What Changes the Sequence of Procedures in Synchronous Upper and Lower Gastrointestinal Endoscopy?

• Published in: Medical journal of Bakirköy Vol. 21; no. 2; pp. 185 - 191
• Main Authors: Aydoğdu, Yunushan Furkan, Örmeci, Mustafa, Özcan, Ali Haldun, Akdeniz, Yeşim, Çalta, Alpaslan Fedayi, Oğuz, Serhat
• Format: Journal Article
• Language: English
• Published: Istanbul Galenos Publishing House 01.06.2025
• Subjects: Anesthesia; Biopsy; Blood pressure; Body mass index; Colonoscopy; Endoscopy; Patient satisfaction; Statistical analysis; United States > US; Japan
• ISSN: 1305-9319; 1305-9327
• DOI: 10.4274/BMJ.galenos.2024.2024.2-2

ObjectiveBidirectional endoscopy (BDE) refers to esophagogastroduodenoscopy (EGD) and colonoscopy were performed consecutively on the same day. With the widespread use of cancer screening, the question arises of whether EGD or colonoscopy should be performed first. We sought to determine whether EGD or colonoscopy should be performed first in patients undergoing BDE.MethodsBetween February 10 and September 10, 2023, patients who underwent BDE were randomly divided into two groups. Demographic data, EGD duration, colonoscopy duration, transition time, total procedure time, need for additional anesthesia dose, complication status, and patient and endoscopist satisfaction were recorded. Data of a total of 291 patients were evaluated.ResultsA total of 103 patients in the EGD group (group I) and 95 patients in the colonoscopy group (group II) were included in the study. One hundred and seven (54.0%) of the patients were female. The median age of the patients was 59 (18-84) years. The median EGD time was 3 (2-11) min. Inter-procedural transit times were also evaluated. The median duration was 3 (1-6) minutes in group I and 3 (1-8) minutes in group II (p=0.044). The satisfaction of the endoscopists was also questioned. Endoscopist satisfaction was 8.66±1.00 in Group I and 8.12±1.31 in group II (p=0.001). Patient satisfaction was 9.04±0.85 in group I and 8.84±1.29 in group II (p=0.183).ConclusionBoth procedures are applicable primarily to BDEs. Our study showed that they were not significantly superior to each other. Endoscopist preference will continue to be at the forefront of procedure selection.