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An extremely active research effort worldwide focuses on projects in which endoscopy is the subject under investigation. These include new endoscopic techniques, assessment of endoscopic technologies, evaluation of endoscopy outcomes, and endoscopy suite management. A variety of active research protocols in endoscopy are currently underway; examples are described below.
Hypoechoic Intramural Tumor Study - This international 5 year multi-center study examines the appropriate endoscopic management of submucosal masses identified at endoscopic ultrasound. The University of Kentucky is the central coordinating and data collection site for this project, which is funded by research grants from the American Digestive Health Foundation.
Satisfaction and Aversive Outcomes to Endoscopy - This prospective study is designed to identify pre-procedure indicators for aversive experience with endoscopy. Pre-procedure assessment includes personality inventories, anxiety assessment, and demographic questionnaires. The aim is to identify patients who are at risk for an unsatisfactory outcome from endoscopy, as well as to identify patients who might be able to have endoscopy with less potent sedative agents (such as nitrous oxide) or no sedation.
Nitrous Oxide for Sedation of Upper Endoscopy - This is a pilot feasibility study examining the usefulness and technical success in administering nitrous oxide as the sole sedative agent in EGD. Technically, the gas is difficult to administer when the oral passage is being traversed by the endoscope; however, use of a nasal mask may permit this agent to be administered successfully.
Early and expanded use of endoscopy in Nebraska may improve the health of Nebraskans, decrease healthcare costs (disease, if found, is recognized and treated very early) and save lives.
© Copyright, 2007-2012. Byron L. Barksdale, M.D. All rights reserved.