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Journals / Turkish Journal of Clinics and Laboratory / 2026 / Cilt: 16 Sayı: 1

Preferences and determinants of procedural sequencing in bidirectional endoscopy among anesthesiologists

Anestezistlerin bidirectional endoskopi işlemlerinde prosedür sırası tercihleri ve belirleyici faktörler

Caner Genç(Samsun Üniversitesi Tıp Fakültesi)0000-0002-2987-6909
Sezgin Bilgin(Ondokuz Mayıs Üniversitesi Tıp Fakültesi)0000-0002-3031-8488
Hasan Çetinkaya(Sungurlu Devlet Hastanesi)0000-0002-4228-9063
Hatice Selçuk Kuşderci(Samsun Üniversitesi Tıp Fakültesi)0000-0002-3963-3265
Sevda Akdeniz(Samsun Üniversitesi Tıp Fakültesi)0000-0002-9284-183X
Esra Turunç(Ondokuz Mayıs Üniversitesi Tıp Fakültesi)0000-0003-0159-7403
Burhan Dost(Ondokuz Mayıs Üniversitesi Tıp Fakültesi)0000-0002-4562-1172
Özgür Kömürcü(Samsun Üniversitesi Tıp Fakültesi)0000-0002-6321-399X
Pages
150–158
Publication Date
2025-03-25
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

These findings highlight the importance of multidisciplinary teamwork and the consideration of patient characteristics in optimizing procedural safety and success.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: This study aims to evaluate anesthesiologists’ preferences regarding procedural sequencing in bidirectional endoscopy (esophagogastroduodenoscopy [EGD] and colonoscopy) and to identify the factors influencing these preferences.
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Key Findings & Data:Material and Methods: This descriptive and cross-sectional survey was conducted online between November and December 2024 among anesthesiologists experienced in non-operating room anesthesia practices across Turkey.
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Conclusion & Impact:These findings highlight the importance of multidisciplinary teamwork and the consideration of patient characteristics in optimizing procedural safety and success.
🔬Design:Survey & Empirical Study
📍Scope:2024 Verileri
⚙️Variables:bidirectional endoskopi · özofagogastroduodenoskopi · kolonoskopi

Abstract

Aim: This study aims to evaluate anesthesiologists’ preferences regarding procedural sequencing in bidirectional endoscopy (esophagogastroduodenoscopy [EGD] and colonoscopy) and to identify the factors influencing these preferences. Material and Methods: This descriptive and cross-sectional survey was conducted online between November and December 2024 among anesthesiologists experienced in non-operating room anesthesia practices across Turkey. A total of 204 anesthesiologists actively working in endoscopy units and experienced in bidirectional endoscopy participated in the study. The survey included questions on demographic information, clinical practices, procedural sequence preferences, and the reasons behind these preferences. Statistical analysis was performed using SPSS version 22.0, with categorical variables analyzed using the Pearson Chi-Square test, and a p-value of 0.05). Conclusion: Various patient-related and environmental factors influence anesthesiologists’ preferences for procedural sequencing in bidirectional endoscopy. While starting with EGD is the most common approach, patient safety and team dynamics are critical determinants of procedural choices. These findings highlight the importance of multidisciplinary teamwork and the consideration of patient characteristics in optimizing procedural safety and success.

Özet

Amaç: Bu çalışmanın amacı, bidirectional endoskopi işlemlerinde (özofagogastroduodenoskopi [ÖGD] ve kolonoskopi) anestezistlerin prosedür sırası tercihlerini ve bu tercihlere etki eden faktörleri değerlendirmektir. Gereç ve Yöntemler: Tanımlayıcı ve kesitsel tasarımda yürütülen bu anket çalışması, Kasım-Aralık 2024 tarihleri arasında Türkiye genelinde ameliyathane dışı anestezi uygulamalarında deneyimli anestezistlere çevrim içi platformlar aracılığıyla uygulanmıştır. Çalışmaya, endoskopi ünitelerinde aktif görev alan ve bidirectional endoskopi konusunda deneyimli 204 anestezist katılmıştır. Anket formu, katılımcıların demografik bilgileri, klinik pratikleri, prosedür sırası tercihleri ve tercih nedenlerini sorgulayan sorulardan oluşmuştur. Verilerin istatistiksel analizi SPSS 22.0 programı kullanılarak gerçekleştirilmiş, kategorik değişkenler Pearson Ki-Kare testi ile değerlendirilmiş ve p 0,05). Sonuç: Anestezistlerin bidirectional endoskopide işlem sırası tercihleri çeşitli hasta ve çevresel faktörlerden etkilenmektedir. Çoğu anestezist, hasta güvenliği ve ekip dinamiklerini göz önünde bulundurarak işlem sırası olarak ÖGD ile başlamayı tercih etmektedir. Elde edilen bulgular, multidisipliner ekip çalışmasının ve hasta özelliklerinin dikkate alınmasının, hasta güvenliği ve prosedürel başarı açısından önemini vurgulamaktadır.

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Cite This Article

Genç, C., Bilgin, S., Çetinkaya, H., Kuşderci, H. S., Akdeniz, S., Turunç, E., Dost, B., Kömürcü, Ö. (2025). Preferences and determinants of procedural sequencing in bidirectional endoscopy among anesthesiologists. Turkish Journal of Clinics and Laboratory, Cilt: 16 Sayı: 1, 150–158. https://doi.org/10.18663/tjcl.1646691

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References (25)

  1. Urquhart J, Eisen G, Faigel DO, Mattek N, Holub J, Lieberman DA. A closer look at same-day bidirectional endoscopy. Gastrointest Endosc 2009;69:271–7. https://doi.org/10.1016/j.gie.2008.04.063.
  2. Axon AT, Bell GD, Jones RH, Quine MA, McCloy RF. Guidelines on appropriate indications for upper gastrointestinal endoscopy. Working party of the joint committee of the royal college of physicians of London, royal college of surgeons of England, royal college of anaesthetists, association of surgeons, the British society of gastroenterology, and the Thoracic Society of Great Britain. BMJ 1995;310:853–6. https://doi.org/10.1136/bmj.310.6983.853.
  3. Adang RP, Vismans JF, Talmon JL, Hasman A, Ambergen AW, Stockbrügger RW. Appropriateness of indications for diagnostic upper gastrointestinal endoscopy: association with relevant endoscopic disease. Gastrointest Endosc 1995;42:390–7. https://doi.org/10.1016/s0016-5107(95)70037-4.
  4. Laoveeravat P, Thavaraputta S, Suchartlikitwong S, Vutthikraivit W, Mingbunjerdsuk T, Motes A, et al. Optimal sequences of same-visit bidirectional endoscopy: Systematic review and meta-analysis. Dig Endosc 2020;32:706–14. https://doi.org/10.1111/den.13503.
  5. Choi GJ, Oh H-C, Seong H-K, Kim JW, Ko JS, Kang H. Comparison of procedural sequence in same-day bidirectional endoscopy: a systematic review and meta-analysis. Korean J Intern Med 2020;35:331–41. https://doi.org/10.3904/kjim.2019.319.
  6. Goudra B, Saumoy M. Anesthesia for advanced endoscopic procedures. Clin Endosc 2022;55:1–7. https://doi.org/10.5946/ce.2021.236.
  7. Carter D, Lahat A, Papageorgiou NP, Goldstein S, Eliakim R, Bardan E. Comparison of procedural sequence in same-day consecutive bidirectional endoscopy using moderate sedation: a prospective randomized study. J Clin Gastroenterol 2014;48:236–40. https://doi.org/10.1097/MCG.0b013e3182a87e5f.
  8. Choi JS, Youn YH, Lee SK. Which should go first during same-day upper and lower gastrointestinal endoscopy?: a randomized prospective study focusing on colonoscopy performance. Surg Endosc 2013;27:2209–15. https://doi.org/10.1007/s00464-012-2741-2.
  9. Cao Y, Yang J, Li J, Ao X, Zhang K-Y, Shen X-C, et al. Comparison of procedural sequences in same-day painless bidirectional endoscopy: Single-center, prospective, randomized study. Dig Endosc 2017;29:330–7. https://doi.org/10.1111/den.12847.
  10. Chen S-W, Cheng C-L, Liu N-J, Tang J-H, Kuo Y-L, Lin C-H, et al. Optimal procedural sequence for same‐day bidirectional endoscopy with moderate sedation: A prospective randomized study. J Gastroenterol Hepatol 2018;33:689–95. https://doi.org/10.1111/jgh.13971.
  11. Hsieh Y-H, Lin H-J, Tseng K-C. Which should go first during same-day bidirectional endosocopy with propofol sedation? J Gastroenterol Hepatol 2011;26:1559–64. https://doi.org/10.1111/j.1440-1746.2011.06786.x.
  12. El Mokahal A, Daher HB, Yamout R, Hoshaimi N, Ayoub C, Shaib Y, et al. Randomized controlled trial of procedural sequence for same-day bidirectional endoscopy under monitored anesthesia care (RECoVER Trial). iGIE 2023;2:282–91. https://doi.org/10.1016/j.igie.2023.07.014.
  13. Sayın P, Bostancı Ö, Türk HŞ, Işıl CT, Oba S, Mihmanlı M. Esophagoduodenoscopy or colonoscopy: which should be done first? Turk J Surg 2020;36:172–9. https://doi.org/10.5578/turkjsurg.4275.
  14. Carrick MA, Robson JM, Thomas C. Smoking and anaesthesia. BJA Educ 2019;19:1–6. https://doi.org/10.1016/j.bjae.2018.09.005.
  15. Öztürk E, Aydoğan MS, Karaaslan K, Doğan Z, Topuz U. Does smoking increase the anesthetic requirement? Turk J Med Sci 2019;49:1271–6. https://doi.org/10.3906/sag-1602-57.
  16. Zaballos M, Canal MI, Martínez R, Membrillo MJ, Gonzalez FJ, Orozco HD, et al. Preoperative smoking cessation counseling activities of anesthesiologists: a cross-sectional study. BMC Anesthesiol 2015;15:60. https://doi.org/10.1186/s12871-015-0036-6.
  17. Thomson A, Andrew G, Jones DB. Optimal sedation for gastrointestinal endoscopy: review and recommendations. J Gastroenterol Hepatol 2010;25:469–78. https://doi.org/10.1111/j.1440-1746.2009.06174.x.
  18. Cohen LB. Patient monitoring during gastrointestinal endoscopy:why, when, and how? Gastrointest. Gastrointest Endosc Clin North Am 2008;18:651–63. https://doi.org/10.1016/j.giec.2008.06.015.
  19. Rex DK, Deenadayalu VP, Eid E. Endoscopist-directedadministration of propofol: a worldwide safety experience. Gastroenterology 2009;137:1229–37. https://doi.org/10.1053/j.gastro.2009.06.042.
  20. Pier BJ, Said A, Moncher K, Pfau PR. Safety of endoscopy aftermyocardial infarction based on cardiovascular risk categories: aretrospective analysis of 135 patients at a tertiary referral medicalcenter. J Clin Gastroenterol 2007;41:462–7. https://doi.org/10.1097/01.mcg.0000225624.91791.fa.
  21. Appell MS, Iacovone FM. Safety and efficacy ofesophagogastroduodenoscopy after myocardial infarction. Am JMed 1999;106:29–35. https://doi.org/10.1016/S0002-9343(98)00363-5.
  22. Cappell MS. Safety and efficacy of colonoscopy after myocardial infarction: an analysis of 100 study patients and 100 control patients at two tertiary cardiac referral hospitals. Gastrointest Endosc 2004;60:901–9. https://doi.org/10.1016/s0016-5107(04)02277-1.
  23. Goudra BGB, Singh PM. Cardiac arrests during endoscopy with anesthesia assistance. JAMA Intern Med 2013;173:1659–60. https://doi.org/10.1001/jamainternmed.2013.8756.
  24. Korkmaz H. Endoskopi yapılan hastalarda eroziv reflü hastalığının sıklığı,endoskopik, klinik ve histopatolojik özellikleri ve Helicobacter pylori ile ilişkisi. Genel Tip Derg 2015;25:8–8. https://doi.org/10.15321/geneltipder.2015110962.
  25. Jowhari F, Hookey L. Gastroscopy should come before colonoscopy using CO2 insufflation in same day bidirectional endoscopies: A randomized controlled trial. J Can Assoc Gastroenterol 2020;3:120–6. https://doi.org/10.1093/jcag/gwy074.