Safety and efficacy analysis of ambulatory endoscopic retrograde cholangio-pancreatography

CHEN Jun; QIN Lu-cui; HUANG Shuai; WANG Gui-yang; YAO Jun-fa; WANG Hui; LI Ke-wei; WU Wen-guang; LIU Ying-bin

doi:10.19538/j.cjps.issn1005-2208.2024.04.21

Abstract：Objective To evaluate the safety and efficacy of endoscopic retrograde cholangio-pancreatography(ERCP)in the ambulatory ward.Methods We retrospectively collected clinical data of patients who underwent ERCP in the ambulatory ward of Renji Hospital,Shanghai Jiao Tong University,from June 2021 to July 2023.Baseline features,surgical outcomes,reasons for delayed discharge,and incidents of readmission were analyzed.The differences between the delayed discharge group(＞48 h)and the group with a hospital stay of less than 48 hours were compared.Results 3538(99.5％)patients successfully completed the operation,with an average operation time of 20(5～124)minutes,and an average total hospital stay of 37.91±19.91 hours.108(3％)patients had postoperative complications.3136(88.2％)patients were successfully discharged within 48 hours.Among 419(11.8％)delayed discharge patients,there were 185 preoperative biliary pancreatitis,70 postoperative pancreatitis,3 gastrointestinal bleeding,2 duodenal perforation,84 abdominal pain or vomiting,and 75 fever.Rehospitalization within one week occurred in 20 cases(0.6％).The incidence of complications,and hospitalization costs were higher in the delayed discharge group compared to those hospitalized for less than 48 hours(P＜0.05),while there was no significant difference in age,gender,disease type(except bile duct stones),and rehospitalization rate(PP＞0.05).Conclusion The inclusion criteria of Ambulatory ERCP exclude cases of moderate or severe preoperative biliary pancreatitis,without considering disease type,age,gender,and comorbidities of patients.ERCP team's cooperation ensures successful implementation of ambulatory ERCP.