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[lyyw] => We suggest that complex ERCP, therapeutic EUS and
combined EUS+ERCP procedures are performed with deep sedation/general anaesthesia.（Evidence level: Low；Recommendation grade:Weak).
[laiyuan] => 建议在深度镇静/全身麻醉下进行复杂的经内镜逆行胰胆管造影术、治疗性超声内镜和超声内镜 + 经内镜逆行胰胆管造影术联合手术。（证据等级：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957765
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)
推荐意见
建议在深度镇静/全身麻醉下进行复杂的经内镜逆行胰胆管造影术、治疗性超声内镜和超声内镜 + 经内镜逆行胰胆管造影术联合手术。（证据等级：低；推荐强度：弱推荐）
We suggest that complex ERCP, therapeutic EUS and
combined EUS+ERCP procedures are performed with deep sedation/general anaesthesia.（Evidence level: Low；Recommendation grade:Weak).
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：British Society of Gastroenterology
Array
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[lyyw] => We recommend that conscious sedation, deep sedation and GA are all options for DAE. The choice of sedation should be dependent on patient and procedural factors and local resources.（Evidence level: Low；Recommendation grade:Strong).
[laiyuan] => 我们建议清醒镇静、深度镇静和GA均可作为DAE的选择。镇静方式的选择应取决于患者和操作因素以及局部资源。（证据等级：低；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957765
[_updatetime] => 1704957765
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们建议清醒镇静、深度镇静和GA均可作为DAE的选择。镇静方式的选择应取决于患者和操作因素以及局部资源。（证据等级：低；推荐强度：强推荐）
We recommend that conscious sedation, deep sedation and GA are all options for DAE. The choice of sedation should be dependent on patient and procedural factors and local resources.（Evidence level: Low；Recommendation grade:Strong).
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：British Society of Gastroenterology
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[lyyw] => We recommend unsedated transnasal endoscopy as an acceptable alternative to conventional oral endoscopy for routine diagnostic upper endoscopy.（Evidence level: Moderate；Recommendation grade:Strong).
[laiyuan] => 我们推荐非镇静经鼻内镜检查作为常规诊断性上消化道内镜检查的可接受替代传统口腔内镜检查（证据等级：中；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957765
[_updatetime] => 1704957765
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们推荐非镇静经鼻内镜检查作为常规诊断性上消化道内镜检查的可接受替代传统口腔内镜检查（证据等级：中；推荐强度：强推荐）
We recommend unsedated transnasal endoscopy as an acceptable alternative to conventional oral endoscopy for routine diagnostic upper endoscopy.（Evidence level: Moderate；Recommendation grade:Strong).
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：British Society of Gastroenterology
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[lyyw] => We recommend for colonoscopy that alternatives to sedation, including no sedation, inhalational agents and other adjuncts, are considered.（Evidence level: Moderate；Recommendation grade:Strong).
[laiyuan] => 对于结肠镜检查，推荐考虑替代镇静的方法，包括不使用镇静药物、吸入剂和其他辅助药物。（证据等级：中；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957765
[_updatetime] => 1704957765
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于结肠镜检查，推荐考虑替代镇静的方法，包括不使用镇静药物、吸入剂和其他辅助药物。（证据等级：中；推荐强度：强推荐）
We recommend for colonoscopy that alternatives to sedation, including no sedation, inhalational agents and other adjuncts, are considered.（Evidence level: Moderate；Recommendation grade:Strong).
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：British Society of Gastroenterology
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[pdf] =>
[tjyjyw] =>
[lyyw] => We suggest that lower GI endoscopy with deep sedation (propofol) or general anaesthesia should be available for selectedpatients undergoing planned prolonged procedures or complex endotherapy.（Evidence level: Low；Recommendation grade:Weak).
[laiyuan] => 建议对于计划进行的长时间手术或复杂的内镜治疗的患者，应选择使用深度镇静(异丙酚)或全身麻醉的内镜检查。（证据等级：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957765
[_updatetime] => 1704957765
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议对于计划进行的长时间手术或复杂的内镜治疗的患者，应选择使用深度镇静(异丙酚)或全身麻醉的内镜检查。（证据等级：低；推荐强度：弱推荐）
We suggest that lower GI endoscopy with deep sedation (propofol) or general anaesthesia should be available for selectedpatients undergoing planned prolonged procedures or complex endotherapy.（Evidence level: Low；Recommendation grade:Weak).
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：British Society of Gastroenterology
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[lyyw] => We recommend that clinicians fully discuss with patients at an increased risk from sedation for endoscopy (eg, due to age, frailty or comorbidity), the benefits and potential risks of sedation and alternatives to sedation, including no sedation.（Evidence level: Low；Recommendation grade:Strong).
