Health Condition 1: null- Patients planned for Upper GI Endoscopy for assessment of their symptoms or condition
Conditions
Interventions
Intervention1: Unsedated Upper GI Endoscopy using topical pharyngeal anaesthesia: After informed consent, pre-procedure assessment of patient anxiety is done using GAD-7 questionnaire. If the patient
Sponsors
Tata Memorial Hospital
Eligibility
Inclusion criteria
Inclusion criteria: Consecutive patients aged between 18 and 75 years referred for diagnostic upper GI endoscopy will be considered for inclusion in the study
Exclusion criteria
Exclusion criteria: 1. Refusal to participate or refusal for unsedated upper GI endoscopy 2. ECOG performance score > 2 3. Co-morbid illness with ASA risk of > 2 or critically ill 4. Known oropharyngeal/ pharyngeal disorder 5. Vocal cord palsy or head and neck cancers 6. Known psychiatric illness 7. Generalized Anxiety Disorder Questionnaire: GAD-7 score >10 8. Endoscopy performed by trans-nasal route or using an ultra-thin endoscope 9. Emergency Endoscopy 10. Therapeutic endoscopy 11. Limited examinations 12. Known lidocaine allergy 13. Pregnant Women
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Suppression of gagging after topical pharyngeal anesthesia scored by the Modified Dickinson and Fiske Gagging Severity Index (DF-GSI).Timepoint: Intraprocedure- during upper GI endoscopy the mDF-GSI will be measured | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Testâ??retest reliability of modified DF-GSI between raters 2. Testâ??retest reliability of modified GCS between raters 3. Patient reported pharyngeal numbness pre-procedure 4. Patient reported difficulty in swallowing the scope 5. Endoscopistâ??s rating of difficulty in intubation 6. Endoscopist rating of difficultly in performance of endoscopy related to gagging/ retching 7. Willingness to repeat the examination under similar conditions.Timepoint: Intra and post procedure- during and after upper GI endoscopy | — |
Countries
India
Contacts
Public ContactDr Sridhar Sundaram
Tata Memorial Centre
Outcome results
None listed