Indications for gastro-intestinal endoscopy in the intensive care unit, excluding the management of digestive bleeding.

Authors

  • Antoine Martin Unité d’endoscopie digestive, Centre Hospitalo-Universitaire du Kremlin-Bicêtre, Assistance Publique-Hôpitaux de Paris, Université de Paris-Saclay
  • Christophe Bellanger Service de Gastro-entérologie, Centre Hospitalo-Universitaire du Kremlin-Bicêtre, Assistance Publique-Hôpitaux de Paris, Université de Paris-Saclay
  • Marie-Amélie Ordan Service de Gastro-entérologie, Centre Hospitalo-Universitaire du Kremlin-Bicêtre, Assistance Publique-Hôpitaux de Paris, Université de Paris-Saclay
  • Clément Bresteau Service de Gastro-entérologie, Centre Hospitalo-Universitaire du Kremlin-Bicêtre, Assistance Publique-Hôpitaux de Paris, Université de Paris-Saclay
  • Antoine Meyer Service de Gastro-entérologie, Centre Hospitalo-Universitaire du Kremlin-Bicêtre, Assistance Publique-Hôpitaux de Paris, Université de Paris-Saclay
  • Aurélien Amiot Service de Gastro-entérologie, Centre Hospitalo-Universitaire du Kremlin-Bicêtre, Assistance Publique-Hôpitaux de Paris, Université de Paris-Saclay
  • Franck Carbonnel Service de Gastro-entérologie, Centre Hospitalo-Universitaire du Kremlin-Bicêtre, Assistance Publique-Hôpitaux de Paris, Université de Paris-Saclay
  • Isabelle Boytchev Service de Gastro-entérologie, Centre Hospitalo-Universitaire du Kremlin-Bicêtre, Assistance Publique-Hôpitaux de Paris, Université de Paris-Saclay

DOI:

https://doi.org/10.37051/mir-00189

Keywords:

Endoscopic sphincterotomy, Acute pancreatitis, Drainage, cholangitis

Abstract

There are many indications for digestive endoscopy in intensive care units, apart from digestive bleeding. The endoscopic interventional problem mainly concerns the bilio-pancreatic: drainage of angiocholitis and collections after acute pancreatitis, or after liver transplantation. The development of echo-endoscopy-guided extra-anatomical drainage and luminal apposition prostheses makes it possible to do without more invasive radiological or surgical techniques and, if technically and clinically successful, constitutes a real service to the patient. More common situations such as the placement of a feeding tube, the evaluation of the endoscopic severity of a mesenteric ischemia, the management of a colonic volvulus or a complicated Olgivia syndrome are also encountered.

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Published

2023-11-20

How to Cite

Martin, A., Bellanger, C., Ordan, M.-A., Bresteau, C., Meyer, A., Amiot, A., Carbonnel, F., & Boytchev, I. (2023). Indications for gastro-intestinal endoscopy in the intensive care unit, excluding the management of digestive bleeding. Médecine Intensive Réanimation, 32(4), 347–356. https://doi.org/10.37051/mir-00189

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