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Sedation for endoscopy

Printed From: Barrett's Support Forum
Category: Barrett's Support Forum
Forum Name: Support Forum
Forum Discription: News and Events
Printed Date: 21 Nov 2019 at 2:16am

Topic: Sedation for endoscopy
Posted By: roganhen
Subject: Sedation for endoscopy
Date Posted: 08 Aug 2017 at 2:08pm
I am having an endoscopy this weekend and I am trying to decide whether to have sedation. Last time the procedure took 20 mins and the technician took 22 biopsies so this is an uncomfortable experience. Having asked for sedation I was surprised that it had no effect whatever.
A friend of mine had sedation and described the experience as being out to the extent she was unaware of what was happening. Do any forum users have sedation and if so what are your experiences?

Posted By: steveb8189
Date Posted: 08 Aug 2017 at 6:36pm
My experience was just like your friend.

They seem to have some flexibility on why and how much of the drugs to give you. Perhaps if you can explain your previous experience they can change the dose...

I go back in two weeks for mine and I'll certainly be taking details of what is as given last time with the hope they can recreate the experience. That said, I have far less buopsies than you so it could be something to do with duration.

Posted By: chrisrob
Date Posted: 08 Aug 2017 at 6:54pm
I can sympathise. Sedation doesn't work for me either.
It amazes me to see other patients being wheeled back from their scopes fast asleep.
And my last endoscopy was a long one, too. It was shortly after I'd had a Collis-Nissen revision. The Collis bit effectively lengthens the oesophagus by sectioning the stomach. The endoscopist thought she was seeing a larger area of Barrett's and was very thorough with the number of biopsies she took. (Of course it was the gastric cells comprising the elongated oesophagus.)

It does have its advantages to just have the throat spray. You don't need to be accompanied home or for the 24 hours after. I cycle to and from the hospital.

I just remain as calm as I can, concentrating on my breathing and trying to imagine the nice places I've been. When that doesn't work, I count backwards slowly from 1000. Anything to distract from the choking sensation. But it usually only lasts a short while and most of the endoscopists are really very gentle. I think the fear of it is the worst. And the worst part of the procedure is as it comes out and you think you're going to gag. Then a really good burp and it's all over until the next time. - You can read other patients' experiences of endoscopy here.

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Posted By: nanafran
Date Posted: 08 Aug 2017 at 7:46pm
i had a endoscopy and broncoscopy at the same time I was sedated and didnt remember a thing. When i had the endoscopy this January i had sedation I asked if I coud be completly knocked out. but he said he couldnt do that. so I had sedation and the spray but not completly knocked out I was aware but felt nothing until they were taking camera,out and I did feel gagging sensasion. but it wasnt to bad.

Posted By: GrahamB
Date Posted: 09 Aug 2017 at 12:08pm
I have had sedation for all on my scopes so to date (5 so far). My original decision to take the sedation route was based on a discussion with my specialist who said that, in general, sedation made it a little easier for them to carry out the procedure.

My experiences are pretty hit and miss from a degree of discomfort second time round to full on "slept through the whole thing" for my first RFA session.

IMHO it is worth discussing with your sepcialist beforehand. The heavier sedation I had before RFA needed an anesthesiologist in the room but I think they do have some choices in what they use for a more straighrforward scope but the recovery was pretty much the same.

Posted By: chrisrob
Date Posted: 09 Aug 2017 at 12:27pm
Our consultant gastroenterologist who does our RFA says they add an opioid to the sedative for that procedure.
But you're right, if anaesthesia is used, the presence of an anaesthetist is required.

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Posted By: bobdigi
Date Posted: 15 Aug 2017 at 8:58pm
On my first endoscopy I opted for sedation and it done its job. I had sedation on my second endoscopy, and it had no effect on me what so ever. They even tried a cocktail of two sedatives and it still had no effect. The nurse even commented "he's not even slurring"
So my advice is just because it didn't work one time, doesn't mean it won't the next.
Since then I've had two and opted for gas and air. Worked quite well and you feel fine straight after.
22 biopsies is a lot. But I would always go for gas and air. If you don't think you will cope, ask for both.

Posted By: bigfishybob
Date Posted: 10 Oct 2017 at 7:28am
Bit late to the discussion here, but I've also had mixed results with sedation - from being out cold and waking up in recovery to it having zero effect ! I agree though that if gas & air is an option then go for it, that's consistently helped with the discomfort for me when I've had it Smile

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