Virtual Reality Assisted Anaesthesia during Upper Gastrointestinal Endoscopy: Report of 115 Cases

Objective: The utility of virtual reality (VR) pain management to reduce visceral or autonomic responses is presented in 115 cases during diagnostic upper gastrointestinal (GI) endoscopy. Methodology: 115 patients with peptic disease and gastro-oesophageal reflux were given an upper GI endoscopy with local anaesthesia. They were divided into two groups, 56 treated with VR and 59 without VR during procedures. A 10-point Visual Analogue Scale (VAS) for pain was administered to patients and the physician rated level of stress on a 3-point scale. Results: Overall, visceral responses during oesophageal, stomach, and duodenum endoscopy were reduced using VR. Overall pain was significantly lower in the VR group than the control group with a moderate effect size. Physician stress was also reduced in the VR group, allowing greater accuracy and a shorter procedure time. A total of 115 satisfactory GI endoscopy procedures were carried out with