The Optimal Timing of the Initiation of Esophagogastroduodenoscopy After Oral Lidocaine Sp
Esophagogastroduodenoscopy (EGD) is the main examination in the upper gastrointestinal field. Aspiration pneumonia may happen if choking occurs during the EGD insertion, and the exam quality and efficacy may be affected if gag reflex occurs. The endoscopist may terminate the exam to avoid complications if the patient c
| Condition(s) | Blood Pressure, Tachycardia |
|---|---|
| Status | Recruiting |
| Phase | NA |
| Study type | Interventional |
| Summary | Esophagogastroduodenoscopy (EGD) is the main examination in the upper gastrointestinal field. Aspiration pneumonia may happen if choking occurs during the EGD insertion, and the exam quality and efficacy may be affected if gag reflex occurs. The endoscopist may terminate the exam to avoid complications if the patient could not obey the orders. To reach the high quality of EGD examination and to avoid possible complications, the patient's comfort and compliance during the EGD examination are important. Sedation using propofol can improve the patient's comfort and compliance. However, in patients unsuitable for systemic anesthesia, local lidocaine spray at pharynx is performed instead. Until now, there is no standardization of the waiting time between lidocaine spray and the initiation of EG |
| Who can participate | Inclusion Criteria: * Eligible participants included patients aged ≥ 20 years who scheduled EGD from OPD for dyspepsia, peptic ulcer disease, GERD, subepithelial lesion evaluation, and diarrhea Exclusion Criteria: * GI bleeding * endoscopic submucosal dissection due to prolonged scheduled procedure time * patients from emergency department or ward |
| Ages | 20 Years to 90 Years |
| Sex | All |
| Lead sponsor | National Cheng-Kung University Hospital |
| Locations | Tainan, Other (Non U.s.), Taiwan |
| Start date | 2023-01-01 |
| NCT ID | NCT06497296 |
| Official listing | https://clinicaltrials.gov/study/NCT06497296 |