Clinical Endoscopy

Review

Review of Simultaneous Double Stenting Using Endoscopic Ultrasound-Guided Biliary Drainage Techniques in Combined Gastric Outlet and Biliary Obstructions: Hao Chi Zhang, Monica Tamil, Keshav Kukreja, Shashideep Singhal; Clin Endosc 2020;53(2):167-175. Published online August 13, 2019; DOI: https://doi.org/10.5946/ce.2019.050

Concomitant malignant gastric outlet obstruction and biliary obstruction may occur in patients with advanced cancers affecting these anatomical regions. This scenario presents a unique challenge to the endoscopist in selecting an optimal management approach. We sought to determine the efficacy and safety of endoscopic techniques for treating simultaneous gastric outlet and biliary obstruction (GOBO) with endoscopic ultrasound (EUS) guidance for biliary drainage. An extensive literature search for peer-reviewed published cases yielded 6 unique case series that either focused on or included the use of EUS-guided biliary drainage (EUS-BD) with simultaneous gastroduodenal stenting. In our composite analysis, a total of 51 patients underwent simultaneous biliary drainage through EUS, with an overall reported technical success rate of 100% for both duodenal stenting and biliary drainage. EUS-guided choledochoduodenostomy or EUS-guided hepaticogastrostomy was employed as the initial technique. In 34 cases in which clinical success was ascribed, 100% derived clinical benefit. The common adverse effects of double stenting included cholangitis, stent migration, bleeding, food impaction, and pancreatitis. We conclude that simultaneous double stenting with EUS-BD and gastroduodenal stenting for GOBO is associated with high success rates. It is a feasible and practical alternative to percutaneous biliary drainage or surgery for palliation in patients with associated advanced malignancies.

Citations

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Endoscopic Management of Malignant Biliary Obstruction
Woo Hyun Paik, Do Hyun Park
Gastrointestinal Endoscopy Clinics of North America.2024; 34(1): 127. CrossRef
Long‐term outcomes of endoscopic double stenting using an anti‐reflux metal stent for combined malignant biliary and duodenal obstruction
Takashi Sasaki, Tsuyoshi Takeda, Yuto Yamada, Takeshi Okamoto, Chinatsu Mori, Takafumi Mie, Akiyoshi Kasuga, Masato Matsuyama, Masato Ozaka, Naoki Sasahira
Journal of Hepato-Biliary-Pancreatic Sciences.2023; 30(1): 144. CrossRef
A Systematic Review of Endoscopic Treatments for Concomitant Malignant Biliary Obstruction and Malignant Gastric Outlet Obstruction and the Outstanding Role of Endoscopic Ultrasound-Guided Therapies
Giacomo Emanuele Maria Rizzo, Lucio Carrozza, Dario Quintini, Dario Ligresti, Mario Traina, Ilaria Tarantino
Cancers.2023; 15(9): 2585. CrossRef
EUS-guided gallbladder drainage using a lumen-apposing metal stent as rescue treatment for malignant distal biliary obstruction: a large multicenter experience
Cecilia Binda, Andrea Anderloni, Alessandro Fugazza, Arnaldo Amato, Germana de Nucci, Alessandro Redaelli, Roberto Di Mitri, Luigi Cugia, Valeria Pollino, Raffaele Macchiarelli, Benedetto Mangiavillano, Edoardo Forti, Mario Luciano Brancaccio, Roberta Bad
Gastrointestinal Endoscopy.2023; 98(5): 765. CrossRef
Choledochoduodenostomy Versus Hepaticogastrostomy in Endoscopic Ultrasound-guided Drainage for Malignant Biliary Obstruction: A Meta-analysis and Systematic Review
Kejie Mao, Binbin Hu, Feng Sun, Kaiming Wan
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2022; 32(1): 124. CrossRef
Efficacy and safety of endoscopic duodenal stent versus endoscopic or surgical gastrojejunostomy to treat malignant gastric outlet obstruction: systematic review and meta-analysis
Rajesh Krishnamoorthi, Shivanand Bomman, Petros Benias, Richard A. Kozarek, Joyce A. Peetermans, Edmund McMullen, Ornela Gjata, Shayan S. Irani
Endoscopy International Open.2022; 10(06): E874. CrossRef

