Evidence map›Paper›PMID 42694720›Full record

ArticleDEN open2027

Association of Propofol Versus Midazolam Sedation With Successful Pharyngeal Observation During Upper Gastrointestinal Endoscopy: A Retrospective Study.

Kazuya Sumi, Tomoya Sato, Tomona Sakurai, Kota Uehara, Akira Ishihara, Takayoshi Ito

Abstract read
In one paragraph

Article in DEN open, 2027. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Kazuya SumiDigestive Diseases Center Showa Medical University Koto-Toyosu Hospital Tokyo Japan.ORCID https://orcid.org/0000-0002-5484-8504
Tomoya SatoDigestive Diseases Center Showa Medical University Koto-Toyosu Hospital Tokyo Japan.
Tomona SakuraiDigestive Diseases Center Showa Medical University Koto-Toyosu Hospital Tokyo Japan.ORCID https://orcid.org/0009-0008-4046-0243
Kota UeharaHitachi Medical Center Hospital Ibaraki Japan.ORCID https://orcid.org/0009-0002-6783-3093
Akira IshiharaHitachi Medical Center Hospital Ibaraki Japan.
Takayoshi ItoDigestive Diseases Center Showa Medical University Koto-Toyosu Hospital Tokyo Japan.ORCID https://orcid.org/0000-0001-9854-4257

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Adequate pharyngeal observation during esophagogastroduodenoscopy (EGD) is increasingly recognized as an important component of high-quality upper gastrointestinal endoscopy. However, visualization may be impaired by gag reflexes and patient movement. The current study evaluated the association between sedation strategy and successful pharyngeal observation during routine EGD. Further, whether this association differs according to operator experience was examined. Methods: This retrospective single-center observational study included consecutive sedated EGD procedures performed between April 2024 and March 2025. Successful pharyngeal observation was defined as the successful identification of predefined pharyngeal and hypopharyngeal anatomical landmarks. Multivariate logistic regression analysis was performed to identify factors independently associated with successful pharyngeal observation. Interaction, sensitivity, and propensity score-matched analyses were also conducted. Results: In total, 444 EGD procedures, including 245 performed under midazolam sedation and 199 under propofol sedation, were analyzed. The propofol group had a significantly higher successful pharyngeal observation rate than the midazolam group (90.0% vs. 79.2%, Conclusions: Sedation strategy was independently associated with successful pharyngeal observation during routine EGD. Propofol sedation may facilitate a more consistent pharyngeal visualization across operators with varying levels of experience. Trial Registration: N/A.

Indexed as

esophagogastroduodenoscopymidazolampharyngeal observationpropofolsedation

Identifiers

PMID42694720
PMCPMC13540638

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.