Table 2.
Urgent, semi-urgent, and non-urgent procedures performed during the study period [9]. ERCP endoscopic retrograde cholangiopancreatography, EUS endoscopic ultrasound, SBE single balloon enteroscopy, NMSE novel motorized spiral enteroscopy, POEM per oral endoscopic myotomy, EMR endoscopic mucosal resection, ESD endoscopic submucosal dissection, STER submucosal tunneling endoscopic resection, NJ nasojejunal. EVL endoscopic variceal ligation, NBT nasobiliary tube, PEG percutaneous endoscopic gastrostomy, HPB hepato-pancreato-biliary, CCP chronic calcific pancreatitis, GERDx endoscopic full thickness plication, GI gastrointestinal, APC argon plasma coagulation, WON walled-off necrosis, SEMS self-expanding metal stent, SVS side viewing scopy
| Indications | Procedures | Total |
|---|---|---|
| Urgent endoscopy | ||
| Evidence of acute GI bleed |
EVL (28), Endoscopic glue injection (3), APC (13) Hemoclipping (7) Endoloop (2) EUS (1) |
54 (28.1%) |
| Biliary sepsis | ERCP NBT/stenting (74), EUS (2) | 76 (39.5%) |
| Foreign body removal | Endo/colon | 4 (0.2%) |
| GI obstruction with stenting | Colonic metal stenting | 1 (0.05%) |
| GI access for urgent feeding |
PEG (2) NJ feeding (53) |
55 (28.6%) |
| 190 (5.49%) | ||
| Semi-urgent endoscopy | ||
| Endo/colon for GI neoplasia (EMR/ESD) | EMR | 2 (0.03%) |
| Endo/colon/SVS for highly suspicious case of neoplasia | Endo/colon/SVS with biopsy | 323 (58.4%) |
| Small-bowel enteroscopy for occult GI bleed | SBE/NMSE | 12 (0.2%) |
| ERCP for HPB neoplasia | ERCP with NBT/stenting (plastic/SEMS) | 126 (22.7%) |
| Diagnostic EUS (symptomatic pancreatic fluid collection/diagnosis or staging of malignancy/failed ERCP/CCP with new-onset pain) | EUS with biopsy/fluid aspiration | 62 (11.2%) |
| WON/pseudocyst | EUS drainage | 26 (4.7%) |
| Indeterminate biliary stricture | Spy glass cholangioscopy with biopsy | 2 (0.03%) |
| 553 (16%) | ||
| Non-urgent endoscopy | ||
| Dyspepsia/chronic diarrhea/surveillance/non cancer therapeutics | Endoscopy/colonoscopy | 1913 (70.4%) |
| Asymptomatic CBD stones, therapy for CCP, Stent exchange, benign biliary strictures | ERCP with stenting (plastic/SEMS) | 472 (17.3%) |
| Indeterminate strictures | Spy glass cholangioscopy | 8 (0.2%) |
| Diagnostic EUS for benign conditions | EUS | 292 (10.7%) |
| Chronic pain abdomen, Chronic diarrhea | Small-bowel enteroscopy | 11 (0.4%) |
| Endotherapy for benign GI disorders | EMR/ESD/POEM/STER/GERDx | 21 (0.7%) |
| 2717 (78.52%) | ||
| Total | 3460 | |