Early Morbidity of Endoscopic Ultrasound: 13 Years’ Experience at a Referral Center

Bournet, Barbara; Migueres, I.; Delacroix, M.; Vigouroux, Doris; Bornet, J. L.; Escourrou, J.; Buscail, Louis

doi:10.1055/s-2005-921173

Cited by 85 publications

(48 citation statements)

References 15 publications

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“…This is likely due to the small number of cases evaluated with suspected sphincter of Oddi dysfunction for the procedure indication (n = 12). Similar to the ERCP cohort, our overall EUS complication rate was higher than reported in previous studies [17][18][19][20]. This is again likely due to our broad definition of what is considered a procedure-related complication.…”

Section: Discussioncontrasting

confidence: 75%

EUS and ERCP Complication Rates Are Not Increased in Elderly Patients

et al. 2010

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Section: Discussioncontrasting

confidence: 75%

EUS and ERCP Complication Rates Are Not Increased in Elderly Patients

et al. 2010

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“…For EUS alone, however, there are little data on the safety and utility of propofol sedation [12,17,18,27,36] and comparison of our data to that from other studies is problematic due to variable reported methods, personnel, and monitoring systems utilized for sedation.…”

Section: Splenic Mass (1)mentioning

confidence: 90%

Bispectral Index Monitoring for Nurse-Administered Propofol Sedation During Upper Endoscopic Ultrasound: A Prospective, Randomized Controlled Trial

DeWitt

2008

Dig Dis Sci

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Bispectral index monitoring (BIS) is a quantitative assessment of brain cortical activity. The aim of this study was to determine if BIS-guided nurse-administered propofol sedation would decrease by > or = 20% both recovery time and propofol dose compared to standard propofol sedation for endoscopic ultrasound (EUS). Prospectively, eligible outpatients were randomized to BIS-guided or standard propofol sedation during EUS. Propofol was given by nurses in intermittent boluses with sedation targeted at a BIS score of < 65-75. For the control group, the nurse was blinded to BIS scores and sedation was titrated to a modified observer's assessment of alertness/sedation scale (MOAA/S) score < or = 3. Of 50 patients enrolled, data for 44 randomized to BIS-guidance (n = 24) and the control group (n = 20) were evaluated. Between the BIS-guided and control group there was no difference between the mean procedure duration, total propofol dose, recovery time, mean intraoperative MOAA/S, and mean BIS score. Compared to standard propofol sedation for EUS, BIS-guided propofol sedation offers no significant decrease in postprocedure recovery times or propofol doses.

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“…L'EE conventionnelle est considérée comme une procédure sûre et avec un taux de complications qui varie de 0,02 à 0,6 %, alors que cette fréquence augmente (0,8-4 %) après biopsie-aspiration guidée par EE [1][2][3][4].…”

Section: Discussionunclassified

Hémorragie extraluminale suite à une échoendoscopie gastrique conventionnelle

Bonanno

G²,

Naso

et al. 2010

Acta Endosc

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Un homme de 75 ans a été examiné par échoendo-scopie gastrique suite à une douleur abdominale et à un ictère. À la fin de l'examen endoscopique, le patient présentait une intense douleur épigastrique. Le CT scanner a mis en évidence une plage de 7 cm, contenant un liquide dense, en arrière de la paroi postérieure de l'estomac et un aspect d'ischémie de la rate. Le drainage de la collection hématique, la cholécystecto-mie et la splénectomie ont été réalisés sept jours après l'examen diagnostique. L'hypothèse est qu'un passage difficile de l'échoendoscope à travers le pylore, secondaire à un phlegmon périvésiculaire, pourrait avoir causé la lésion d'un vaisseau splénique et donc un saignement extraluminal. Cette complication durant l'endoscopie conventionnelle n'a jamais été décrite auparavant. Mots clés Hémorragie extraluminale · Échoendoscopie · Douleur épigastrique · Cholécystectomie · SplénectomieAbstract A 75-year-old man underwent endoscopic ultrasound examination for abdominal pain and jaundice. At the end of the examination, the patient presented severe epigastric pain; CT scan showed a 7-cm area of dense liquid behind the posterior gastric wall and ischemia of the spleen. Splenectomy and cholecystectomy were carried out 7 days after the symptoms. It was hypothesized that a little difficulty of the passage of the echoendoscope through the pylorus could have caused a small injury of the splenic vessel determining the extraluminal bleeding. Extraluminal hemorrhage following a conventional endoscopic ultrasound examination has not been described previously.

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Early Morbidity of Endoscopic Ultrasound: 13 Years’ Experience at a Referral Center

Abstract: In our experience, which is the longest reported in Europe, the morbidity rates of diagnostic EUS and EUS-guided FNA biopsy were 0.093% and 2.2%, respectively, with no mortality.

Cited by 85 publications

References 15 publications

EUS and ERCP Complication Rates Are Not Increased in Elderly Patients

EUS and ERCP Complication Rates Are Not Increased in Elderly Patients

Bispectral Index Monitoring for Nurse-Administered Propofol Sedation During Upper Endoscopic Ultrasound: A Prospective, Randomized Controlled Trial

Hémorragie extraluminale suite à une échoendoscopie gastrique conventionnelle

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