Yahya Husain, Umar Halima, Shekari Bulus Timothy, Sani Kalli, Yahya Muhammad Husain
Department of Internal Medicine, Barau Dikko Teaching Hospital/Kaduna State University, Kaduna, Nigeria.
Endoscopy Unit, Department of Internal Medicine, Barau Dikko Teaching Hospital, Kaduna, Nigeria.
Niger Postgrad Med J. 2022 Apr-Jun;29(2):138-145. doi: 10.4103/npmj.npmj_697_21.
Upper gastrointestinal endoscopy (UGIE) using pharyngeal anesthesia, with or without sedation to improve tolerance and acceptance, is now standard practice but the unsedated examination is easier to perform, costs less and is associated with fewer complications. It is, therefore, attractive in resource-limited settings like sub-Saharan Africa but studies about tolerance and acceptance of unsedated UGIE there are limited.
The objective of this study was to report the tolerance and acceptance of unsedated UGIE in a tertiary institution in Kaduna, Nigeria.
Consecutive patients referred for diagnostic UGIE were requested to report the overall level of discomfort for the procedure on verbal and visual analogue scales and to indicate whether they would accept the procedure in the future. Their pulse rate, oxygen saturation and blood pressure were monitored.
Of 306 patients (mean age: 45.5 years, 39.2% <40 years, 57.5% of females), 51.3% reported no or mild discomfort and only 5.6% reported severe and intolerable discomfort. Overall, 232 (75.8%) tolerated the procedure well and 229 (79.5%) accepted to have the same procedure in the future. Patients <40 years and those with secondary/post-secondary education were significantly less likely to tolerate the procedure well than older patients (81.1% vs. 87.9%, P = 0.006) and those with lower education (72.7% vs. 86.2%, P = 0.032), respectively. 79.5% accepted to have the procedure in the future, with males significantly more so than females (86.9% vs. 74.4%, P = 0.019).
Most patients undergoing unsedated diagnostic UGIE in Kaduna, Nigeria, tolerated the procedure well and accepted to have the same procedure in the future.
上消化道内镜检查（UGIE）采用咽部麻醉，无论是否使用镇静剂以提高耐受性和接受度，目前已成为标准操作，但非镇静检查操作更简便、成本更低且并发症更少。因此，在撒哈拉以南非洲等资源有限的地区，它颇具吸引力，但关于该地区非镇静UGIE耐受性和接受度的研究有限。
本研究的目的是报告尼日利亚卡杜纳一所三级医疗机构中患者对非镇静UGIE的耐受性和接受度。
连续接受诊断性UGIE检查的患者被要求通过言语和视觉模拟量表报告检查过程中的总体不适程度，并表明他们未来是否会接受该检查。监测他们的脉搏率、血氧饱和度和血压。
在306例患者（平均年龄：45.5岁，39.2%年龄小于40岁，57.5%为女性）中，51.3%报告无不适或轻度不适，仅5.6%报告有严重且无法耐受的不适。总体而言，232例（75.8%）患者对检查耐受性良好，229例（79.5%）表示未来愿意接受相同检查。年龄小于40岁的患者以及接受过中等/中等后教育的患者相比年长患者（81.1%对87.9%，P = 0.006）和教育程度较低的患者（72.7%对86.2%，P = 0.032），对检查耐受性良好的可能性显著更低。79.5%的患者表示未来愿意接受该检查，男性接受度显著高于女性（86.9%对74.4%，P = 0.019）。
在尼日利亚卡杜纳，大多数接受非镇静诊断性UGIE检查的患者对检查耐受性良好，并表示未来愿意接受相同检查。