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Original Article

Endoscopy Timing in Patients with Acute Upper Gastrointestinal Bleeding: Gonçalo Alexandrino, Tiago Dias Domingues, Rita Carvalho, Mariana Nuno Costa, Luís Carvalho Lourenço, Jorge Reis; Clin Endosc 2019;52(1):47-52. Published online October 5, 2018; DOI: https://doi.org/10.5946/ce.2018.093

Abstract PDF PubReader ePub

Background
/Aims: The role of very early (≤12 hours) endoscopy in nonvariceal upper gastrointestinal bleeding is controversial. We aimed to compare results of very early and early (12–24 hours) endoscopy in patients with upper gastrointestinal bleeding demonstrating low-risk versus high-risk features and nonvariceal versus variceal bleeding.
Methods
This retrospective study included patients with nonvariceal and variceal upper gastrointestinal bleeding. The primary outcome was a composite of inpatient death, rebleeding, or need for surgery or intensive care unit admission. Endoscopy timing was defined as very early and early. We performed the analysis in two subgroups: (1) high-risk vs. low-risk patients and (2) variceal vs. nonvariceal bleeding.
Results
A total of 102 patients were included, of whom 59.8% underwent urgent endoscopy. Patients who underwent very early endoscopy received endoscopic therapy more frequently (p=0.001), but there was no improvement in other clinical outcomes. Furthermore, patients at low risk and with nonvariceal bleeding who underwent very early endoscopy had a higher risk of the composite outcome.
Conclusions
Very early endoscopy does not seem to be associated with improved clinical outcomes and may lead to poorer outcomes in specific populations with upper gastrointestinal bleeding. The actual benefit of very early endoscopy remains controversial and should be further clarified.

