Introduction: According to the guideline published by ESGE/UEG, a high-quality esophagogastroduodenoscopy (EGD) implies the application of some criteria that enable better healthcare outcomes. Although intra-procedural performance measures are dependent on patient factors, there is no reference to sedation practices in the guideline mentioned above. Objective: This study aimed to evaluate whether deep sedation influences EGD performance measures established by ESGE/UEG. Methods: This was a cross-sectional study, with a prospective enrollment, that considered for inclusion consecutive patients referred for EGD. Two questionnaires were used to assess performance measures and patient satisfaction after EGD. Results: Sedation had a statistically significant impact on most quality indicators, including complete examination (77.2% without sedation vs. 97.8% with sedation), inspection time (6.17 ± 3.45 vs. 8.39 ± 2.67 min), photodocumentation (78% vs. 97.8%), biopsies (39.3% vs. 60.7%), and patient satisfaction (5.42 ± 2.93 vs. 9.1 ± 1.19). The main reason for an incomplete procedure was patient intolerance (82.6%). Discussion: Deep sedation of patients submitted to EGD proved to be a determinant in the applicability of the ESGE/UEG quality indicators. Patient intolerance was eliminated in the group with sedation, enhancing procedure completeness, adequate pathology identification, management, and consequently, the effectiveness of the exam. Conclusion: Sedation administration should be considered in patients undergoing EGD since it ensures a high-quality procedure.
GE Port J Gastroenterol

中文翻译：

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上消化道内镜检查的质量标准：深度镇静会影响它吗？

简介：根据 ESGE/UEG 发布的指南，高质量的食管胃十二指肠镜检查 (EGD) 意味着应用一些标准来实现更好的医疗保健结果。尽管手术中的绩效指标取决于患者因素，但上述指南中并未提及镇静措施。目标：本研究旨在评估深度镇静是否影响 ESGE/UEG 建立的 EGD 性能指标。方法：这是一项横断面研究，具有前瞻性，考虑纳入连续转诊 EGD 的患者。两份问卷用于评估 EGD 后的绩效指标和患者满意度。结果：镇静对大多数质量指标有统计学上的显着影响，包括完整检查（77.2% 无镇静 vs. 97.8% 有镇静）、检查时间（6.17 ± 3.45 vs. 8.39 ± 2.67 分钟）、照片记录（78% vs. 97.8%） 、活检（39.3% 对 60.7%）和患者满意度（5.42 ± 2.93 对 9.1 ± 1.19）。手术不完整的主要原因是患者不耐受 (82.6%)。讨论：提交给 EGD 的患者的深度镇静被证明是 ESGE/UEG 质量指标适用性的决定因素。镇静组消除了患者的不耐受，提高了程序的完整性、充分的病理学识别、管理，从而提高了检查的有效性。结论：接受 EGD 的患者应考虑给予镇静剂，因为它可确保高质量的手术。
GE Port J 胃肠醇