Journal of clinical gastroenterology
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J. Clin. Gastroenterol. · Nov 2006
Randomized Controlled TrialSedation, topical pharyngeal anesthesia and cardiorespiratory safety during gastroscopy.
In a prospective, double-blind study, we examined the effects of routine sedation and pharyngeal anesthesia on cardiorespiratory parameters during gastroscopy. ⋯ Premedication with midazolam alleviated the rise in heart rate and systolic blood pressure but induced a statistically significant decrease in arterial oxygen saturation. However, gastroscopy proved to be a safe procedure both with and without sedation.
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J. Clin. Gastroenterol. · Nov 2006
Clinical utilization of digital rectal examination and fecal occult blood testing upon hospital admission.
The objective of our investigation was to examine the clinical utilization of digital rectal examination (DRE) and fecal occult blood testing (FOBT) at hospital admission. ⋯ In this cohort, patients with a past history of GI disease or symptoms were more likely to undergo FOBT. Follow-up evaluation of positive FOBT in the absence of GI bleeding symptoms was very low. Low utilization and follow-up rates may limit the utility of admission DRE with FOBT for cancer screening.