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

DOI: 10.23736/S0394-9508.16.04620-9

Copyright © 2016 EDIZIONI MINERVA MEDICA

lingua: Inglese

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


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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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