Propofol Versus Remimazolam in Gastrointestinal Endoscopy: A Comprehensive Systematic Review and Meta-Analysis of Randomized Controlled Trials

Remimazolam has demonstrated safety, showing a reduced incidence of hypotension, bradycardia, respiratory depression, and hypoxemia compared to propofol. However, efficacy outcomes including the induction time and total procedure time were comparable between the two groups. However, the results were heterogeneous, which could be due to variability in the perfumed procedures, co-analgesics or dosing.

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Publication Details

Journal
Digestive Diseases and Sciences
Published
2026-02-03
DOI
https://doi.org/10.1007/s10620-026-09678-z
Primary Topic
Anesthesia and Sedative Agents
Type
article
Field-Weighted Citation Impact
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article

Propofol Versus Remimazolam in Gastrointestinal Endoscopy: A Comprehensive Systematic Review and Meta-Analysis of Randomized Controlled Trials

Aya Ramadan, Amr Saleh, Mohamed Nabil Hamouda, Ziad Elmezayen et al.
Digestive Diseases and Sciences
Anesthesia and Sedative Agents
article

Propofol Versus Remimazolam in Gastrointestinal Endoscopy: A Comprehensive Systematic Review and Meta-Analysis of Randomized Controlled Trials

Aya Ramadan, Amr Saleh, Mohamed Nabil Hamouda, Ziad Elmezayen, Ahmed L. Youseif, Basma M. El-Khalifa, Rana Megawer, Youssef Narouz, Doaa A. Elmarzouky, Amira A. Albawri, Yara M. Harash, Noha Hammad, Belal hamed, Karim A. Khalil, Abdelaziz A. Awad, Ahmed Gad, Alaa Ashraf Mohamed, Ahmed F. Younis
article en

Abstract

Remimazolam has demonstrated safety, showing a reduced incidence of hypotension, bradycardia, respiratory depression, and hypoxemia compared to propofol. However, efficacy outcomes including the induction time and total procedure time were comparable between the two groups. However, the results were heterogeneous, which could be due to variability in the perfumed procedures, co-analgesics or dosing.

Digestive Diseases and Sciences
Ain Shams University (EG), Kafrelsheikh University (EG), Misr University for Science and Technology (EG), Mansoura University (EG), Sana'a University (YE), Al-Azhar University (EG), Zagazig University (EG), Tanta University (EG), Hennepin County Medical Center (US), Minia University Hospital (EG), Menoufia University (EG), Port Said University (EG), Minia University (EG)
Good health and well-being
Openalex Percentile: Top 66%
Anesthesia and Sedative Agents
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