Endoscopy 2019; 51(04): S199
DOI: 10.1055/s-0039-1681761
ESGE Days 2019 ePosters
Friday, April 5, 2019 09:00 – 17:00: Clinical Endoscopic Practice ePosters
Georg Thieme Verlag KG Stuttgart · New York

ENDOSCOPY FOR PATIENTS PRESENTING WITH ACUTE UPPER GASTROINTESTINAL BLEEDING ON A DEDICATED SATURDAY IN-PATIENT LIST

H Ahmed
1   Gastroenterology Department, Northern General Hospital, Sheffield, United Kingdom
,
M Thoufeeq
1   Gastroenterology Department, Northern General Hospital, Sheffield, United Kingdom
› Author Affiliations
Further Information

Publication History

Publication Date:
18 March 2019 (online)

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Aims:

We aimed to investigate patients' outcomes and the impact on services following establishment of a Saturday in-patient endoscopy list in our center.

Methods:

We retrospectively reviewed and analysed upper Gastro-Intestinal (UGI) endoscopy reports for all patients presenting with UGI bleeding patients who were scoped on Saturday in-patient list between 01/07/2017 & 21/04/2018. We assessed patients' demographics, time interval between referral & test, length of stay (LOS) post procedure, 4 weeks post procedure morbidity/mortality and the use of therapeutic interventions among the patients.

Results:

72 gastroscopies were done for AUGIB within the selected period. 7 patients (10.6%) needed repeat gastroscopy within 4 weeks after the initial procedure (6 patients due to suspected re-AUGIB), while 5 patients (8%) died within 4 weeks. 1 patient's death was related to AUGIB. Two patients died after 4 weeks secondary to non AUGIB related cause. 7 patients were then excluded due to prolonged hospital stay post gastroduodenoscopy because of non AUGIB reasons.

A subgroup consisting of the remaining 58 patients who were discharged was further analysed. Mean age is 65.9 +/- 18.4 years. The mean time interval between referral and having the test was 1.05 +/- 0.83 days. The median LOS post procedure was 3 days (IQR: 25%= 2, 75%= 5.25). Mortality rate & number of patients requiring endoscopic therapy was higher among the group who had the test within 24 hours of referral compared to other patients; (9.1% Vs 0.00%, p Value = 0.33) & (24.4% Vs 11.8%, p Value = 0.48) respectively. 13 patients (22%) were discharged over the weekend.

Conclusions:

Establishing a dedicated elective Saturday in-patient endoscopy list is safe, feasible and beneficial. It has shortened the hospital stay for a good portion of patients. AUGIB patients who get scoped within 24 hours of presentation will likely need therapeutic intervention.