Evaluation on Necessity of the Premedication in the UGI Endoscopy Comparative Studies between Subjective and Objective Symptoms

Abstract

Gastrointestinal (GI) endoscopy has been recognized one of hard painful examinations. Recently, mechanical and technical advances made GI endoscopy easy and safe clinical procedures for detection and therapeutics to GI tumors.
Although these developments of clinical diagnosis and treatment, psychological and physical factors in the examination and premedication in GI endoscopy for the patients have not been yet resolved. On the other hands, many endoscopists tend to use more and more sedative and opiate drugs in routine endoscopy. This report evaluated that subjective symptoms complained by patients and objective symptoms given by endoscopists, endoscopic technicians and nurses whether the premedication is necessary or not in routine GI endoscopy.
Any other drugs using for endoscopic premedication would not be desired more than 80% of all patients recieved endoscopy were suggested in this paper. Then acceptance of GI endoscopy without any kinds of premedications was more than 80% respectively. Results of high agreement rate on endoscopy, and no desire of premedications could be achieved by endoscopists through instructions including informed consent and professional attendance by endoscopic technicians and nurses with the qualification. And additional effects can be accomplished by using with TV endoscopy which could be seen the endoscopic picture during the own examination and use of well fitted mouthpiece.