Safety of day-care therapeutic endoscopic retrograde cholangiopancreatography and endoscopic ultrasound in the oldest old patients: A case series

In the modern era, endoscopic retrograde cholangiopancreatography (ERCP) and therapeutic endoscopic ultrasound (EUS) are increasingly being performed in day-care settings. The safety of these procedures in elderly admitted patients has been established in previous studies, but evidence for the safet...

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Main Authors: Sachin Yadav, Praveen Kumar Sharma, Sudhir Kumar Singh, Atul Abhishek Jha, Reethesh, Anurag Garg
Format: Article
Language:English
Published: Society of Gastrointestinal Intervention 2022-07-01
Series:International Journal of Gastrointestinal Intervention
Subjects:
Online Access:http://journaleditor.inforang.com/journal/view.html?doi=10.18528/ijgii210049
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author Sachin Yadav
Praveen Kumar Sharma
Sudhir Kumar Singh
Atul Abhishek Jha
Reethesh
Anurag Garg
author_facet Sachin Yadav
Praveen Kumar Sharma
Sudhir Kumar Singh
Atul Abhishek Jha
Reethesh
Anurag Garg
author_sort Sachin Yadav
collection DOAJ
description In the modern era, endoscopic retrograde cholangiopancreatography (ERCP) and therapeutic endoscopic ultrasound (EUS) are increasingly being performed in day-care settings. The safety of these procedures in elderly admitted patients has been established in previous studies, but evidence for the safety of day-care ERCP/therapeutic EUS is limited. We retrospectively analyzed the outcomes of day-care ERCP/EUS in patients more than 80 years of age. All procedures were done under total intravenous anesthesia (ketamine- and propofol-based) and the intra-procedural and immediate postprocedural complications (within 6 hours) were noted. Thirty patients (24 male and 6 female) were enrolled. The most common indication for the procedure was choledocholithiasis (46.6%), followed by malignant stenosis (30.0%) and benign strictures (20.0%). One patient had transient desaturation during the procedure and two patients had hypotension. The dreaded complications of bleeding, perforation, or pancreatitis did not occur in any patients, and none required admission. In conclusion, day-care therapeutic ERCP/EUS is safe and cost-effective in the oldest old patients.
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spelling doaj.art-1ee5921c3c094899a40929815de400312022-12-22T02:06:00ZengSociety of Gastrointestinal InterventionInternational Journal of Gastrointestinal Intervention2636-00042022-07-0111313213410.18528/ijgii210049ijgii210049Safety of day-care therapeutic endoscopic retrograde cholangiopancreatography and endoscopic ultrasound in the oldest old patients: A case seriesSachin Yadav0Praveen Kumar Sharma1Sudhir Kumar Singh2Atul Abhishek Jha3Reethesh4Anurag Garg5Department of Gastroenterology, Army Hospital Research and Referral, Delhi Cantt, IndiaDepartment of Gastroenterology, Army Hospital Research and Referral, Delhi Cantt, IndiaDepartment of Gastroenterology, Army Hospital Research and Referral, Delhi Cantt, IndiaDepartment of Gastroenterology, Army Hospital Research and Referral, Delhi Cantt, IndiaDepartment of Gastroenterology, Army Hospital Research and Referral, Delhi Cantt, IndiaDepartment of Anaesthesiology, Army Hospital Research and Referral, Delhi Cantt, IndiaIn the modern era, endoscopic retrograde cholangiopancreatography (ERCP) and therapeutic endoscopic ultrasound (EUS) are increasingly being performed in day-care settings. The safety of these procedures in elderly admitted patients has been established in previous studies, but evidence for the safety of day-care ERCP/therapeutic EUS is limited. We retrospectively analyzed the outcomes of day-care ERCP/EUS in patients more than 80 years of age. All procedures were done under total intravenous anesthesia (ketamine- and propofol-based) and the intra-procedural and immediate postprocedural complications (within 6 hours) were noted. Thirty patients (24 male and 6 female) were enrolled. The most common indication for the procedure was choledocholithiasis (46.6%), followed by malignant stenosis (30.0%) and benign strictures (20.0%). One patient had transient desaturation during the procedure and two patients had hypotension. The dreaded complications of bleeding, perforation, or pancreatitis did not occur in any patients, and none required admission. In conclusion, day-care therapeutic ERCP/EUS is safe and cost-effective in the oldest old patients.http://journaleditor.inforang.com/journal/view.html?doi=10.18528/ijgii210049cholangiopancreatographyendoscopic retrograde; daycare; oldest old; safety; therapeutic endoscopic ultrasound
spellingShingle Sachin Yadav
Praveen Kumar Sharma
Sudhir Kumar Singh
Atul Abhishek Jha
Reethesh
Anurag Garg
Safety of day-care therapeutic endoscopic retrograde cholangiopancreatography and endoscopic ultrasound in the oldest old patients: A case series
International Journal of Gastrointestinal Intervention
cholangiopancreatography
endoscopic retrograde; daycare; oldest old; safety; therapeutic endoscopic ultrasound
title Safety of day-care therapeutic endoscopic retrograde cholangiopancreatography and endoscopic ultrasound in the oldest old patients: A case series
title_full Safety of day-care therapeutic endoscopic retrograde cholangiopancreatography and endoscopic ultrasound in the oldest old patients: A case series
title_fullStr Safety of day-care therapeutic endoscopic retrograde cholangiopancreatography and endoscopic ultrasound in the oldest old patients: A case series
title_full_unstemmed Safety of day-care therapeutic endoscopic retrograde cholangiopancreatography and endoscopic ultrasound in the oldest old patients: A case series
title_short Safety of day-care therapeutic endoscopic retrograde cholangiopancreatography and endoscopic ultrasound in the oldest old patients: A case series
title_sort safety of day care therapeutic endoscopic retrograde cholangiopancreatography and endoscopic ultrasound in the oldest old patients a case series
topic cholangiopancreatography
endoscopic retrograde; daycare; oldest old; safety; therapeutic endoscopic ultrasound
url http://journaleditor.inforang.com/journal/view.html?doi=10.18528/ijgii210049
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