locally advanced rectal cancer. However, few data are available regarding pre-operative CRT for locally advanced colon cancer. Here, we describe two cases of successful treatment with pre-operative CRT and establish evidence supporting this treatment option in patients with locally advanced colon cancer. In the first case, a 65-year-old woman was diagnosed with ascending colon cancer with duodenal invasion. In the second case, a 63-year-old man was diagnosed with a colonic-duodenal fistula due to transverse colon cancer invasion. These case reports will help to establish a treatment consensus for pre-operative CRT in patients with locally advanced colon cancer.
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Citations
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- Evaluation of colon cancer prognostic factors by CT and MRI: an up-to-date review
Ruggeri B. Guimarães, Eduardo O. Pacheco, Serli N. Ueda, Dario A. Tiferes, Fernanda L. Mazzucato, Aley Talans, Ulysses S. Torres, Giuseppe D’Ippolito Abdominal Radiology.2024; 49(11): 4003. CrossRef
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Effect of Sending Educational Video Clips via Smartphone Mobile Messenger on Bowel Preparation before Colonoscopy
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Sung Chan Jeon, Jae Hyun Kim, Sun Jung Kim, Hye Jung Kwon, Youn Jung Choi, Kyoungwon Jung, Sung Eun Kim, Won Moon, Moo In Park, Seun Ja Park
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Clin Endosc 2019;52(1):53-58. Published online August 29, 2018
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DOI: https://doi.org/10.5946/ce.2018.072
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Abstract
PDFPubReaderePub
- Background
/Aim: We aimed to evaluate the efficacy of sending educational video clips via smartphone mobile messenger (SMM) on enhancing bowel preparation before colonoscopy.
Methods This was a prospective, endoscopist-blinded, randomized controlled study. Patients in the SMM group received two video clips sent via SMM that explained the diet and regimen for bowel preparation, whereas those in the control group did not receive any video clips. We compared the quality of bowel preparation between the two groups, which was assessed by an endoscopist using the Ottawa scale.
Results Between August and November 2014, 140 patients in the SMM group and 141 patients in the control group underwent colonoscopic examination. The total Ottawa score of the SMM group was significantly lower than that of the control group (5.47±1.74 vs. 5.97±1.78, p=0.018). These results were particularly prominent in the younger age group; the total Ottawa score of patents in the SMM group aged <40 years was significantly lower than that of patients in the control group aged <40 years (5.10±1.55 vs. 6.22±2.33, p=0.034).
Conclusions We demonstrated that sending educational video clips via SMM could result in better bowel preparation, especially in the younger age group.
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Thomas Archer, Bernard Corfe, Keith Dear, Andy Cole, Stephen Foley, H Jervoise N Andreyev, Waleed Fateen, Andrew Baxter, Stuart Riley, Adolfo Parra-Blanco, Mo Thoufeeq Endoscopy International Open.2024; 12(03): E402. CrossRef - Improving Colonoscopy Preparation Using Information and Communication Technologies (ICT), Randomized Clinical Trial
Diego Mauricio Aponte Martín, Claudia Liliana Corso Bernal, María Valentina Aponte Aparicio, Luis Carlos Sabbagh Sanvicente Revista colombiana de Gastroenterología.2024; 39(1): 51. CrossRef - A smartphone application to enhance bowel preparation for first-time colonoscopy: a randomized controlled study
Tanawat Pattarapuntakul, Thanyaporn Kanchanasuwan, Apichat Kaewdech, Thanawin Wong, Nisa Netinatsunton, Nalerdon Chalermsuksant, Pimsiri Sripongpun Frontiers in Medicine.2024;[Epub] CrossRef - Edukacinio 3D virtualiosios realybės vaizdo metodo įtaka ruošiant žarnyną kolonoskopijai: pirmieji rezultatai
