Impact Of The Covid 19 Pandemy On The Emergency Endoscopic Activity

Aims Determine the impact of the covid 19 pandemy on the emergency endoscopic activity.

Methods The is a retrospective,descriptive and comparative study of epidemiological, clinical and endoscopic characteristics of patients who had emergency ERCP over two successive 8 months:Period(1):01/03/2019-31/10/2019 and Period(2):01/03/2020-31/10/2020 in our department of hepatogastroenterology of university hospital Mohammed VI Oujda.

Results The average age of patients was 62 years(12-93) during period(2) versus 67 years(25-104)during period(1),there were a female predominance in two groups.During period(2) 145 ERCP were performed,87(60 %) were in emergency context for acute cholangitis,9 had acute pancreatitis associated,12.6 % were in grade III of acute cholangitis and the average of bilirubin before the procedure was 115 mg/l and 54 mg/l after versus 166 ERCP during the period(1),93(56 %) having emergency ERCP for acute cholangitis,and acute pancreatitis was associated in 9 patients,17.2 % were in grade III,and the average of bilirubin before the procedure was 130 mg/l and 64 mg/l after during period(1),52.9 % patients who had placement of prosthesis in period(2) versus 47.3 % in period(1),and 57.5 % patients had an endoscopic sphincterotomy versus 57 % respectively.In period(2),the etiology was lithiasis in 51.7 % patients,tumoral in 43.7 % patients,and hydatid cyst in 4.6 % patients,In period(1)the lithiasis patholology was in 58 % patients,tumoral in 36.8 % patients,two cases of prosthesis dysfunction,1 with hydatid cyst and 1 with sump syndrom.In period(2),failed drainage was noted in 3(3.4 %)patients:2 patients:surgical drainage,1 patient:nasobiliary drainage,in period(1) 5(5.3 %)patients:3 patients:surgical drainage 2 patients:percutaneous drainage.

Tab. 1 Mains Reslts

	Period(2)	Period(1)
Stone extraction	82 %	72 %
Post-ERCP pancreatitis	4.3 %	1.15 %
Average length of hospital staying	5 days	7 days
Delay to perform ERCP	24 Hours	48 Hours

Conclusions The results of our comparative study between period (1) and (2) are the age was around 60, female sex predominate over male, therefore lithiasis pathology was the most predominant cause due to not having cholecystectomy, followed by the tumoral cause which is tardily diagnosed after complications and requiring drainage,placement of prothesis was preferred during the covid period to reduce the risk of recurrence,the delay to perform ERCP, complications post-ERCP and hospital staying are decreased during the period(2), given the constraints of the pandemy.

Citation Nasiri M, El Mqaddem O, Taiymi A et al. eP496 IMPACT OF THE COVID 19 PANDEMY ON THE EMERGENCY ENDOSCOPIC ACTIVITY. Endoscopy 2021; 53: S262.

Publication History

Article published online:
19 March 2021