[Conditions of practice of upper digestive endoscopy in ambulatory care. Results of a national survey (I)].
OBJECTIVE
The aim of the study was to describe the usual conditions of practice of esophagogastroscopy in ambulatory care by French gastroenterologists.


METHODS
During a week, a questionnaire was filled out for each esophagogastroscopy performed in ambulatory or day care.


RESULTS
Seven hundred and thirty nine gastroenterologists participated in the study (25.9% of French gastroenterologists) and enrolled 4585 patients. Intra-venous sedation was performed in 36.6% of endoscopic examinations, with diazepam (17.8%), midazolam (41.7%), propofol (14.9%), diazepam and propofol (2.1%) or midazolam and propofol (23.5%). A morphinomimetic was associated in 58.6% of cases. Monitoring equipment of endoscopy units was: aspiration (58.6%), pulse oxymeter (41.6%), electrocardiographic monitoring (37.7%). Recommendations about follow-up after ambulatory anaesthesia were not implemented in 7.3% of examinations with anaesthesia (patient discharged alone). Seventeen minor adverse events were recorded.


CONCLUSIONS
The study underlines variability of practice, mainly about use of sedation, monitoring and follow-up of patients during esophagogastroscopy performed in ambulatory care in France. An improvement in quality of endoscopy practice is likely.
Raymond
J M
JM
Département d'Hépato-Gastroentérologie, Hôpital du Haut-Lévêque, Pessac.
Michel
P
P
Capdenat
E
E
Beyssac
R
R
Couzigou
P
P
Janvier
G
G
Salamon
R
R
Amouretti
M
M
D000328:Adult; D000368:Aged; D000553:Ambulatory Care; D000758:Anesthesia; D003631:Day Care, Medical; D016145:Endoscopy, Digestive System; D004864:Equipment and Supplies; D005260:Female; D005602:France; D005762:Gastroenterology; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage; D008297:Male; D008875:Middle Aged; D011795:Surveys and Questionnaires
D006993:Hypnotics and Sedatives