Cha JM, Jeun JW, Pack KM, Lee JI, Joo KR, Shin HP, Shin WC. Risk of sedation for diagnostic esophagogastroduodenoscopy in obstructive sleep apnea patients. World J Gastroenterol 2013; 19(29): 4745-4751 [PMID: 23922472 DOI: 10.3748/wjg.v19.i29.4745]
Corresponding Author of This Article
Jae Myung Cha, MD, PhD, Department of Internal Medicine, Kyung Hee University Hospital at Gang Dong, 149 Sangil-dong, Gangdong-gu, Seoul 134-727, South Korea. drcha@khu.ac.kr
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Brief Article
Open-Access Policy of This Article
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World J Gastroenterol. Aug 7, 2013; 19(29): 4745-4751 Published online Aug 7, 2013. doi: 10.3748/wjg.v19.i29.4745
Risk of sedation for diagnostic esophagogastroduodenoscopy in obstructive sleep apnea patients
Jae Myung Cha, Jung Won Jeun, Kwan Mi Pack, Joung Il Lee, Kwang Ro Joo, Hyun Phil Shin, Won-Chul Shin
Jae Myung Cha, Jung Won Jeun, Kwan Mi Pack, Joung Il Lee, Kwang Ro Joo, Hyun Phil Shin, Department of Internal Medicine, Kyung Hee University Hospital at Gang Dong, Seoul 134-727, South Korea
Won-Chul Shin, Department of Neurology, Kyung Hee University Hospital at Gang Dong, Seoul 134-727, South Korea
Author contributions: Cha JM contributed to conception and design, analysis and interpretation of data; Jeun JW, Pack KM, Lee JI, Joo KR, Shin HP and Shin WC contributed to acquisition of data; all authors drafted the article or revised it critically for important intellectual content and made the final approval of the version to be published.
Correspondence to: Jae Myung Cha, MD, PhD, Department of Internal Medicine, Kyung Hee University Hospital at Gang Dong, 149 Sangil-dong, Gangdong-gu, Seoul 134-727, South Korea. drcha@khu.ac.kr
Telephone: +82-2-4406110 Fax: +82-2-4406295
Received: April 26, 2013 Revised: June 10, 2013 Accepted: June 18, 2013 Published online: August 7, 2013 Processing time: 101 Days and 23.4 Hours
Core Tip
Core tip: Patients with obstructive sleep apnea (OSA) are known to be vulnerable to cardiopulmonary complications during deep sedation and anesthesia; however, little is known about the risk of conscious sedation during esophagogastroduodenoscopy (EGD). This prospective study evaluated the cardiopulmonary complications related to conscious sedation during diagnostic EGD between OSA group (n = 31) and control group (n = 65). All adverse events, including sedation failure, paradoxical responses, snoring or apnea, hypoxia, hypotension, oxygen or flumazenil administration, and other adverse events were not different between groups. Therefore, the risk of cardiopulmonary complications during diagnostic EGD under sedation may not be increased in patients with OSA.
