Peppermint Oil Solution is useful as an antispasmodic drug for esophagogastroduodenoscopy, especially for elderly patients

Atsushi Imagawa, Hidenori Hata, Morihito Nakatsu, Yasunari Yoshida, Keiko Takeuchi, Toshihiro Inokuchi, Takayuki Imada, Yoshiyasu Kohno, Masahiro Takahara, Kazuyuki Matsumoto, Hirokazu Miyatake, Satoru Yagi, Masaharu Ando, Mamoru Hirohata, Shigeatsu Fujiki, Ryuta Takenaka

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: Although hyoscine butyl bromide (HB) and glucagon (GL) are often used as antispasmodic drugs during esophagogastroduodenoscopy (EGD), these agents may cause adverse effects. Recently, it was reported that peppermint oil solution (PO) was very effective and had few side effects. Aim: We clarified the efficacy and usefulness of PO as an antispasmodic during upper endoscopy, especially for elderly patients. Methods: This study was a non-randomized prospective study. The antispasmodic score (1-5, where 5 represents no spasm) was defined according to the degree of spasms of the antrum and difficulty of biopsy. We compared the antispasmodic scores between non-elderly patients (younger than 70) and elderly patients (70 years old or older) according to the antispasmodic agent. Results: A total of 8,269 (Group PO: HB: GL: NO (no antispasmodic) = 1,893: 6,063: 157: 156) EGD procedures were performed. There was no significant difference in the antispasmodic score between Group PO (mean score ± standard deviation: 4.025 ± 0.925) and Group HB (4.063 ± 0.887). Among the non-elderly patients, those in Group PO (n = 599, 3.923 ± 0.935) had a worse antispasmodic score than those in Group HB (n = 4,583, 4.062 ± 0.876, P < 0.001). However, among the elderly patients, those in Group PO (n = 1,294, 4.073 ± 0.917) had similar scores to those in Group HB (n = 1,480, 4.064 ± 0.921, P = 0.83), and significantly better scores than those in Group GL (n = 69, 3.797 ± 0.933, P < 0.05). Conclusion: Peppermint oil was useful as an antispasmodic during EGD, especially for elderly patients.

Original languageEnglish
Pages (from-to)2379-2384
Number of pages6
JournalDigestive Diseases and Sciences
Volume57
Issue number9
DOIs
Publication statusPublished - Sep 2012
Externally publishedYes

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Digestive System Endoscopy
Parasympatholytics
Scopolamine Hydrobromide
Glucagon
Spasm
peppermint oil
Endoscopy
butyl bromide
Prospective Studies
Biopsy

Keywords

  • Antispasmodic drug
  • Esophagogastroduodenoscopy
  • Peppermint oil

ASJC Scopus subject areas

  • Gastroenterology
  • Physiology

Cite this

Peppermint Oil Solution is useful as an antispasmodic drug for esophagogastroduodenoscopy, especially for elderly patients. / Imagawa, Atsushi; Hata, Hidenori; Nakatsu, Morihito; Yoshida, Yasunari; Takeuchi, Keiko; Inokuchi, Toshihiro; Imada, Takayuki; Kohno, Yoshiyasu; Takahara, Masahiro; Matsumoto, Kazuyuki; Miyatake, Hirokazu; Yagi, Satoru; Ando, Masaharu; Hirohata, Mamoru; Fujiki, Shigeatsu; Takenaka, Ryuta.

In: Digestive Diseases and Sciences, Vol. 57, No. 9, 09.2012, p. 2379-2384.

