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  1. 20 医学部:School of Medicine
  2. 20C 本学関連学会刊行誌
  3. 20C1 秋田医学
  4. 第43巻3/4号

On-Demand Use of L-menthol May Substitute for the Routine Use of Anti-Peristaltic Drugs in Esophagogastroduodenoscopy

https://doi.org/10.20569/00003332
https://doi.org/10.20569/00003332
29030bcb-6c7d-4b05-ab38-06edb7c96a45
名前 / ファイル ライセンス アクション
akitai43_3_4(99).pdf akitai43_3_4(99) (581.1 kB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2017-07-28
タイトル
タイトル On-Demand Use of L-menthol May Substitute for the Routine Use of Anti-Peristaltic Drugs in Esophagogastroduodenoscopy
言語
言語 eng
キーワード
主題Scheme Other
主題 Screening
キーワード
主題Scheme Other
主題 L-Menthol
キーワード
主題Scheme Other
主題 Gastric Motility
キーワード
主題Scheme Other
主題 Peristalsis
キーワード
主題Scheme Other
主題 Gastrointestinal Endoscopy
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
ID登録
ID登録 10.20569/00003332
ID登録タイプ JaLC
著者 Onochi, Kengo

× Onochi, Kengo

WEKO 10692

Onochi, Kengo

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Gotoda, Takuji

× Gotoda, Takuji

WEKO 10693

Gotoda, Takuji

Search repository
Mashima, Hirosato

× Mashima, Hirosato

WEKO 10694

Mashima, Hirosato

Search repository
Kusano, Chika

× Kusano, Chika

WEKO 10695

Kusano, Chika

Search repository
Iijima, Katsunori

× Iijima, Katsunori

WEKO 10696

Iijima, Katsunori

Search repository
内容記述(抄録)
内容記述タイプ Other
内容記述 Background : In Japan, anti-peristaltic drugs are routinely injected as a countermeasure to control the occurrence of spasms during esophagogastroduodenoscopy (EGD). However, few reports have so far shown these drugs to improve the quality of diagnostic EGD. We evaluated the requirement of anti-peristaltic premedication and the efficacy of the selective use of L-menthol. Methods : 173 patients who underwent EGD screening were enrolled prospectively. Endoscopy was performed without the administration of any anti-peristaltic drugs. The degree of gastric peristalsis was assessed when the endoscope reached the antrum. Gastric peristalsis was classified into three grades : none, mild or severe. When gastric peristalsis was severe, 20 mL of 0.8% L-menthol was sprayed endoscopically on the gastric mucosa. Thereafter, we again assessed the grade of peristalsis and measured the time interval until peristalsis was suppressed. Results : The peristaltic grade observed without the use of any anti-peristaltic drugs was none or mild in 88.5% of the patients. After spraying L-menthol, the proportion of subjects with severe peristalsis was 0.0% and EGD screening was performed satisfactorily. Conclusions : The routine use of premedication with anti-peristaltic drugs during EGD screening may not be necessary. When severe peristalsis interferes with precise observation, the use of L-menthol is easy and sufficient.
著者版フラグ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
書誌情報 秋田医学
en : Akita journal of medicine

巻 43, 号 3/4, p. 99-104, 発行日 2017-03-31
ISSN
収録物識別子タイプ ISSN
収録物識別子 03866106
NCID
収録物識別子タイプ NCID
収録物識別子 AN00009294
出版者
出版者 秋田医学会
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