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Related Experiment Videos

Endoscopic sphincterotomy in outpatients.

I Podolsky1, P Kortan, G B Haber

  • 1Endoscopy Unit, Wellesley Hospital, Toronto, Ontario, Canada.

Gastrointestinal Endoscopy
|September 1, 1989
PubMed
Summary
This summary is machine-generated.

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Selected patients can safely undergo outpatient endoscopic sphincterotomy (ES). Complication rates are similar to inpatients, with prompt admission for those who develop issues, making this a viable approach.

Area of Science:

  • Gastroenterology
  • Hepatobiliary Surgery

Background:

  • Endoscopic sphincterotomy (ES) is a common procedure for biliary and pancreatic diseases.
  • Traditionally performed as an inpatient procedure, outpatient ES is increasingly considered.
  • Evaluating the safety and efficacy of outpatient ES is crucial for patient care optimization.

Purpose of the Study:

  • To compare the outcomes of outpatient versus inpatient endoscopic sphincterotomy (ES).
  • To assess complication rates and management strategies for outpatient ES.
  • To determine the feasibility of a selective outpatient ES policy.

Main Methods:

  • Retrospective review of 137 outpatient ES cases and 137 inpatient ES cases over 4 years.
  • Comparison of indications for ES between outpatient and inpatient groups.

Related Experiment Videos

  • Analysis of complication rates, timing, and management in both groups.

    • Main Results:

    • Outpatient ES indications included choledocholithiasis (60%) and papillary stenosis (35%).
    • Complication rates were similar between outpatients (6.6%) and inpatients (7.3%).
    • Outpatients with complications were admitted, with a mean hospital stay of 5 days; no delayed complications or deaths occurred.

    Conclusions:

    • Outpatient endoscopic sphincterotomy (ES) is a safe and reasonable option for selected patients.
    • Hospitalization should be reserved for patients developing complications post-ES.
    • This approach allows for efficient resource utilization while maintaining patient safety.