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Related Experiment Videos

Therapeutic ERCP in outpatients

T C Tham1, J Vandervoort, R C Wong

  • 1Division of Gastroenterology, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Gastrointestinal Endoscopy
|March 1, 1997
PubMed
Summary
This summary is machine-generated.

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Selective outpatient therapeutic ERCP is safe for select patients. This approach, reserving admission for complications, reduces healthcare costs while maintaining patient safety.

Area of Science:

  • Gastroenterology
  • Endoscopic Retrograde Cholangiopancreatography (ERCP)

Background:

  • Most complications from therapeutic ERCP manifest within hours.
  • Evaluating the safety of outpatient ERCP is crucial.

Purpose of the Study:

  • To assess the safety and efficacy of outpatient therapeutic ERCP.
  • To determine if outpatient ERCP is a viable alternative to inpatient procedures.

Main Methods:

  • Reviewed 190 patients undergoing planned outpatient therapeutic ERCP.
  • Patients selected based on good health and proximity to the institution.
  • Compared outcomes with 219 consecutive inpatient ERCP procedures.

Main Results:

  • 11.6% of outpatient ERCP patients experienced complications requiring admission.

Related Experiment Videos

  • Common complications included pancreatitis (17) and hemorrhage (3).
  • Inpatient ERCP had a 13% complication rate with one death.

    • Conclusions:

    • Selective outpatient therapeutic ERCP is a safe strategy.
    • Reserving admission for suspected or confirmed complications minimizes risks.
    • Outpatient ERCP can significantly reduce healthcare costs.