Prospective Study
Copyright ©2014 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. May 7, 2014; 20(17): 5113-5118
Published online May 7, 2014. doi: 10.3748/wjg.v20.i17.5113
Sedated vs unsedated colonoscopy: A prospective study
Abdulrahman M Aljebreen, Majid A Almadi, Felix W Leung
Abdulrahman M Aljebreen, Majid A Almadi, Gastroenterology Division, King Khalid University Hospital, King Saud University, Riyadh 11461, Saudi Arabia
Majid A Almadi, Gastroenterology Division, McGill University Health Center, McGill University, Montreal, Quebec H3G 1A4, Canada
Felix W Leung, Research and Medical Services, Sepulveda Ambulatory Care Center, Veterans Affairs Greater Los Angeles Healthcare System, and David Geffen School of Medicine at UCLA, Los Angeles, California, CA 91343, United States
Author contributions: Aljebreen AM designed the study; Aljebreen AM, Almadi MA and Leung FW performed the research; Almadi MA analyzed the data; Aljebreen AM and Almadi MA wrote the paper; and Leung FW revised the manuscript for final submission.
Supported by Partially by College of Medicine Research Center, Deanship of Scientific Research, King Saud University
Correspondence to: Abdulrahman M Aljebreen, MD, FRCPC, Gastroenterology Division, King Khalid University Hospital, King Saud University, PO Box 2925, Riyadh 11461, Saudi Arabia. amaljebreen@gmail.com
Telephone: +966-1-4671215 Fax: +966-1-4671217
Received: November 17, 2013
Revised: January 1, 2014
Accepted: February 20, 2014
Published online: May 7, 2014
Core Tip

Core tip: Published information indicates that unsedated colonoscopies are acceptable in many countries; however, sedation is still a usual practice in many countries. Its burden includes escort requirement, time for recovery and activity restrictions. This study showed that unsedated colonoscopy is feasible in willing patients and it saves the endoscopy units up to one hour per patient. Contrary to some endoscopist’s fears, patients were still willing to return to the same physician for colonoscopy if a repeat procedure was needed.