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Evaluation of patients safety and comfort in nasal endoscopy.
Introduction: Numerous indications require regular outpatient upper gastrointestinal endoscopy (EGD). In most cases, peroral gastroscopy is performed. The aim of this study was to evaluate the necessity and outpatients' demand for transnasal gastroscopy (nEGD).
Methods: A questionnaire was used to assess patients' choice of method, previous experience, psychological and sociodemographic data. Furthermore, the patients' satisfaction with and potentially perceived discomfort during the examination as well as their preference for a method with regard to future examinations was evaluated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Unsedated Nasal Gastroscopy | Experimental | Transnasal Endoscopy. No sedation used. Use of local anesthesia. |
|
| Oral Gastroscopy, unsedated | Active Comparator | Transoral Endoscopy. No sedation used. Use of local anesthesia. |
|
| Oral Gastroscopy, sedated | Active Comparator | Transoral Endoscopy. Intravenous sedation used. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nasal Gastroscopy | Procedure | Use of transnasal endoscopes for routine gastroscopy in adults. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Patients satisfaction (pain, discomfort, experience) | Satisfaction with the procedure:
(extraordinarily = the best possible outcome, not at all = the worst possible outcome) | During Endoscopy procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Pain during the procedure | Nose pain Numeric Rating Scale 1-10 (1 = no pain, 10 = worst imaginable pain) Throat pain Numeric Rating Scale 1-10 (1 = no pain, 10 = worst imaginable pain) Gag Reflex: Yes or No Abdominal pain: Numeric Rating Scale 1-10 (1 = no pain, 10 = worst imaginable pain) | During Endoscopy procedure |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Albrecht Hoffmeister, Prof Dr | University of Leipzig | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Leipzig | Leipzig | 04103 | Germany |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31139423 | Derived | Schuldt AL, Kirsten H, Tuennemann J, Heindl M, van Bommel F, Feisthammel J, Hollenbach M, Hoffmeister A. Necessity of transnasal gastroscopy in routine diagnostics: a patient-centred requirement analysis. BMJ Open Gastroenterol. 2019 Apr 14;6(1):e000264. doi: 10.1136/bmjgast-2018-000264. eCollection 2019. |
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All data will be available to other researchers on request. (Mail to juergen.feisthammel@medizin.uni-leipzig.de)
All data will be available to other researchers on request. (Mail to juergen.feisthammel@medizin.uni-leipzig.de)
All data will be available to other researchers on request. (Mail to juergen.feisthammel@medizin.uni-leipzig.de)
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| Oral Gastroscopy, unsedated | Procedure | Use of transoral endoscopes for routine gastroscopy in adults. Use of local anesthesia. |
|
| Oral Gastroscopy, sedated | Procedure | Use of transoral endoscopes for routine gastroscopy in adults. Use of intravenous sedation. |
|
| Oral Gastroscopy with transnasal endoscope, sedated | Procedure | Use of transnasal endoscopes for routine gastroscopy in adults, following a failed attempt to perform transnasal gastroscopy |
|
| Previous experience with endoscopy |
Experience: Have you had a gastroscopy: Yes or No If Yes, how was your gastroscopy:
|
| Before Endoscopy procedure |
| ID | Term |
|---|---|
| D005773 | Gastroscopy |
| ID | Term |
|---|---|
| D016099 | Endoscopy, Gastrointestinal |
| D016145 | Endoscopy, Digestive System |
| D003938 | Diagnostic Techniques, Digestive System |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D004724 | Endoscopy |
| D003949 | Diagnostic Techniques, Surgical |
| D013505 | Digestive System Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
| D019060 | Minimally Invasive Surgical Procedures |
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