Patient Safety
Conditions
Keywords
Gastroscopy, Transnasal Endoscopy, Sedation
Brief summary
Evaluation of patients safety and comfort in nasal endoscopy.
Detailed description
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.
Interventions
PROCEDURENasal Gastroscopy
Use of transnasal endoscopes for routine gastroscopy in adults.
PROCEDUREOral Gastroscopy, unsedated
Use of transoral endoscopes for routine gastroscopy in adults. Use of local anesthesia.
PROCEDUREOral Gastroscopy, sedated
Use of transoral endoscopes for routine gastroscopy in adults. Use of intravenous sedation.
PROCEDUREOral Gastroscopy with transnasal endoscope, sedated
Use of transnasal endoscopes for routine gastroscopy in adults, following a failed attempt to perform transnasal gastroscopy
Sponsors
University of Leipzig
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Informed consent * Adequate knowledge of oral and written german
Exclusion criteria
* Inpatient Treatment * For medical reasons (narrow nasal cavity, band ligation of esophageal varices, Placement of a percutaneous endoscopic gastrostomy, planned colonoscopy under sedation the same day, abnormal coagulation, emergency procedures)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patients satisfaction (pain, discomfort, experience) | During Endoscopy procedure | Satisfaction with the procedure: * not at all * hardly * moderately * quite * extraordinarily (extraordinarily = the best possible outcome, not at all = the worst possible outcome) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain during the procedure | During Endoscopy 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) |
| Previous experience with endoscopy | Before Endoscopy procedure | Experience: Have you had a gastroscopy: Yes or No If Yes, how was your gastroscopy: * pleasant * slightly unpleasant * very unpleasant |
Countries
Germany
Outcome results
None listed