内镜是诊断上消化道疾病的重要手段。虽然无痛技术使患者在检查中舒适、无痛苦,但因肥胖患者随着体重增加,可引起呼吸、循环系统一系列生理和病理改变使麻醉的风险性增大[1]。笔者为确实无法耐受普通胃镜检查而要求做无痛胃镜的31例肥胖患者实施了麻醉并完成检查,麻醉体会总结 Endoscopy is an important means of diagnosis of upper gastrointestinal diseases. Although painless techniques make patients comfortable and painless in their examinations, the risk of anesthesia increases with a series of physiological and pathological changes in the circulatory system, as obese patients can breathe as they gain weight. [1] The author conducted an anesthesia and completed the examination for 31 obese patients who were refractory to gastroscopy and were asked to do painless gastroscopy.