The Same-day bidirectional endoscopy (BDE) is commonly used in clinical practice. However, the optimal sequence of performing a same-day BDE has not been well-established.The primary aims of this study are to compare the sedative doses and patient discomfort between the study groups who received a colonoscopy followed by and EGD (colonoscopy-EGD), or an EGD followed by a colonoscopy (EGD-colonoscopy) during a same-day BDE. The secondary aim is to assess colonoscopy performance, including the cecal intubation time and adenoma detection rate between the two endoscopic sequences.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE
Enrollment
121
Cold forceps biopsy, cold snare polypectomy, and/or hot snare polypectomy will be performed for stomach and/or colon polyps during EGD and colonoscopy examinations will be performed whenever indicated.
Sedative Doses of Fentanyl
During bidirectional endoscopy, the total doses of fentanyl were recorded and compared between the two study groups.
Time frame: On the day of endoscopic procedures.
Sedative Doses of Midazolam
During bidirectional endoscopy, the total doses of midazolam were recorded and compared between the two study groups.
Time frame: On the day of bidirectional endoscopy procedures
Overall Duration of BDE Examinations
The overall duration of both EGD and colonoscopy examinations was recorded and compared.
Time frame: On the day of bidirectional endoscopy
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