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Patient-reported experience in device-assisted enteroscopy: Conscious sedation vs. general anesthesia.
Fintan John O'Hara1, Edric Leung1, Conor Costigan1,2
1Department of GastroenterologyTallaght University HospitalDublinLeinsterIreland.
Endoscopy International Open
|June 25, 2026
Summary
Conscious sedation (CS) and general anesthesia (GA) for device-assisted enteroscopy (DAE) both yield high patient satisfaction. GA led to greater "very satisfied" ratings, but CS remains effective and acceptable for patients undergoing DAE.
Area of Science:
- Gastroenterology
- Endoscopy
- Patient Experience Research
Background:
- Device-assisted enteroscopy (DAE), particularly double-balloon enteroscopy (DBE), is crucial for small bowel evaluation.
- Sedation strategies for DAE, including conscious sedation (CS) and general anesthesia (GA), are debated.
- Patient-reported experience measures (PREMs) are increasingly important for assessing healthcare quality.
Purpose of the Study:
- To compare patient-reported experience measures (PREMs) for DAE under conscious sedation (CS) versus general anesthesia (GA).
- To evaluate the impact of CS and GA on patient satisfaction, procedure success, and pain perception during DAE.
Main Methods:
- Prospective collection of PREMs from 118 patients undergoing DAE.
- Analysis of PREMs, procedure details, and sedation techniques (CS vs. GA).
Main Results:
- Overall patient satisfaction was 100% for DAE.
- General anesthesia (GA) group reported significantly higher "very satisfied" rates (92.3%) compared to conscious sedation (CS) (71.0%).
- Technical success was high (98.3%) with no significant difference between sedation groups; CS patients reported higher discomfort but remained highly satisfied.
Conclusions:
- Both CS and GA are effective sedation options for DAE, with high patient satisfaction reported for both.
- While GA may enhance "very satisfied" ratings, CS is a viable and acceptable alternative, ensuring procedure accessibility.
- PREMs are valuable for quality assurance in enteroscopy, supporting individualized sedation strategies for optimal patient care.
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