Resumen

DIAZ DEL OLMO GARCIA, Mauricio, FIGUEROA REYNA, Carlos, MAURICCI CIUDAD, Jorge et al. El rol de la sedación en la endoscopía digestiva alta. Rev. gastroenterol. Perú, oct./dic. 2004, vol.24, no.4, p.328-334. ISSN 1022-5129.

OBJECTIVES: .Determine the variation of the vital constants during endoscopy in the sedate and non-sedate patients. Evaluate the anxiety in the patient. Evaluate the doctor attitude at the procedure. Evaluate the patient satisfaction and inquire about the patient disposition to repeat in the future the procedure in the same conditions. METHODS: This is a prospective, descriptive, and duoble blind randomize comparative study with 197 patients subjected to upper digestive endoscopy, 101 received endovenous sedation and 96 local anesthesia. RESULTS. Sedation in upper digestive endoscopy showed a significant lower complaints perception (p<0.0001), pain, nausea and lack of air sensation (p<0.001) with a better endoscopist appraisal with respect the non sedated (p<0.015). The sedated patient had a significant decrease of his basal systolic and diastolic pressures (p<0.0001). Non sedated patient present a significant difficult endoscopy insertion at the first attempt (p<0.001). CONCLUSION: Upper digestive endoscopy with sedation was significantly better both for the doctor as for the patient in general well-being as in less pain, nausea and lack of air sensation. The most sedated patients agreed without doubts to repeat the exam if it was necessary.

Palabras llave: Sedation; local anesthesia; upper endoscopy.