Citations

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The Time of Endoscopy for Nonvariceal Upper Gastrointestinal Bleeding: An Observational Study
Seong Woo Jeon, Joong Goo Kwon, Ju Yup Lee, Si Hyung Lee, Ho Jin Lee
The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2024; 24(3): 267. CrossRef
Endoscopia urgente frente a endoscopia precoz: ¿tiene algún papel la endoscopia urgente en la hemorragia digestiva alta aguda no varicosa?
Javier Lucas Ramos, Jorge Yebra Carmona, Irene Andaluz García, Marta Cuadros Martínez, Patricia Mayor Delgado, Maria Ángeles Ruiz Ramírez, Joaquín Poza Cordón, Cristina Suárez Ferrer, Ana Delgado Suárez, Nerea Gonzalo Bada, Consuelo Froilán Torres
Gastroenterología y Hepatología.2023; 46(8): 612. CrossRef
Urgent endoscopy versus early endoscopy: Does urgent endoscopy play a role in acute non-variceal upper gastrointestinal bleeding?
Javier Lucas Ramos, Jorge Yebra Carmona, Irene Andaluz García, Marta Cuadros Martínez, Patricia Mayor Delgado, Maria Ángeles Ruiz Ramírez, Joaquín Poza Cordón, Cristina Suárez Ferrer, Ana Delgado Suárez, Nerea Gonzalo Bada, Consuelo Froilán Torres
Gastroenterología y Hepatología (English Edition).2023; 46(8): 612. CrossRef
Clinical outcome of early endoscopy in patients with acute upper gastrointestinal bleeding in Alexandria emergency department
Mina Montasser, Wael Nabil Abdel Salam, Amany Elbanna, Dina Magdy, Ahmed A. Sabry
Egyptian Journal of Anaesthesia.2023; 39(1): 840. CrossRef
Az akut gastroduodenalis fekélyvérzés gyógyszeres és endoszkópos kezelésének újabb szempontjai
István Rácz
Orvosi Hetilap.2023; 164(23): 883. CrossRef
Acute Nonvariceal Upper Gastrointestinal Bleeding in Patients Using Anticoagulants: Does the Timing of Endoscopy Affect Outcomes?
Tiago Lima Capela, Vítor Macedo Silva, Marta Freitas, Tiago Cúrdia Gonçalves, José Cotter
Digestive Diseases and Sciences.2023;[Epub] CrossRef
How Can Patient’s Risk Dictate the Timing of Endoscopy in Upper Gastrointestinal Bleeding?
Marta Freitas, Vítor Macedo Silva, Tiago Cúrdia Gonçalves, Carla Marinho, José Cotter
GE - Portuguese Journal of Gastroenterology.2022; 29(2): 96. CrossRef
Impacto del tiempo a la endoscopia digestiva en pacientes con hemorragia de tubo digestivo alto no variceal: una revisión sistemática y metaanálisis
H.G. Bilder, C. Soccini, J.S. Lasa, I. Zubiaurre
Revista de Gastroenterología de México.2022; 87(3): 320. CrossRef
Impact of time to esophagogastroduodenoscopy in patients with nonvariceal upper gastrointestinal bleeding: A systematic review and meta-analysis
H.G. Bilder, C. Soccini, J.S. Lasa, I. Zubiaurre
Revista de Gastroenterología de México (English Edition).2022; 87(3): 320. CrossRef
Urgent Endoscopy in Nonvariceal Upper Gastrointestinal Hemorrhage: A Retrospective Analysis
Jia-lun Guan, Ying-ying Han, Dan Fang, Mu-ru Wang, Ge Wang, De-an Tian, Pei-yuan Li
Current Medical Science.2022; 42(4): 856. CrossRef
Acute upper gastrointestinal bleeding: a clinical review
Katherine Haggan, Gerri Mortimore
Gastrointestinal Nursing.2022; 20(5): 20. CrossRef
Endoscopic management of acute oesophageal variceal bleeding within 12 hours of admission is superior to 12–24 hours
N Mousa, A Abdel-Razik, T Sheta, A G Deiab, A Habib, M Diasty, A Eldesoky, A Taha, E Mousa, A Yassen, A Fathy, A Elgamal
British Journal of Biomedical Science.2021; 78(3): 130. CrossRef
Endoscopic diagnosis and management of nonvariceal upper gastrointestinal hemorrhage (NVUGIH): European Society of Gastrointestinal Endoscopy (ESGE) Guideline – Update 2021
Ian M. Gralnek, Adrian J. Stanley, A. John Morris, Marine Camus, James Lau, Angel Lanas, Stig B. Laursen, Franco Radaelli, Ioannis S. Papanikolaou, Tiago Cúrdia Gonçalves, Mario Dinis-Ribeiro, Halim Awadie, Georg Braun, Nicolette de Groot, Marianne Udd, A
Endoscopy.2021; 53(03): 300. CrossRef
Optimal timing of endoscopy for acute upper gastrointestinal bleeding: a systematic review and meta-analysis
Elettra Merola, Andrea Michielan, Giovanni de Pretis
Internal and Emergency Medicine.2021; 16(5): 1331. CrossRef
Which scoring system should be used for non‐variceal upper gastrointestinal bleeding? Old or new?
Hong Jae Jeon, Hee Seok Moon, In Sun Kwon, Sun Hyung Kang, Jae Kyu Sung, Hyun Yong Jeong
Journal of Gastroenterology and Hepatology.2021; 36(10): 2819. CrossRef
Biopsy in emergency gastroscopy does not increase the risk of rebleeding in patients with Forrest I acute nonvariceal upper gastrointestinal bleeding combined with suspected malignant gastric ulcer: a multicenter retrospective cohort study
Quchuan Zhao, Tianyu Chi
BMC Gastroenterology.2021;[Epub] CrossRef
The mortality rate among patients with acute upper GI bleeding (with/without EGD) at Aleppo University Hospital: A retrospective study
Ziad Aljarad, Bashir Badawi Mobayed
Annals of Medicine and Surgery.2021; 71: 102958. CrossRef
Validation of a new risk score system for non-variceal upper gastrointestinal bleeding
Min Seong Kim, Hee Seok Moon, In Sun Kwon, Jae Ho Park, Ju Seok Kim, Sun Hyung Kang, Jae Kyu Sung, Eaum Seok Lee, Seok Hyun Kim, Byung Seok Lee, Hyun Yong Jeong
BMC Gastroenterology.2020;[Epub] CrossRef
Interventional Algorithm in Gastrointestinal Bleeding—An Expert Consensus Multimodal Approach Based on a Multidisciplinary Team
Anabela Rodrigues, Alexandre Carrilho, Nuno Almeida, Cilénia Baldaia, Ângela Alves, Manuela Gomes, Luciana Gonçalves, António Robalo Nunes, Carla Leal Pereira, Mário Jorge Silva, José Aguiar, Rosário Orfão, Pedro Duarte, Rui Tato Marinho
Clinical and Applied Thrombosis/Hemostasis.2020; 26: 107602962093194. CrossRef
Photoacoustic endoscopy: A progress review
Heng Guo, Ying Li, Weizhi Qi, Lei Xi
Journal of Biophotonics.2020;[Epub] CrossRef
Upper gastrointestinal bleeding: Is only an injection of epinephrine sufficient? Success rates by Forrest classification
Ahmet Surek, Eyup Gemici, Abdussamet Bozkurt, Mehmet Karabulut
Sanamed.2020; 15(3): 309. CrossRef
When Should We Perform Endoscopy for Patients with Upper Gastrointestinal Bleeding?
Kyoungwon Jung, Moo In Park
Clinical Endoscopy.2019; 52(1): 1. CrossRef
Current Controversies Concerning Capsule Endoscopy
David R. Cave, Shahrad Hakimian, Krunal Patel
Digestive Diseases and Sciences.2019; 64(11): 3040. CrossRef