Edvinas Kildušis, Gintautas Brimas Lietuvos chirurgija.2024; 23(2): 108. CrossRef - Online patient endoscopy education platform improves outpatient bowel preparation quality: Retrospective observational study
Yuming Ding, Ann Vandeleur, Gonzalo Chinchilla, Kimberley Littlemore, Ruth Hodgson, Tony Rahman Endoscopy International Open.2024; 12(11): E1326. CrossRef - Effectiveness of bowel preparation innovative technology instructions (BPITIs) on clinical outcomes among patients undergoing colonoscopy: a systematic review and meta-analysis
Parichat Wonggom, Siwanon Rattanakanokchai, Orathai Suebkinorn Scientific Reports.2023;[Epub] CrossRef - Impact of WeChat guidance on bowel preparation for colonoscopy: a quasi-experiment study
Yifang Guan, Yanjun Song, Xiaona Li, Aijun Zhang, Ruyuan Li Scientific Reports.2023;[Epub] CrossRef - Correlation between prescribing doctor attributes and intestinal cleanliness in colonoscopy: a study of 22522 patients
Haibin Zhou, Hayat Khizar, Xiaofeng Zhang, Jianfeng Yang Annals of Medicine.2023;[Epub] CrossRef - An Interactive Video Educational Tool Does Not Improve the Quality of Bowel Preparation for Colonoscopy: A Randomized Controlled Study
Ted B. Walker, Tricia A. Hengehold, Kevin Garza, Benjamin D. Rogers, Dayna Early Digestive Diseases and Sciences.2022; 67(6): 2347. CrossRef - Comparison of 2 L Polyethylene Glycol Plus Ascorbic Acid and 4 L Polyethylene Glycol in Elderly Patients Aged 60–79: A Prospective Randomized Study
Sung Hoon Jung, Chul-Hyun Lim, Tae-Geun Gweon, Jinsu Kim, Jung Hwan Oh, Kyu-Tae Yoon, Jee Young An, Jeong‑Seon Ji, Hwang Choi Digestive Diseases and Sciences.2022; 67(10): 4841. CrossRef - Patient education by smartphones for bowel preparation before colonoscopy
Peng Li, Xueqian He, Xufang Yang, Jing Du, Weiquan Wu, Jiangfeng Tu Journal of Gastroenterology and Hepatology.2022; 37(7): 1349. CrossRef - Los efectos de la educación perfeccionada, realizada por enfermeros en la calidad de la preparación intestinal para colonoscopia
Gamze Arslanca, Mahmure Aygün Revista Latino-Americana de Enfermagem.2022;[Epub] CrossRef - Effect of nurse-performed enhanced patient education on colonoscopy bowel preparation quality
Gamze Arslanca, Mahmure Aygün Revista Latino-Americana de Enfermagem.2022;[Epub] CrossRef - Os efeitos da educação aprimorada, realizada por enfermeiros na qualidade do preparo intestinal para colonoscopia
Gamze Arslanca, Mahmure Aygün Revista Latino-Americana de Enfermagem.2022;[Epub] CrossRef - Comparison of Two Types of 1-L Polyethylene Glycol-ascorbic Acid as Colonoscopic Bowel Preparation: A Prospective Randomized Study
Suh Hyun Choi, Won Eui Yoon, Seung Hyuk Kim, Hee Jun Myung, Seo Hyun Kim, Soon Oh So, Se Hun Kim, Hyun Mi Lee, Yeoun Jung Oh, Jeong Seop Moon, Tae Yeong Park, You Sun Kim The Korean Journal of Gastroenterology.2022; 80(2): 85. CrossRef - Multimedia based education on bowel preparation improves adenoma detection rate: Systematic review & meta‐analysis of randomized controlled trials
Saurabh Chandan, Sumant Arora, Babu P. Mohan, Shahab R. Khan, Ojasvini C. Chandan, Lena L. Kassab, Arvind R. Murali Digestive Endoscopy.2021; 33(5): 730. CrossRef - Mobile health technologies supporting colonoscopy preparation: A systematic review and meta-analysis of randomized controlled trials
Maria El Bizri, Mariam El Sheikh, Ga Eun Lee, Maida J. Sewitch, Tim Mathes PLOS ONE.2021; 16(3): e0248679. CrossRef - Effects of mobile messenger counseling on case management success for individuals engaging in self-harm or suicide attempts who were discharged from emergency departments
Ji Min Seong, Youngsuk Cho, Gyu Chong Cho, Jongshill Lee, In Young Kim, Hongtaek Seo, Jungmi Kim Clinical and Experimental Emergency Medicine.2021; 8(1): 48. CrossRef - Quality Improvement of Bowel Preparation for Screening Colonoscopies: A Study of Hospital Team Resource Management in Taiwan
