ArticleInternational journal of colorectal disease2020
The impact of sedation on quality metrics of colonoscopy: a single-center experience of 48,838 procedures.
Article in International journal of colorectal disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 24 citations in OpenAlex.
- Comparison of three sedation models for same-day painless bidirectional endoscopy: A multicenter randomized controlled trial.Journal of gastroenterology and hepatology · 2022Trial
- Impact of sedation on adenoma and polyp detection rates and cecal intubation in elderly patients undergoing screening colonoscopy.World journal of gastrointestinal pharmacology and therapeutics · 2026Article
- Sex-Dependent Differences in Colonoscopy Sedation: Protocol for a Scoping Review.Acta anaesthesiologica Scandinavica · 2025Review
- Lower adenoma detection rate in anesthesia assisted colonoscopy: a retrospective study.Frontiers in oncology · 2025Article
- Sedation Is Associated with Higher Polyp and Adenoma Detection Rates during Colonoscopy: A Retrospective Cohort Study.Gastroenterology research and practice · 2023Article
- Comparison of adenoma detection in different colorectal segments between deep-sedated and unsedated colonoscopy.Scientific reports · 2022Article
- Correlation between adenoma detection rate and other quality indicators, and its variability depending on factors such as sedation or indication for colonoscopy.Frontiers in pharmacology · 2022Article
- Anesthesia Assistance in Colonoscopy: Impact on Quality Indicators.Frontiers in medicine · 2022Article
- Efficacy and safety of midazolam combined with dezocine for sedation and analgesia in digestive endoscopy: A prospective open single-center study.Frontiers in pharmacology · 2022Article
- The Impact of Sedation on Adenoma Detection Rate and Cecal Intubation Rate in Colonoscopy.Gastroenterology research and practice · 2020Article
- Sedated Colonoscopy may not be Beneficial for Polyp/Adenoma Detection.Cancer control : journal of the Moffitt Cancer CenterArticle
Corrections and comments
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Authors and funding
12 authors at 1 institution in 1 country.
Funding
Abstract
purposeInvestigation of the role of sedation during colonoscopy is meaningful as the advantages of colonoscopy performing with sedation are still controversial.
methodsMedical records of patients who underwent colonoscopy in our institution were retrospectively analyzed. The sedation rate, adenoma detection rate (ADR), polyp detection rate (PDR), cecal intubation rate (CIR), iatrogenic colonic perforation rate (ICP) were calculated.
resultsA total of 48,838 colonoscopies (24,498 in males) dated from July 2007 to February 2017 were analyzed. The median age was 50 years (range 16-85 years). An overall sedation rate was 80.38%. The PDR was 26.77%, and was not statistically different between colonoscopy with or without sedation (26.67% vs 27.22, p = 0.474). ADR was 12.9% regardless of applying sedation or not (13.0% vs 12.44%, p = 0.337). The CIR was 87.42% in all examinations with an adjusted CIR of 90.34%, and was higher when performed with sedation than without sedation (88.92% vs 80.64%, p < 0.0001). Five cases (0.01%) of ICP were reported, all of which occurred in patients under sedation.
conclusionsThe use of sedation is associated with increased CIR, but ADR and PDR remain unchanged with or without sedation. However, perforation rate, albeit very low, is significantly higher in sedated patients.
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