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Case Reports

A Case of Esophageal Squamous Cell Carcinoma in situ Arising from Esophageal Squamous Papilloma: Jae Yeong Cho, Dae Young Cheung, Tae Jung Kim, Jae Kwang Kim; Clin Endosc 2019;52(1):72-75. Published online July 18, 2018; DOI: https://doi.org/10.5946/ce.2018.058

Abstract PDF PubReader ePub

Squamous papilloma is a common benign tumor of the esophagus. Patients with papilloma are usually asymptomatic, and they are diagnosed incidentally during esophagogastroduodenoscopy. Most papillomas are small and easily removed by forceps biopsy. Recurrence of papilloma after removal is rare. Human papilloma virus infection is supposed to play a role in the development of esophageal papilloma; however, malignant transformation of papilloma is extremely unusual. Here, we report a case of malignant transformation of esophageal squamous papilloma at the gastroesophageal junction into squamous cell carcinoma in situ, which was treated by endoscopic submucosal dissection.

Citations

Citations to this article as recorded by

Implementación de la disección endoscópica submucosa esofágica en España: resultados del registro nacional
Enrique Rodríguez de Santiago, Alberto Herreros-de-Tejada, Eduardo Albéniz, Felipe Ramos Zabala, Gloria Fernández-Esparrach, Oscar Nogales, Pedro Rosón, Beatriz Peñas García, Hugo Uchima, Álvaro Terán, Joaquín Rodríguez Sánchez, Diego de Frutos, Sofía Par
Gastroenterología y Hepatología.2024; 47(2): 119. CrossRef
Detection of Human Papillomavirus in Squamous Papilloma of the Esophagus
Yuan Li, Fan Lin, Qing Ling, Yanmei Xiao, Xiaowei Xue, Weixun Zhou, Hanlin L. Wang
International Journal of Surgical Pathology.2024; 32(4): 748. CrossRef
Implementation of esophageal endoscopic submucosal dissection in Spain: Results from the nationwide registry
Enrique Rodríguez de Santiago, Alberto Herreros-de-Tejada, Eduardo Albéniz, Felipe Ramos Zabala, Gloria Fernández-Esparrach, Oscar Nogales, Pedro Rosón, Beatriz Peñas García, Hugo Uchima, Álvaro Terán, Joaquín Rodríguez Sánchez, Diego de Frutos, Sofía Par
Gastroenterología y Hepatología (English Edition).2024; 47(2): 119. CrossRef
Oesophageal squamous papilloma in paediatric population: a single-centre case series
Pamela Hernández-Almeida, Fabián Vásconez-Muñoz, Andrea Vásconez-Montalvo, Nelson Montalvo-Flores, Ligia Redrobán-Armendariz, Edison Aymacaña-Albán
BMJ Paediatrics Open.2023; 7(1): e001667. CrossRef
Oesophageal squamous papilloma: a rare finding on oesophago-gastro-duodenoscopy with malignant potential
Jia Xi Julian Li, Toan Pham, Graham Newstead
Journal of Surgical Case Reports.2023;[Epub] CrossRef
Esophageal papillomatosis: an exceedingly rare disease
Dandan Li, Changfeng Li, Yuxing Yan, Minya Liu
Orphanet Journal of Rare Diseases.2023;[Epub] CrossRef
Esophageal squamous papilloma: Literature review and case–control retrospective study with histopathological exam of human papillomavirus
Akram I Ahmad, Arielle Lee, Pichayut Nithagon, Omair Ayaz, Nadera Altork, Spyros Peppas, Sayel Alzraikat, Reza Ayoubi, Andrew Smith, Rachna Dhanjal, Ajay Jassal, Samantha M Rizzo, Won Kyoo Cho
JGH Open.2023; 7(10): 674. CrossRef
Rehabilitation Nursing Intervention Can Improve Dysphagia and Quality of Life of Patients Undergoing Radiotherapy for Esophageal Cancer
Xiange Zeng, Ling Li, Wenjing Wang, Lihui Zhu, Alamgeer Yuchi
Journal of Oncology.2021; 2021: 1. CrossRef
Squamous Cell Papilloma of the Oesophagus: A Human Papilloma Virus Lesion
Youssef Aladham, Omar Ahmed, Juliet Laycock
Cureus.2021;[Epub] CrossRef
A case of esophageal carcinoma due to esophageal squamous papillomatosis
E. Fraga, J. Almeida, C. Camacho, J. Simões, A. Bernardes
International Journal of Surgery Case Reports.2020; 71: 335. CrossRef
Squamous Cell Papilloma of the Esophagus: A Case Series Highlighting Endoscopic and Histologic Features
Dustin J. Uhlenhopp, Kristin M. Olson, Tagore Sunkara
Case Reports in Gastrointestinal Medicine.2020; 2020: 1. CrossRef

