Evaluation of Tolerance and Acceptability of Oesophagogastroduodenal Endoscopy: A Prospective Study of 192 Patients at Idrissa Pouye General Hospital (Dakar, Senegal)

¹Department of Gastroenterology, Idrissa Pouye General Hospital, Dakar, Senegal

²Department of Gastroenterology Aristide Le Dantec National Hospital Center, Dakar, Senegal

*Corresponding Author: Mamadou Ngone Gueye, Department of Gastroenterology, Idrissa Pouye General Hospital, Dakar, Senegal, Email: [email protected]

Received Date: April 08, 2026

Published Date: May 22, 2026

Citation: Gueye MN, et al. (2026). Evaluation of Tolerance and Acceptability of Oesophagogastroduodenal Endoscopy: A Prospective Study of 192 Patients at Idrissa Pouye General Hospital (Dakar, Senegal). Mathews J Gastroenterol Hepatol. 11(2):42.

Copyrights: Gueye MN, et al. © (2026).

ABSTRACT

Introduction : Oesophagogastroduodenal endoscopy (OGD) is a key diagnostic and therapeutic tool in gastroenterology. Despite its widespread use, patient experience remains insufficiently explored, particularly in low-resource settings where procedures are often performed without sedation. This study aimed to evaluate tolerance and acceptability of unsedated OGD in adult patients. Patients and Methods : We conducted a single-center prospective study over six months (April–September 2023) at Idrissa Pouye General Hospital (Dakar, Senegal). Adult patients undergoing diagnostic OGD without sedation were included. Data were collected using a standardized questionnaire immediately after the procedure and analyzed using SPSS software. Multivariate logistic regression identified factors associated with tolerance and acceptability (p < 0.05). Results : A total of 192 patients were included (mean age: 40 years; female predominance, sex ratio 0.63). Most patients (82.8%) were undergoing OGD for the first time, and 40% had not received prior information. Good tolerance was observed in 60% of cases. The most frequent symptoms were nausea (85%), choking sensation (71%), anxiety (55%), and throat pain (44%). Acceptability of repeat OGD was 60.1%. Factors associated with good tolerance were age ≥60 years (p = 0.001), male sex (p = 0.001), and prior information (p = 0.009). Acceptability was associated with age ≥60 years, male sex, supportive staff attitude, and absence of pharyngeal pain. Conclusion: Unsedated OGD is feasible but remains uncomfortable for many patients. Improving pre-procedural information and patient–provider interaction could significantly enhance tolerance and acceptability.

Keywords: Oesophagogastroduodenoscopy, Tolerance, Acceptability, Patient Experience, Senegal.