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[Insertion of biliary endoprosthesis as ambulatory procedure]
A Güitrón1, R Adalid, R Barinagarrementería
1Departamento de Endoscopia Digestiva, Hospital de Especialidades No. 71 Instituto Mexicano el Seguro Social Torreón, Blvd. Revolución y Calle 26, 27000 Torreón, Coahuila.
Revista De Gastroenterologia De Mexico
|March 29, 2002
Summary
Outpatient endoscopic retrograde cholangiopancreatography (ERCP) for endobiliary stent placement is safe for selected patients with bile duct obstruction. This approach offers substantial cost savings without compromising patient care.
Area of Science:
- Gastroenterology
- Interventional Endoscopy
Context:
- Therapeutic Endoscopic Retrograde Cholangiopancreatography (ERCP) is commonly performed with inpatient admission due to potential complications.
- Limited data exists on the safety and efficacy of outpatient ERCP for endobiliary stent placement.
Purpose:
- To evaluate the safety and outcomes of outpatient therapeutic ERCP for endobiliary stent insertion in patients with benign and malignant common bile duct obstruction.
- To compare complication rates and patient demographics between outpatient and inpatient ERCP procedures.
Summary:
- A retrospective review of 140 therapeutic ERCPs (72 outpatient, 68 inpatient) for endobiliary stent placement was conducted.
- No significant differences were observed in age, gender, need for endoscopic sphincterotomy, or complication rates between outpatient and inpatient groups.
- One inpatient experienced a complication; four outpatients experienced complications. No procedure-related mortality occurred in either group.
Impact:
- Outpatient therapeutic ERCP for endobiliary stent placement is a safe and successful option for selected patients.
- This approach can lead to significant cost savings in healthcare delivery.
- The findings support a shift towards outpatient management for specific ERCP procedures, improving resource utilization.