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A Journal on Surgery

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Chirurgia 2017 August;30(4):125-7

DOI: 10.23736/S0394-9508.16.04620-9


language: English

Role of analgesia in control of the discomfort and pain in endoscopic colonic polypectomy

Simona RUGGIERO 1 , Maurizio GENTILE 1, Donato A. TELESCA 1, Alfredo MARESCA 2, Giovanni VIVONA 2, Luigi SIVERO 1

1 Department of Gastroenterology, Endocrinology, Surgery, Federico II University, Naples, Italy; 2 Department of Clinical Neurosciences, Anesthesiology and Pharmacology, Federico II University, Naples, Italy


BACKGROUND: The first choice technique for the resection of colorectal polyps is without doubt the Endoscopic polypectomy, which plays a significant role in the prevention of colorectal cancer. The purpose of this study was to evaluate the sedation of patients undergoing polypectomy in reducing pain and discomfort.
METHODS: A 200 patients case-control study shows the role of analgesia and sedation in endoscopic procedures. Patients submitted to a colonoscopy to perform a polypectomy, were allocated in two different groups according to receive or not a sedation. A continuous vital signs checking has been applied, and a comparison of pain and discomfort felt by the two groups, shows a statistically minor presence of the two symptoms in analgesia group with a shorter caecum reaching time as well.
RESULTS: Eighty-five percent of group A patients described the procedure as painful according to VAS pain scale (VAS>6) and the 90% reported moderate discomfort as well. Comparing the two groups is possible to observe with a statistical significativity that 38,8% of group B patients reported the procedure as painful, while the 85% of group A patients.
CONCLUSIONS: The use of analgesia drugs such as short life benzodiazepine is the favorite particularly in well set outpatient according to our study outcomes, leading to a less discomfort related procedure and a better procedure performance.

KEY WORDS: Pain - Analgesia - Endoscopy

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Publication History

Issue published online: June 27, 2017
Manuscript accepted: November 24, 2016
Manuscript received: June 20, 2016

Cite this article as

Ruggiero S, Gentile M, Telesca DA, Maresca A, Vivona G, Sivero L. Role of analgesia in control of the discomfort and pain in endoscopic colonic polypectomy. Chirurgia 2017;30:125-7. DOI: 10.23736/S0394-9508.16.04620-9

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