無痛胃鏡、大腸鏡好嗎？

胃鏡與大腸鏡是民眾最害怕的健康檢查項目之一。
標榜安全舒適的無痛鏡檢成為熱門新選擇，該注意些什麼？

☉張曉卉

（2004年3月，康健雜誌64期）
（轉載自http://www.commonhealth.com.tw/content/064/064090.asp）

（略）也有醫師質疑無痛鏡檢增加腸穿孔機率，並且擔心台灣麻醉醫師人數過少，乏人為無痛鏡檢麻醉風險把關。

▲wadadon贊曰：

「無痛胃鏡、大腸鏡」的麻醉方式不見得一定是朦朧麻醉（conscious sedation），也可能是（麻醉程度更深的）全身麻醉。兩者各有利弊。

▲相關連結：

腦性麻痺兒於鎮靜下接受胃鏡檢查後腦死

一屁難求

Comments

[alice72]

I am not GI people, so I won't get involve in the argument of which one is better.... however,

Evidence based medicine suggests the incidence of complication secondary to conscious sedation endoscopy was about the same as traditional non-sedation endoscopy. Every doctor has their own openion, but it's common practice in US for conscious sedation endoscopy. There is not enough ansethesologists in US just like in Taiwan, so in smaller community hospital, conscious sedation is performed under supervision of the GI doctor.

If the cost and insurance payment are involved in the decision making process regarding wheither or not to use conscious sedation during endoscopy, it's different story now....

[morpheus]

> it's common practice in US for conscious sedation endoscopy

But not in Europe as a whole.

> There is not enough ansethesologists in US just like in Taiwan

I'm afraid that you are totally wrong....
http://morpheus.typepad.com/iait/2004/09/post_157.html