Abstract
In principle, endoscopes with a regular diameter have been used without sedation for upper gastrointestinal endoscopy in a medical check-up at the Matsue Red Cross Hospital. Subjects can freely select either a barium meal X-ray study or endoscopy, and a large proportion of subjects, as much as 90%, have selected endoscopy. An excellent endoscopist-examinee relationship is indispensable for comfortable endoscopy for the examinees and it is necessary to recognize that endoscopy is not a daily activity for them. Talking to an examinee repeatedly during the examination gives rise to a feeling of ease and it is presumed that “verbal anesthesia” praising the examinee is effective. In addition, when examinees are feeling tense, it may be effective to provide care that an endoscopist or a co-medical worker puts a hand on their shoulder. While it is expected that transnasal endoscopy prevails and the number of institutes where a sedative is used increases in the future, basic attitude towards examinees will be universal.
