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Same-day upper and lower inpatient endoscopy: a trend for the future
1Section of Gastroenterology, Veterans Affairs Medical Center, Martinez, California.
The American Journal of Gastroenterology
|August 1, 1991
Summary
Same-day upper and lower endoscopy is feasible and effective for inpatients, offering significant benefits without increased risks. This approach is recommended when indicated for comprehensive gastrointestinal evaluation.
Area of Science:
- Gastroenterology
- Medical Procedures
- Patient Care
Background:
- Same-day upper and lower endoscopy offers potential benefits like reduced costs and shorter hospital stays.
- However, its feasibility, efficacy, and potential have not been well-defined.
Purpose of the Study:
- To evaluate the performance of same-day upper and lower endoscopy in an inpatient setting.
- To compare same-day procedures with alternate-day procedures.
Main Methods:
- Retrospective review of 87 patients undergoing same-day procedures (174 total) versus 50 patients undergoing alternate-day procedures (100 total).
- Data collected over a 2-year period at a tertiary care VA hospital.
- Patient demographics, indications for endoscopy, sedation requirements, and outcomes were analyzed.
Main Results:
- No complications were observed in either the same-day or alternate-day endoscopy groups.
- Diagnostic yield was high in both groups, with common findings including inflammation, benign neoplasms, diverticulae, peptic ulcers, and cancer.
- Negative findings for both procedures were low (2-6%), indicating high diagnostic value.
Conclusions:
- Same-day inpatient upper and lower endoscopy is a feasible and safe practice.
- It demonstrates excellent diagnostic yield, even in elderly patients.
- This approach should be encouraged when clinically indicated for comprehensive gastrointestinal assessment.