2023 Volume 65 Issue 2 Pages 147-153
Sedation in endoscopy and treatment is becoming increasingly necessary for the purposes of reducing patient distress and ensuring safe treatment. In Japan, benzodiazepines are frequently used as sedative agents and the second edition of the Guidelines for Sedation in Endoscopic Practice (published in 2017) now includes a clear statement regarding the usefulness of propofol in endoscopy and treatment and the possibility of propofol use by gastrointestinal endoscopists. However, use of propofol in endoscopic practice and treatment remains limited due to insurance coverage issues and safety concerns. Therefore, it is desirable to accumulate more cases so that endoscopists can safely and accurately sedate patients with propofol, and subsequently establish an educational system for sedation.