Safety of Endoscopy in Cirrhosis.
Dig Dis Sci
; 69(9): 3206-3213, 2024 Sep.
Article
en En
| MEDLINE
| ID: mdl-38977523
ABSTRACT
BACKGROUND:
Endoscopic procedures are among the most commonly performed medical procedures and the serious adverse event rate is reported to be 1-3 adverse events per 1000 procedures.AIMS:
Here, we have examined the safety of endoscopy specifically in cirrhotic populations.METHODS:
We conducted a retrospective case (cirrhosis)-control (non-cirrhosis) study of the outcomes of patients undergoing endoscopy in a large academic medical center. The primary outcome was a procedural or post-procedural complication. Complete clinical data were collected for all patients undergoing endoscopic procedures-including esophagogastroduodenoscopy, colonoscopy, EUS, ERCP, flexible sigmoidoscopy, and others. Cirrhosis was carefully defined based on clinico-pathological grounds.RESULTS:
We identified 16,779 patients who underwent endoscopy, including 2618 with cirrhosis and 14,161 without cirrhosis. There were 167 complications (0.99%), which included 15/2618 cirrhotics (0.6%) and 152/14,161 (1.1%) non-cirrhotics. The most common complications were cardiopulmonary (including hypotension and hypoxemia) found in 67% of patients; procedurally related complications occurred in 19% of patients. The complication rate was the same or lower in cirrhotics than controls undergoing esophagogastroduodenoscopy (0.6% vs 0.9%, p = 0.03), colonoscopy (0.6% vs. 0.6%, p = NS), or ERCP (0.7% vs. 1.4%, p = NS) Logistic regression analysis identified the following features to be associated with an increased risk of having a complication inpatient status, history of myocardial infarction, and an EUS procedure.CONCLUSIONS:
Endoscopy in cirrhotic patients was as safe or safer than non-cirrhotic patients undergoing similar procedures.Palabras clave
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Base de datos:
MEDLINE
Asunto principal:
Cirrosis Hepática
Idioma:
En
Revista:
Dig Dis Sci
Año:
2024
Tipo del documento:
Article