Research output: Contribution to journalArticle

Imagawa, A, Hata, H, Nakatsu, M, Yoshida, Y, Takeuchi, K, Inokuchi, T, Imada, T, Kohno, Y, Takahara, M, Matsumoto, K, Miyatake, H, Yagi, S, Ando, M, Hirohata, M, Fujiki, S & Takenaka, R 2012, 'Peppermint Oil Solution is useful as an antispasmodic drug for esophagogastroduodenoscopy, especially for elderly patients', Digestive Diseases and Sciences, vol. 57, no. 9, pp. 2379-2384. https://doi.org/10.1007/s10620-012-2194-4
Imagawa, Atsushi ; Hata, Hidenori ; Nakatsu, Morihito ; Yoshida, Yasunari ; Takeuchi, Keiko ; Inokuchi, Toshihiro ; Imada, Takayuki ; Kohno, Yoshiyasu ; Takahara, Masahiro ; Matsumoto, Kazuyuki ; Miyatake, Hirokazu ; Yagi, Satoru ; Ando, Masaharu ; Hirohata, Mamoru ; Fujiki, Shigeatsu ; Takenaka, Ryuta. / Peppermint Oil Solution is useful as an antispasmodic drug for esophagogastroduodenoscopy, especially for elderly patients. In: Digestive Diseases and Sciences. 2012 ; Vol. 57, No. 9. pp. 2379-2384.
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abstract = "Background: Although hyoscine butyl bromide (HB) and glucagon (GL) are often used as antispasmodic drugs during esophagogastroduodenoscopy (EGD), these agents may cause adverse effects. Recently, it was reported that peppermint oil solution (PO) was very effective and had few side effects. Aim: We clarified the efficacy and usefulness of PO as an antispasmodic during upper endoscopy, especially for elderly patients. Methods: This study was a non-randomized prospective study. The antispasmodic score (1-5, where 5 represents no spasm) was defined according to the degree of spasms of the antrum and difficulty of biopsy. We compared the antispasmodic scores between non-elderly patients (younger than 70) and elderly patients (70 years old or older) according to the antispasmodic agent. Results: A total of 8,269 (Group PO: HB: GL: NO (no antispasmodic) = 1,893: 6,063: 157: 156) EGD procedures were performed. There was no significant difference in the antispasmodic score between Group PO (mean score ± standard deviation: 4.025 ± 0.925) and Group HB (4.063 ± 0.887). Among the non-elderly patients, those in Group PO (n = 599, 3.923 ± 0.935) had a worse antispasmodic score than those in Group HB (n = 4,583, 4.062 ± 0.876, P < 0.001). However, among the elderly patients, those in Group PO (n = 1,294, 4.073 ± 0.917) had similar scores to those in Group HB (n = 1,480, 4.064 ± 0.921, P = 0.83), and significantly better scores than those in Group GL (n = 69, 3.797 ± 0.933, P < 0.05). Conclusion: Peppermint oil was useful as an antispasmodic during EGD, especially for elderly patients.",
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T1 - Peppermint Oil Solution is useful as an antispasmodic drug for esophagogastroduodenoscopy, especially for elderly patients

AU - Imagawa, Atsushi

AU - Hata, Hidenori

AU - Nakatsu, Morihito

AU - Yoshida, Yasunari

AU - Takeuchi, Keiko

AU - Inokuchi, Toshihiro

AU - Imada, Takayuki

AU - Kohno, Yoshiyasu

AU - Takahara, Masahiro

AU - Matsumoto, Kazuyuki

AU - Miyatake, Hirokazu

AU - Yagi, Satoru

AU - Ando, Masaharu

AU - Hirohata, Mamoru

AU - Fujiki, Shigeatsu

AU - Takenaka, Ryuta

PY - 2012/9

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N2 - Background: Although hyoscine butyl bromide (HB) and glucagon (GL) are often used as antispasmodic drugs during esophagogastroduodenoscopy (EGD), these agents may cause adverse effects. Recently, it was reported that peppermint oil solution (PO) was very effective and had few side effects. Aim: We clarified the efficacy and usefulness of PO as an antispasmodic during upper endoscopy, especially for elderly patients. Methods: This study was a non-randomized prospective study. The antispasmodic score (1-5, where 5 represents no spasm) was defined according to the degree of spasms of the antrum and difficulty of biopsy. We compared the antispasmodic scores between non-elderly patients (younger than 70) and elderly patients (70 years old or older) according to the antispasmodic agent. Results: A total of 8,269 (Group PO: HB: GL: NO (no antispasmodic) = 1,893: 6,063: 157: 156) EGD procedures were performed. There was no significant difference in the antispasmodic score between Group PO (mean score ± standard deviation: 4.025 ± 0.925) and Group HB (4.063 ± 0.887). Among the non-elderly patients, those in Group PO (n = 599, 3.923 ± 0.935) had a worse antispasmodic score than those in Group HB (n = 4,583, 4.062 ± 0.876, P < 0.001). However, among the elderly patients, those in Group PO (n = 1,294, 4.073 ± 0.917) had similar scores to those in Group HB (n = 1,480, 4.064 ± 0.921, P = 0.83), and significantly better scores than those in Group GL (n = 69, 3.797 ± 0.933, P < 0.05). Conclusion: Peppermint oil was useful as an antispasmodic during EGD, especially for elderly patients.

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