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Emergency endoscopy
1Department of Gastroenterology, Klinikum der Stadt Ludwigshafen gGmbH, Academic Teaching Hospital, Ludwigshafen, Germany.
Summary
Emergency endoscopy offers benefits for specific conditions like gastrointestinal bleeding and severe pancreatitis. However, its necessity and optimal timing for other indications, such as mild pancreatitis, remain debated among experts.
Area of Science:
- Gastroenterology
- Endoscopic Procedures
Background:
- The optimal timing and indications for emergency endoscopy are subjects of ongoing debate.
- While 24 hours is often cited, some propose up to 72 hours, particularly for acute pancreatitis.
Purpose of the Study:
- To review the established and debated indications for emergency endoscopy.
- To evaluate the evidence supporting emergency endoscopy in acute gastrointestinal bleeding and pancreatitis.
Main Methods:
- Literature review of studies on emergency endoscopy indications and outcomes.
- Analysis of evidence for emergency endoscopic retrograde cholangiopancreatography in pancreatitis.
Main Results:
- Emergency endoscopy is beneficial for acute gastrointestinal bleeding, improving outcomes and prognosis.
- Emergent endoscopic injection therapy shows promise in reducing mortality for acute ulcer bleeding.
- Emergency endoscopic retrograde cholangiopancreatography is effective for severe pancreatitis with stone impaction within 24 hours.
- Evidence is controversial for emergency endoscopy in mild pancreatitis, with timing being critical.
Conclusions:
- A limited number of evidence-based indications for emergency endoscopy are well-established.
- Further research is needed to clarify the role and timing of emergency endoscopy for debated indications.