What is it about?
To evaluate and compare the complication rate of propofolbased deep sedation (PBDS) for colonoscopy in marked obesity (BMI > 30) and non-obesity (BMI < 25) patients in a teaching hospital in Thailand.
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Why is it important?
After matching age, gender, ASA physical status, sedation time and indications of procedure, there were 100 colonoscopic procedures in group A and 33 colonoscopic procedures in group B. All sedation was given by residents or anesthetic nurses directly supervised by staff anesthesiologist in the endoscopy room. There were no significant differences in patients’ characteristics, sedation time, indication of procedure, overall complication rate, anesthetic personnel and mortality rate between the two groups. However, upper airway obstruction in group B was relatively higher than in group A. All complications were easily treated, with no adverse sequelae.
Perspectives
PBDS for colonoscopic procedure in marked obesity patients by trained anesthetic personnel with appropriate monitoring was relatively safe and effective. The complication rate of this technique in marked obesity (BMI > 30) patients was not different or worse than in non-obesity (BMI < 25) patients. Serious complications were rare in our population.
Professor Somchai Amornyotin
Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University
Read the Original
This page is a summary of: Complication Rate of Propofol-Based Deep Sedation for Colonoscopy in Marked Obesity Patients, Journal of Gastroenterology and Hepatology Research, January 2015, ACT Publishing Group,
DOI: 10.17554/j.issn.2224-3992.2015.04.559.
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