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Endoscopic Submucosal Dissection of an Inverted Early Gastric Cancer-Forming False Gastric Diverticulum: Yong-il Lee, Sang-kil Lee; Clin Endosc 2016;49(1):86-90. Published online January 28, 2016; DOI: https://doi.org/10.5946/ce.2016.49.1.86

Abstract PDF PubReader ePub

Endoscopic submucosal dissection (ESD) is a standard treatment for early gastric cancer (EGC) that does not have any risk of lymph node or distant metastases. Here, we report a case of EGC resembling a diverticulum. Diverticular formation makes it difficult for endoscopists to determine the depth of invasion and to subsequently perform ESD. Because the false diverticulum does not have a muscular layer, this lesion can be treated with ESD. Our case was successfully treated with ESD. After ESD, the EGC was confined to the submucosal layer without vertical and lateral margin involvement. This is the first case in which ESD was successfully performed for a case of EGC that coexisted with a false gastric diverticulum. An additional, larger study is needed to determine the efficacy of ESD in various types of EGC, such as a false gastric diverticulum.

Citations

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A rare case of perforated gastric duplication cyst associated with gastric diverticulum
Joseph M Smith, Jessie A Elliott, Amy E Gillis, Paul F Ridgway
BMJ Case Reports.2021; 14(3): e239971. CrossRef
Upper Gastrointestinal Manifestation of Bezoars and the Etiological Factors: A Literature Review
Samiullah Khan, Kui Jiang, Lan-ping Zhu, Iftikhar-ahmad Khan, Kifayat Ullah, Saima Khan, Xin Chen, Bang-mao Wang
Gastroenterology Research and Practice.2019; 2019: 1. CrossRef
Gastric Diverticulum: A Comprehensive Review
Jamil Shah, Kalpesh Patel, Tagore Sunkara, Charilaos Papafragkakis, Abul Shahidullah
Inflammatory Intestinal Diseases.2018; 3(4): 161. CrossRef

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Two Cases of Stress Cardiomyopathy during Esophagogastroduodenoscopy: Jong Won Yu, Jongha Park, Pil Sang Song, Jae Hyun Park, Min Sung Kim, Gi Jung Jeon, Min Sik Kim, Tae Oh Kim; Clin Endosc 2016;49(1):76-80. Published online January 28, 2016; DOI: https://doi.org/10.5946/ce.2016.49.1.76

Abstract PDF PubReader ePub

Esophagogastroduodenoscopy (EGD) is considered a relatively safe procedure. However, the procedure and the materials used in EGD with conscious sedation can cause stress to the patient. Adverse events during EGD have been reported, represented by cardiopulmonary complications. To date, five cases have reported worldwide to be associated with gastrointestinal endoscopy. Stress cardiomyopathy (SCMP) is a reversible cardiomyopathy that typically occurs in postmenopausal women due to stress and may resolve within a few weeks. SCMP resembles acute myocardial infarction but differs in terms of treatment and prognosis. Here, we describe two cases of SCMP with shock during EGD with conscious sedation.

