{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T23:59:22Z","timestamp":1780963162397,"version":"3.54.1"},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"CP","license":[{"start":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T00:00:00Z","timestamp":1778025600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Device-assisted enteroscopy (DAE) plays a critical role in evaluation and treatment of small bowel disorders, with double-balloon enteroscopy (DBE) being the most widely used technique. Sedation strategies for enteroscopy remain a topic of debate, with conscious sedation (CS) and general anesthesia (GA) both being utilized. Our aim was to assess patient-reported experience measures (PREMs) for DAE, comparing CS and GA to determine their impact on patient satisfaction, procedure success, and pain perception.<\/jats:p>\n                  <jats:p>PREMs were prospectively collected from 118 unselected patients referred to a single center for DAE between July 2022 and March 2025. PREMs, procedure details, and sedation techniques were analyzed.<\/jats:p>\n                  <jats:p>Overall patient satisfaction was good with 100% being satisfied or very satisfied. A significantly higher proportion in the GA group reporting being \"very satisfied, (92.3% GA vs 71.0% CS, P = 0.004). Despite experiencing greater discomfort, albeit within acceptable parameters (median 0, average 1.9) the CS group still reported high overall satisfaction. Technical success was achieved in 98.3% of cases and there was no statistical difference in technical outcomes between the groups.<\/jats:p>\n                  <jats:p>Although GA provides optimal conditions for enteroscopy, in our experience, CS remains an effective and acceptable option for patients, maintaining accessibility to the procedure. Our study supports use of PREMs in enteroscopy as a quality assurance measure and underscores the need for individualized sedation strategies to optimize patient care.<\/jats:p>","DOI":"10.1055\/a-2870-7457","type":"journal-article","created":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T22:43:21Z","timestamp":1778107401000},"source":"Crossref","is-referenced-by-count":0,"special_numbering":"S","title":["Patient-reported experience in device-assisted enteroscopy: Conscious sedation vs. general anesthesia"],"prefix":"10.1055","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9852-3226","authenticated-orcid":false,"given":"Fintan John","family":"O'Hara","sequence":"additional","affiliation":[{"name":"Tallaght University Hospital, Leinster, Ireland","place":["Dublin"],"department":["Department of Gastroenterology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edric","family":"Leung","sequence":"additional","affiliation":[{"name":"Tallaght University Hospital, Leinster, Ireland","place":["Dublin"],"department":["Department of Gastroenterology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8687-0776","authenticated-orcid":false,"given":"Conor","family":"Costigan","sequence":"additional","affiliation":[{"name":"Tallaght University Hospital, Leinster, Ireland","place":["Dublin"],"department":["Department of Gastroenterology"]},{"name":"Trinity College Dublin, Ireland","place":["Dublin"],"department":["Department of Medicine, Trinity Academic Gastroenterology Group"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2324-3382","authenticated-orcid":false,"given":"Deirdre","family":"McNamara","sequence":"additional","affiliation":[{"name":"Tallaght University Hospital, Leinster, Ireland","place":["Dublin"],"department":["Department of Gastroenterology"]},{"name":"Trinity College Dublin, Ireland","place":["Dublin"],"department":["Department of Medicine, Trinity Academic Gastroenterology Group"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,6,8]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"934","DOI":"10.1016\/j.dld.2019.04.015","article-title":"Device-assisted enteroscopy: An update on techniques, clinical indications and safety","volume":"51","author":"M Pennazio","year":"2019","journal-title":"Dig Liver Dis"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1055\/s-2007-966976","article-title":"Novel single-balloon enteroscopy for diagnosis and treatment of the small intestine: preliminary experiences","volume":"40","author":"T Tsujikawa","year":"2008","journal-title":"Endoscopy"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1067\/mge.2001.112181","article-title":"Total enteroscopy with a nonsurgical steerable double-balloon method","volume":"53","author":"H Yamamoto","year":"2001","journal-title":"Gastrointest Endosc"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"843","DOI":"10.1055\/s-0042-113128","article-title":"Performance measures for upper gastrointestinal endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative","volume":"48","author":"R