[laiyuan] => 我们建议临床医师与接受内镜检查的镇静风险较高的患者充分讨论(如由于年龄、虚弱或合并症)，镇静的益处和潜在风险，以及镇静的替代方案(包括不镇静)。（证据等级：低；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957765
[_updatetime] => 1704957765
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们建议临床医师与接受内镜检查的镇静风险较高的患者充分讨论(如由于年龄、虚弱或合并症)，镇静的益处和潜在风险，以及镇静的替代方案(包括不镇静)。（证据等级：低；推荐强度：强推荐）
We recommend that clinicians fully discuss with patients at an increased risk from sedation for endoscopy (eg, due to age, frailty or comorbidity), the benefits and potential risks of sedation and alternatives to sedation, including no sedation.（Evidence level: Low；Recommendation grade:Strong).
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：British Society of Gastroenterology
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[tjyjyw] =>
[lyyw] => We recommend that frail, elderly or comorbid patients
(ASA grade 3 or greater) are given half or less of the dose required for younger healthy patients and need smaller incremental doses, if required.（Evidence level: Low；Recommendation grade: Strong).
[laiyuan] => 推荐虚弱、老年或有合并症的患者( ASA分级≥3级)的用药剂量应为年轻健康患者的一半或更少，必要时还应减少剂量。（证据等级：低；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957765
[_updatetime] => 1704957765
[_nrjc] =>
[_nrsh] =>
)
推荐意见
推荐虚弱、老年或有合并症的患者( ASA分级≥3级)的用药剂量应为年轻健康患者的一半或更少，必要时还应减少剂量。（证据等级：低；推荐强度：强推荐）
We recommend that frail, elderly or comorbid patients
(ASA grade 3 or greater) are given half or less of the dose required for younger healthy patients and need smaller incremental doses, if required.（Evidence level: Low；Recommendation grade: Strong).
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：British Society of Gastroenterology
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[tjyjyw] =>
[lyyw] => We suggest that patients with established cardiovascular disease at high risk of cardiac dysrhythmias undergo ECG monitoring and have supplemental oxygen during endoscopy with sedation.（Evidence level: Low；Recommendation grade:Weak).
[laiyuan] => 建议对已确诊为心血管疾病且存在心律失常高危因素的患者进行心电监护，并在镇静状态下进行内镜检查时补充氧气。（证据等级：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957765
[_updatetime] => 1704957765
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议对已确诊为心血管疾病且存在心律失常高危因素的患者进行心电监护，并在镇静状态下进行内镜检查时补充氧气。（证据等级：低；推荐强度：弱推荐）
We suggest that patients with established cardiovascular disease at high risk of cardiac dysrhythmias undergo ECG monitoring and have supplemental oxygen during endoscopy with sedation.（Evidence level: Low；Recommendation grade:Weak).
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：British Society of Gastroenterology
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[tjyjyw] =>
[lyyw] => We recommend that patients at risk of myocardial ischaemia during endoscopy with sedation should continue their normal anti-anginal therapy and receive supplemental oxygen before, during and after endoscopy.（Evidence level: Low；Recommendation grade:Strong).
[laiyuan] => 我们建议镇静内镜检查期间有心肌缺血风险的患者应继续常规抗心绞痛治疗，并在内镜检查之前、期间和之后吸氧。（证据等级：低；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957765
[_updatetime] => 1704957765
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们建议镇静内镜检查期间有心肌缺血风险的患者应继续常规抗心绞痛治疗，并在内镜检查之前、期间和之后吸氧。（证据等级：低；推荐强度：强推荐）
We recommend that patients at risk of myocardial ischaemia during endoscopy with sedation should continue their normal anti-anginal therapy and receive supplemental oxygen before, during and after endoscopy.（Evidence level: Low；Recommendation grade:Strong).
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：British Society of Gastroenterology
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[tjyjyw] =>
[lyyw] => We recommend that patients with decompensated chronic liver disease undergoing endoscopy with sedation should be assessed for hepatic encephalopathy prior to endoscopy.（Evidence level: Low；Recommendation grade:Strong).
[laiyuan] => 推荐接受内镜检查的慢性肝病失代偿期患者在接受内镜检查前应进行肝性脑病评估。（证据等级：低；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957765
[_updatetime] => 1704957765
[_nrjc] =>
[_nrsh] =>
)
推荐意见
推荐接受内镜检查的慢性肝病失代偿期患者在接受内镜检查前应进行肝性脑病评估。（证据等级：低；推荐强度：强推荐）
We recommend that patients with decompensated chronic liver disease undergoing endoscopy with sedation should be assessed for hepatic encephalopathy prior to endoscopy.（Evidence level: Low；Recommendation grade:Strong).
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：British Society of Gastroenterology