Chen-Shuan Chung, Chih-Ming Lin, Ming-Shu Chen Quality Management in Health Care.2021; 30(2): 127. CrossRef - Effects of a Personalized Smartphone App on Bowel Preparation Quality: Randomized Controlled Trial
Quirine E W van der Zander, Ankie Reumkens, Bas van de Valk, Bjorn Winkens, Ad A M Masclee, Rogier J J de Ridder JMIR mHealth and uHealth.2021; 9(8): e26703. CrossRef - Safe and appropriate use of laxatives for colonoscopy
Won Shik Kim, Beom Jae Lee Journal of the Korean Medical Association.2021; 64(8): 561. CrossRef - Editors' Choice of Noteworthy Clinical Endoscopy Publications in the First Decade
Gwang Ha Kim, Kwang An Kwon, Do Hyun Park, Jimin Han Clinical Endoscopy.2021; 54(5): 633. CrossRef - Comparative Effectiveness of Enhanced Patient Instructions for Bowel Preparation Before Colonoscopy: Network Meta-analysis of 23 Randomized Controlled Trials
Xu Tian, Li-Juan Yi, Yang Han, Hui Chen, Xiao-Ling Liu, Wei-Qing Chen, Maria F Jiménez-Herrera Journal of Medical Internet Research.2021; 23(10): e19915. CrossRef - Influence of Educational Methods on Bowel Preparation for Coloncopy: Systematic Literature Review
Edvinas Kildušis, Gintautas Brimas Lietuvos chirurgija.2021; 20(3-4): 135. CrossRef - Telephonic Nurse Guidance for Colonoscopy: A Clinical Trial
Tatiane Santa Rosa Diniz, Suzimar de Fátima Benato Fusco, Maria Elizandre Camilo de Oliveira, Hélio Rubens de Carvalho Nunes, Marla Andréia Garcia de Avila Clinical Nursing Research.2021; 30(6): 762. CrossRef - Educating Patients by Providing Timely Information Using Smartphone and Tablet Apps: Systematic Review
Thomas Timmers, Loes Janssen, Rudolf B Kool, Jan AM Kremer Journal of Medical Internet Research.2020; 22(4): e17342. CrossRef - How Can We Achieve Good Compliance for Bowel Preparation?
Jongha Park, Tae Oh Kim Clinical Endoscopy.2019; 52(1): 3. CrossRef
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Optimal Diagnostic Approaches for Patients with Suspected Small Bowel Disease
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Jae Hyun Kim, Won Moon
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Clin Endosc 2016;49(4):364-369. Published online June 22, 2016
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DOI: https://doi.org/10.5946/ce.2016.074
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Abstract
PDFPubReaderePub
- While the domain of gastrointestinal endoscopy has made great strides over the last several decades, endoscopic assessment of the small bowel continues to be challenging. Recently, with the development of new technology including video capsule endoscopy, device-assisted enteroscopy, and computed tomography/magnetic resonance enterography, a more thorough investigation of the small bowel is possible. In this article, we review the systematic approach for patients with suspected small bowel disease based on these advanced endoscopic and imaging systems.
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Kozo Tsuruta, Hidetoshi Takedatsu, Shinichiro Yoshioka, Masahiro Yoshikai, Kensuke Tomiyasu, Masaru Morita, Kotaro Kuwaki, Keiichi Mitsuyama, Takumi Kawaguchi Digestion.2023; 104(6): 430. CrossRef - Differentiation between small (< 4.5 cm) true subepithelial tumors and ectopic pancreas in the small bowel on computed tomography enterography
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Kishan Patel, Nanxi Zha, Shana Neumann, Mitiadis Nicholas Tembelis, Mario Juliano, Naziya Samreen, Jawad Hussain, Mariam Moshiri, Michael N. Patlas, Douglas S. Katz Seminars in Roentgenology.2020; 55(2): 150. CrossRef - Roles of Capsule Endoscopy and Device-Assisted Enteroscopy in the Diagnosis and Treatment of Small-Bowel Tumors
Eun Ran Kim Clinical Endoscopy.2020; 53(4): 410. CrossRef - Diagnosis and therapy using double-balloon endoscopy for small bowel disease: experience from a Chinese tertiary hospital
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