Effects of monitored anesthesia care with deep sedation on gastrointestinal endoscopy

Abstract

Objective To explore effects of monitored anesthesia care (MAC) on gastrointestinal endoscopy. Methods All patients who underwent gastrointestinal endoscopy in Peking University People′s Hospital from September 2010 to September 2015 were analyzed retrospectively and divided into two groups: the MAC group and control group by usage of MAC. Success rates of removal of foreign bodies by upper gastrointestinal endoscopy were compared between two groups during this period. Detection rates of ectopia of gastric mucosa in upper esophagus were compared between two groups from September 2014 to September 2015 when esophagogastroduodenoscopy was performed. The monthly cases of gastrointestinal endoscopies were compared between the two groups, which were separately collected from one MAC operating table and one routine operating table from September 2014 to September 2015. Results The success rate of removal of foreign bodies in the MAC group was higher than that in the control group(100.0% VS 89.7%, χ2=11.737, P=0.001). The detection rate of ectopia of gastric mucosa in upper esophagus in the MAC group was higher than that in the control group(4.3% VS 1.7%, χ2=58.751, P<0.001). The monthly cases of gastrointestinal endoscopies in the MAC group was higher than that in the control group(350.2±36.2 cases VS 213.2±27.9 cases, t=17.591, P<0.001). Conclusion The use of MAC for gastrointestinal endoscopy improves operating success rate, accuracy and operating time. MAC in gastrointestinal endoscopy can be recommended. Key words: Endoscopy; Deep sedation; Anesthesia