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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Format: | Article |
Language: | English |
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Society of Gastrointestinal Intervention
2022-07-01
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Series: | International Journal of Gastrointestinal Intervention |
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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. |
first_indexed | 2024-04-14T07:26:10Z |
format | Article |
id | doaj.art-1ee5921c3c094899a40929815de40031 |
institution | Directory Open Access Journal |
issn | 2636-0004 |
language | English |
last_indexed | 2024-04-14T07:26:10Z |
publishDate | 2022-07-01 |
publisher | Society of Gastrointestinal Intervention |
record_format | Article |
series | International Journal of Gastrointestinal Intervention |
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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