Bisschops","year":"2016","journal-title":"Endoscopy"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"366","DOI":"10.1055\/a-2522-1995","article-title":"Performance measures for small-bowel endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative - Update 2025","volume":"57","author":"R Sidhu","year":"2025","journal-title":"Endoscopy"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"614","DOI":"10.1055\/a-2522-1995","article-title":"Performance measures for small-bowel endoscopy: A European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative","volume":"7","author":"C Spada","year":"2019","journal-title":"United European Gastroenterol J"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1136\/flgastro-2017-100847","article-title":"Paradigm shift: should the elderly undergo propofol sedation for DBE? A prospective cohort study","volume":"9","author":"HL Ching","year":"2018","journal-title":"Frontline Gastroenterol"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1136\/flgastro-2014-100550","article-title":"How does tolerability of double balloon enteroscopy compare to other forms of endoscopy?","volume":"7","author":"AJ Irvine","year":"2016","journal-title":"Frontline Gastroenterol"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"174","DOI":"10.1055\/a-2199-7155","article-title":"Device-assisted enteroscopy performance measures in the United Kingdom: DEEP-UK quality improvement project","volume":"56","author":"MG Shiha","year":"2024","journal-title":"Endoscopy"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"2434","DOI":"10.1007\/s10620-008-0648-5","article-title":"A pilot study about tolerability to double balloon endoscopy: comparison to esophagogastroduodenoscopy and colonoscopy","volume":"54","author":"JS Byeon","year":"2009","journal-title":"Dig Dis Sci"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"296","DOI":"10.1097\/SGA.0b013e3182248777","article-title":"Intraprocedural evaluation of comfort for sedated outpatient upper endoscopy and colonoscopy: the La Crosse (WI) intra-endoscopy sedation comfort score","volume":"34","author":"GW Munson","year":"2011","journal-title":"Gastroenterol Nurs"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1093\/jcag\/gwy073","article-title":"Validation of the St. Paul\u2019s Endoscopy Comfort Scale (SPECS) for colonoscopy","volume":"3","author":"J Telford","year":"2018","journal-title":"J Canadian Assoc Gastroenterol"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"2355","DOI":"10.3748\/wjg.v19.i15.2355","article-title":"Patient comfort and quality in colonoscopy","volume":"19","author":"VE Ekkelenkamp","year":"2013","journal-title":"World J Gastroenterol"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1055\/a-2528-5578","article-title":"Clinician-reported Gloucester Comfort Scale scores underestimate patient discomfort and pain during colonoscopy: insights from comparison with a patient-reported experience measure","volume":"57","author":"QNE van Bokhorst","year":"2025","journal-title":"Endoscopy"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1093\/bjaed\/mkw060","article-title":"Patient-reported outcome measures and patient-reported experience measures","volume":"17","author":"C Kingsley","year":"2017","journal-title":"BJA Education"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgast-2021-000653","article-title":"The Newcastle ENDOPREM: a validated patient reported experience measure for gastrointestinal endoscopy","volume":"8","author":"LJ Neilson","year":"2021","journal-title":"BMJ Open Gastroenterol"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"573","DOI":"10.4253\/wjge.v11.i12.573","article-title":"Propofol vs traditional sedatives for sedation in endoscopy: A systematic review and meta-analysis","volume":"11","author":"AAA Delgado","year":"2019","journal-title":"World J Gastrointest Endosc"},{"key":"ref18","article-title":"Propofol for sedation during colonoscopy","volume":"10","author":"G Johnson","year":"2025","journal-title":"Cochrane Database Syst Rev"}],"container-title":["Endoscopy International Open"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2870-7457.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T23:15:52Z","timestamp":1780960552000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2870-7457"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,6]]},"references-count":18,"journal-issue":{"issue":"CP","published-online":{"date-parts":[[2026,1,13]]},"published-print":{"date-parts":[[2026]]}},"alternative-id":["a28707457"],"URL":"https:\/\/doi.org\/10.1055\/a-2870-7457","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2364-3722","2196-9736"],"issn-type":[{"value":"2364-3722","type":"print"},{"value":"2196-9736","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,5,6]]},"published":{"date-parts":[[2026,5,6]]}}}