Citations

Citations to this article as recorded by

Takotsubo cardiomyopathy: A comprehensive review
Walker Barmore, Himax Patel, Sean Harrell, Daniel Garcia, Joe B Calkins Jr
World Journal of Cardiology.2022; 14(6): 355. CrossRef
Takotsubo cardiomyopathy following acute urinary retention: a case report
Ashraf Elshehry, Mohammed Ainshoka
Saudi Journal of Emergency Medicine.2021; : 102. CrossRef
Quadruple Multiple Primary Malignancies: Early Detection of Second Primary Malignancy by Esophagogastroduodenoscopy/Colonoscopy Is Crucial for Patients with Classic Kaposi’s Sarcoma
Nobuyuki Maruyama, Yuko Okubo, Masato Umikawa, Akiko Matsuzaki, Akira Hokama, Fusahiro Hirano, Tessho Maruyama, Kazuhide Nishihara, Toshiyuki Nakasone, Shoko Makishi, Hiroyuki Nakamura, Naoki Yoshimi
Diagnostics.2020; 10(4): 218. CrossRef
Takotsubo cardiomyopathy after an upper and lower endoscopy: a case report and review of the literature
Ashruta Patel, Yunseok Namn, Shawn L. Shah, Ellen Scherl, David W. Wan
Journal of Medical Case Reports.2019;[Epub] CrossRef
A case of esophagogastroduodenoscopy induced Takotsubo cardiomyopathy with complete heart block
Allison Naiquan Zhang, Terrence Sacchi, Rebecca Altschul, Debra Guss, Smruti Ranjan Mohanty, Vincent Notar-Francesco
Clinical Journal of Gastroenterology.2019; 12(4): 296. CrossRef
Bradycardia, Hypotension, and Midventricular Takotsubo Syndrome during Esophagogastroduodenoscopy
John E. Madias
Clinical Endoscopy.2016; 49(3): 308. CrossRef

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Various Upper Endoscopic Findings of Acute Esophageal Thermal Injury Induced by Diverse Food: A Case Series: Yu Mi Lee, Sun Moon Kim, Ji Young Kim, Hyun Jung Song, Hoon Sup Koo, Kyung Ho Song, Yong Seok Kim, Kyu Chan Huh; Clin Endosc 2014;47(5):447-451. Published online September 30, 2014; DOI: https://doi.org/10.5946/ce.2014.47.5.447

Abstract PDF PubReader ePub

Esophageal thermal injury caused by food has been reported to occur mostly after drinking hot liquid food, and is known to produce alternating white and red linear mucosal bands. In addition, thermal injury caused by ingestion of hot solid foods is documented to be a cause of esophageal ulcers or pseudomembranes. From January 2006 to August 2012, five patients with suspected esophageal thermal injury underwent esophagogastroduodenoscopy with biopsy. A "candy-cane" appearance was observed in one case, pseudomembrane was observed in two cases, an esophageal ulcer was observed in one case, and a friable and edematous mucosa was noted in one case. We believe that the endoscopic findings of esophageal thermal injury depend on the following factors: causative materials, amount of food consumed, exposure period, and time to endoscopy after the incident. Therefore, physicians who encounter patients with suspected esophageal thermal injury should carefully take the patient's history considering these factors.

