Journal of gastroenterology and hepatology
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J. Gastroenterol. Hepatol. · Oct 2011
Randomized Controlled Trial Comparative StudyWhich should go first during same-day bidirectional endosocopy with propofol sedation?
Same-day bidirectional endoscopy, including esophagogastroduodenoscopy (EGD) and colonoscopy, is frequently performed to screen for cancer and gastrointestinal bleeding. However, the optimal sequence for the procedures is unclear thus far. The aim of this study was to evaluate the optimal sequence for same-day bidirectional endoscopy. ⋯ The optimal sequence for same-day bidirectional endoscopy is EGD followed by colonoscopy. In this order, the procedure is better tolerated, and patients require a lower overall dose of propofol.