Peter John Vincent Hanson

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Mark Wilkinson

Wythenshawe Hospital

Jeffrey L. Engelman

St George Hospital

Stephen P. Pereira

University College London

Syed H. Hussaini

Children's Hospital of Philadelphia

G. E. Sladen

The King's College

Cooperative Institutions

University College London

Guy's Hospital

St Thomas' Hospital

St George Hospital

Prince of Wales Hospital

University College Hospital

Wellcome / EPSRC Centre for Interventional and Surgical Sciences

The Royal Free Hospital

University College London Hospitals NHS Foundation Trust

Roland Hill (United Kingdom)

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Intestinal perforation after ERCP in Billroth II partial gastrectomy

Gastrointestinal Endoscopy (1994)

Mark Wilkinson Jeffrey L. Engelman Peter John Vincent Hanson

Billroth II

Perforation

Billroth I

10.1016/s0016-5107(94)70090-7

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Endoscopy: Throat Spray or Sedation?

Journal of the Royal College of Physicians of London (1994)

Stephen P. Pereira Syed H. Hussaini Peter John Vincent Hanson Mark Wilkinson G. E. Sladen

Anxious patients tolerate endoscopy poorly. It was proposed that such patients might derive most benefit from sedation, while most non-anxious patients would prefer endoscopy with lignocaine throat spray alone. In a prospective study, 200 outpatients underwent diagnostic endoscopy after receiving one of two detailed information sheets which offered them either the choice between spray or sedation (n = 100) or the same choice but encouraged those who were anxious about endoscopy to choose sedation (n = 100). When given an informed choice, most non-anxious patients prefer not to be sedated most non-anxious patients prefer not to be sedated during diagnostic endoscopy. If patients who are anxious about the procedure are advised to choose sedation, those who nevertheless opt for topical throat spray alone find the endoscopy just as comfortable. If the endoscopy were to be repeated, 73% of the spray group and 77% of the sedation group would make the same choice again. Of 33 patients who chose spray but had been given only sedation for a previous endoscopy, 26 (79%) would choose spray again for a future endoscopy. The choice of spray or sedation should reflect the patient's view as well as that of the endoscopist.

Throat

Nasal spray

10.1016/s0035-8819(25)00730-5

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Citations (37)