Cardiovascular and Respiratory Changes during Routine Upper Gastrointestinal Endoscopy.

VernacularTitle:上部消化管内視鏡検査における呼吸・循環動態の検討
Author: Ju MIZUNO ; Akiko WAKUTA ; Hiroshi MATSUOKA ; Masayuki OKAHARA ; Michiko MATSUKI ; Tsubasa MORITA ; Naoko AGA ; Yoshinori GOUDA
Publication Type:Journal Article
From:Journal of the Japanese Association of Rural Medicine 2002;51(4):619-623
CountryJapan
Language:Japanese
Abstract: Upper gastrointestinal endoscopy is an invasive examination. Cardiovascular and respiratory adverse effects are commonly observed in patients undergoing endoscopy. We investigated prospectively the cardiovascular and respiratory changes every oneminute before, during and after routine endoscopy. Sixteen healthy adult patients were enrolled in this study. Systolic blood pressure, diastolic blood pressure, pulse rate and percutaneous arterial oxygen saturation (SpO₂) were recorded every one-minute throughout the procedure. Systolic and diastolic blood pressure increased significantly one minute after the insertion of the endoscope. Increases in pulse rate were noted after the insertion of the endoscope. Rate pressure product increased significantly one minute after the insertion of the endoscope. No significant change in SpO₂ was observed during endoscopy. Our results indicated that upper gastrointestinal endoscopy might induce cardiovascular stress and abnormality. Therefore, we should carefully insert and manipulate upper gastrointestinal endoscope.