In this video, we will discuss that Endoscopy is an essential diagnostic and therapeutic tool in modern gastrointestinal medicine. However, traditional procedures often evoke fear and discomfort in patients. At the 8th World Congress of Laparoscopic Surgeons (WALS 2025), held at The Leela Ambience, Gurugram, Prof. Dr. G.S. Prabudoss, a leading gastroenterologist and endoscopy expert, delivered a groundbreaking presentation titled "Conscious Painless Endoscopy in Adults", shedding light on a more patient-friendly, safe, and effective approach to GI endoscopy.

What is Conscious Painless Endoscopy?

Conscious painless endoscopy refers to performing upper or lower gastrointestinal endoscopy under conscious sedation, where the patient remains awake, responsive, but completely free of pain or anxiety. Unlike procedures that require general anesthesia, this technique involves mild sedatives and analgesics to relax the patient while preserving spontaneous breathing and protective reflexes.

Highlights from Dr. Prabudoss’s Presentation at WALS 2025

Enhanced Patient Comfort and Cooperation

Dr. Prabudoss emphasized that conscious sedation significantly improves the patient experience, reducing fear, gag reflex, and movement during the procedure, thereby enhancing procedural quality.

Safety and Efficiency

With minimal anesthetic involvement, the risks of cardiopulmonary complications are drastically reduced. Recovery is swift, and most patients can be discharged shortly after the procedure—ideal for outpatient settings.

Sedation Protocols and Monitoring

He detailed evidence-based sedation protocols using medications like midazolam, fentanyl, or propofol in low doses, alongside continuous monitoring of oxygen saturation, blood pressure, and ECG for optimal safety.

Cost-Effective and Accessible

Conscious painless endoscopy offers a more affordable alternative to procedures performed under general anesthesia, making it highly suitable for large-volume screening programs and resource-limited settings.

Clinical Applications

This method is especially useful in diagnostic endoscopy, colonoscopy, foreign body removal, and mild therapeutic procedures such as biopsies, polyp removal, and dilation of strictures.

Impact on Modern GI Practice

Dr. Prabudoss emphasized that conscious painless endoscopy is not just a procedural enhancement but a paradigm shift in how endoscopy is perceived and delivered. It boosts patient compliance, expands access to early diagnosis, and supports efficient workflow in both hospitals and ambulatory care centers.

Conclusion

The insights shared by Prof. Dr. G.S. Prabudoss at WALS 2025 reinforce the growing importance of conscious painless endoscopy in improving the quality and accessibility of gastrointestinal care. By combining technological advances with patient-centered sedation protocols, this technique represents a modern standard in safe, efficient, and compassionate endoscopic practice.

Watch the full video to hear Prof. Dr. Prabudoss explain the principles, benefits, and future of conscious painless endoscopy. Don’t forget to like, comment, and subscribe for more expert insights from WALS 2025 and beyond.