Citations

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Too Hot to Handle: A Case of Esophageal Thermal Injury From Solid Food Ingestion
Tin Bo Nicholas Lam, Lauren Sussman, Benjamin Infantino
JPGN Reports.2023; 4(1): e286. CrossRef
Unexpected caustic esophageal injury associated with the use of a bowel preparation agent
Yi-Ting Chou, Tien-Yu Huang, Chao-Feng Chang
Journal of Medical Sciences.2019; 39(5): 251. CrossRef
Thermal Esophageal Injury following Ingestion of Boiling Mushroom Water
Allison Prevost, Adam Talley, Emily Klepper, Elizabeth McDonough
Case Reports in Pediatrics.2017; 2017: 1. CrossRef
Candy Cane Appearance of the Esophagus Caused by Acute Thermal Injury
Arun AC, Jenish Rajma
Clinical Gastroenterology and Hepatology.2016; 14(10): A19. CrossRef

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Original Article

Propofol versus Midazolam for Sedation during Esophagogastroduodenoscopy in Children: Ji Eun Oh, Hae Jeong Lee, Young Hwan Lee; Clin Endosc 2013;46(4):368-372. Published online July 31, 2013; DOI: https://doi.org/10.5946/ce.2013.46.4.368

Abstract PDF PubReader ePub

Background/Aims

To evaluate the efficacy and safety of propofol and midazolam for sedation during esophagogastroduodenoscopy (EGD) in children.

Methods

We retrospectively reviewed the hospital records of 62 children who underwent ambulatory diagnostic EGD during 1-year period. Data were collected from 34 consecutive patients receiving propofol alone. Twenty-eight consecutive patients who received sedation with midazolam served as a comparison group. Outcome variables were length of procedure, time to recovery and need for additional supportive measures.

Results

There were no statistically significant differences between the two groups in age, weight, sex, and the length of endoscopic procedure. The recovery time from sedation was markedly shorter in propofol group (30±16.41 minutes) compared with midazolam group (58.89±17.32 minutes; p<0.0001). During and after the procedure the mean heart rate was increased in midazolam group (133.04±19.92 and 97.82±16.7) compared with propofol group (110.26±20.14 and 83.26±12.33; p<0.0001). There was no localized pain during sedative administration in midazolam group, though six patients had localized pain during administration of propofol (p<0.028). There was no serious major complication associated with any of the 62 procedures.

Conclusions

Intravenous administered propofol provides faster recovery time and similarly safe sedation compared with midazolam in pediatric patients undergoing upper gastrointestinal endoscopy.

Citations

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Jun Kyu Lee, Dong Kee Jang, Won Hee Kim, Jung-Wook Kim, Byung Ik Jang
The Korean Journal of Gastroenterology.2017; 69(1): 55. CrossRef
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Sergey Karamnov, Natalia Sarkisian, Rebecca Grammer, Wendy L. Gross, Richard D. Urman
Journal of Patient Safety.2017; 13(3): 111. CrossRef
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P. Tan, W.F. Siah, R. Malhotra
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Andrea Tringali, Valerio Balassone, Paola De Angelis, Rosario Landi
Best Practice & Research Clinical Gastroenterology.2016; 30(5): 825. CrossRef
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Edyta Sienkiewicz, Piotr Albrecht, Janusz Ziółkowski, Piotr Dziechciarz
European Journal of Pediatrics.2015; 174(11): 1475. CrossRef
Prevalence of Chronic Gastritis orHelicobacter pyloriInfection in Adolescent Sleeve Gastrectomy Patients Does Not Correlate with Symptoms or Surgical Outcomes
Ashanti L. Franklin, Emily S. Koeck, Miller C. Hamrick, Faisal G. Qureshi, Evan P. Nadler
Surgical Infections.2015; 16(4): 401. CrossRef
Barbiturate Induction for the Prevention of Emergence Agitation after Pediatric Sevoflurane Anesthesia
Tadasuke Use, Haruna Nakahara, Ayako Kimoto, Yuki Beppu, Maki Yoshimura, Toshiyuki Kojima, Taku Fukano
The Journal of Pediatric Pharmacology and Therapeutics.2015; 20(5): 385. CrossRef
Same-day bidirectional endoscopy with nonanesthesiologist administration of propofol
Alfredo J. Lucendo, Ángel Arias, Sonia González-Castillo, Teresa Angueira, Danila Guagnozzi, Mariluz Fernández-Fuente, Mercedes Serrano-Valverde, Marta Sánchez-Cazalilla, Oliver Chumillas, Maruja Fernández-Ordóñez, José M. Tenías
European Journal of Gastroenterology & Hepatology.2014; 26(3): 301. CrossRef
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Eun Hye Kim, Sang Kil Lee
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Ahmet Sebe, Hayri Levent Yilmaz, Zikret Koseoglu, Mehmet Oguzhan Ay, Muge Gulen
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