caa a22 4500 445796154 CHVBK 20180317145126.0 cr unu---uuuuu 170323e20110401xx s 000 0 eng 10.1007/s10620-010-1407-y doi (NATIONALLICENCE)springer-10.1007/s10620-010-1407-y The Safety of Same-Day Endoscopy and Percutaneous Liver Biopsy [Elektronische Daten] [Jonathan Stine, Gordon Liss, James Lewis] Background and Aims: The aim of this study was to review our experience with same-day endoscopy (SDE) plus percutaneous liver biopsy (PLB) and to evaluate its safety compared to PLB alone. Methods: We retrospectively examined records of all patients who underwent PLB between January 2003 and September 2009 and identified those who underwent SDE and matched these patients to those undergoing PLB alone. Serious adverse events (SAEs) were analyzed using our endoscopic database (EndoPro, Pentax) and were divided into those occurring immediately post-procedure and those occurring after discharge. Results: In the study, 479 patients underwent 507 PLBs and 52 patients (11%) were identified as having SDE. No statistical differences were apparent in terms of sex, age, baseline laboratory values, medical comorbidities, cirrhosis, or liver lesions. The most common indication for PLB was chronic hepatitis C (HCV). A total of 15 patients underwent upper endoscopy (EGD); 37 patients underwent colonoscopy (most for colorectal cancer screening). One (1.9%) SAE occurred in the SDE and PLB group. This patient experienced microperforation of the hepatic flexure secondary to abnormal anatomy and underwent immediate laparoscopic repair with an unremarkable post-op course. Four (0.88%) SAEs occurred with PLB alone, mostly prolonged pain from subcapsular hematoma, with no transfusions or surgery required. Conclusions: At our institution, SDE with PLB is often performed and appears to be a safe method of practice. We believe that performance of EGD or colonoscopy on the same day as PLB optimizes medical resources and results in patient satisfaction without sacrificing safety. Springer Science+Business Media, LLC, 2010 Endoscopy nationallicence Liver biopsy nationallicence Safety nationallicence Efficacy nationallicence Stine Jonathan Department of Medicine, Georgetown University Hospital, 3800 Reservoir Rd NW, 2 Main, 20007, Washington, DC, USA aut Liss Gordon Department of Medicine, Georgetown University Hospital, 3800 Reservoir Rd NW, 2 Main, 20007, Washington, DC, USA aut Lewis James Department of Medicine, Georgetown University Hospital, 3800 Reservoir Rd NW, 2 Main, 20007, Washington, DC, USA aut Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/4(2011-04-01), 1201-1206 0163-2116 56:4<1201 2011 56 10620 https://doi.org/10.1007/s10620-010-1407-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10620-010-1407-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Stine Jonathan Department of Medicine, Georgetown University Hospital, 3800 Reservoir Rd NW, 2 Main, 20007, Washington, DC, USA aut NATIONALLICENCE 700 1- Liss Gordon Department of Medicine, Georgetown University Hospital, 3800 Reservoir Rd NW, 2 Main, 20007, Washington, DC, USA aut NATIONALLICENCE 700 1- Lewis James Department of Medicine, Georgetown University Hospital, 3800 Reservoir Rd NW, 2 Main, 20007, Washington, DC, USA aut NATIONALLICENCE 773 0- Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/4(2011-04-01), 1201-1206 0163-2116 56:4<1201 2011 56 10620 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer