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E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
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Predictors of Delayed Recovery in Ambulatory Advanced Endoscopic Procedures.

Zoilo K Suarez1,2, Alexandria Lenyo3, Philip M Frasse4

  • 1Internal Medicine Department University of Arizona College of Medicine Phoenix Arizona USA.

DEN Open
|September 11, 2025
PubMed
Summary

Gastrointestinal symptoms after advanced or complex endoscopy (ACE) are common. Female sex, longer procedures, and higher pain scores predict longer recovery times, informing post-anesthesia care strategies.

Keywords:
advanced endoscopyadverse eventscomplex endoscopylength of stayrecovery time

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Area of Science:

  • Gastroenterology
  • Anesthesiology
  • Patient Outcomes

Background:

  • Limited data exists on patient outcomes during the post-anesthesia recovery course for advanced or complex endoscopy (ACE).
  • Gastrointestinal distress is common after ACE and can impact recovery and post-anesthesia care.
  • Understanding post-procedural symptoms is crucial for optimizing patient recovery.

Purpose of the Study:

  • To describe post-procedural symptoms in patients undergoing ACE.
  • To identify factors influencing recovery time and course after ACE.
  • To provide data for optimizing post-procedure care in ACE.

Main Methods:

  • Retrospective review of a prospectively collected database of ambulatory ACE patients.
  • Recorded procedural-related symptoms, recovery time, dismissal rate, and adverse events (AE).
  • Analyzed factors associated with extended recovery time using multiple regression analysis.

Main Results:

  • 172 patients were included (mean age 62.77 years).
  • 37.2% experienced extended recovery time, with abdominal pain and nausea being most common.
  • Female sex, longer procedure duration, and higher 30-min post-procedural pain scores predicted extended recovery (p < 0.05).
  • Procedural AE rate was 5.8%; unplanned hospitalization rate was 3.5%.

Conclusions:

  • Post-ACE procedural symptoms are frequent.
  • Female sex, procedure duration, and early pain scores predict recovery length.
  • Findings aid in optimizing post-procedure care for ACE patients.