Subscribe to RSS
DOI: 10.1055/s-0041-1724852
Technical Outcomes of Ercp Procedures in Patients With Covid-19
Aims The unprecedented situation caused by the COVID-19 pandemic has profoundly affected endoscopic practice in regard to access, volume, and workflow. We aimed to assess the potential changes in the technical outcomes of ERCP procedures carried out in patients with confirmed SARS-CoV-2 infection.
Methods We conducted an international, multicenter, retrospective, matched case-control study of ERCP procedures carried out in patients with confirmed COVID-19. The main outcome was technical success of the procedure as assessed by the endoscopist, and the secondary outcome was the development of procedure-related adverse events. Each case was matched in a 1:4 ratio with controls extracted from each center’s database in order to identify relevant changes in outcome measures compared to the pre-pandemic era.
Results Eighteen procedures performed in 16 COVID-19 patients (14 men, 65 years (9-82)) between the 15th of March and the 1st of July 2020 and 67 matched controls were included in the final analysis. Technical success was achieved in 14/18 procedures in COVID-19 cases, which was significantly lower as compared to the control group (14/18 vs. 64/67, p=0.034), with an endoscopic reintervention required in 9/18 cases. However, the rate of procedure-related adverse events was low in both groups (1/18 vs. 10/67, p=0.44). On multivariable analysis COVID-19 status remained the only risk factor for technical failure of the procedure (OR of 19.9 (95 %CI 1.4-269)).
Conclusions The COVID-19 pandemic has affected the volume and practice of ERCP, without significantly impacting patient-related outcomes. Prioritizing cases and following recommendations on safety measures can ensure good outcome with minimal risk in dedicated centers.
Citation Voiosu T, Voiosu A, Boškoski I et al. eP361 TECHNICAL OUTCOMES OF ERCP PROCEDURES IN PATIENTS WITH COVID-19. Endoscopy 2021; 53: S214.
#
Publication History
Article published online:
19 March 2021
© 2021. European Society of Gastrointestinal Endoscopy. All rights reserved.
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany