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Hépato-Gastro & Oncologie Digestive

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Emergency digestive endoscopy Volume 27, issue 7, Septembre 2020

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Tables

Authors
1 Sorbonne Université, Centre d’endoscopie digestive, Hôpital Saint-Antoine, 184 rue du Faubourg St Antoine, 75012 Paris
2 Hôpital Saint-Antoine, Service d’hépatologie, 184 rue du Faubourg Saint-Antoine, 75012 Paris
3 Hôpital Saint Louis, Service de gastroentérologie, 1 avenue Claude Vellefaux, 75010 Paris
* Correspondance

Emergency endoscopy is mandatory at all times for critically ill patients. Emergency endoscopy is mainly performed for the management of digestive bleeding and for the extraction of foreign bodies. But it may also be necessary in case of sigmoid volvulus and Ogilvie syndrome resistant to medical treatment. Most urgent indications must lead to an endoscopy within 24 hours, and in rare cases within 12 hours or even less than 2 hours. It is therefore often be carried out outside working hours; at night, weekends and holidays. However, it should be performed by a properly trained team in an adequate environment. A knowledge of validated indications for emergency endoscopies, appropriate timing and procedures should therefore be mastered by any hepatogastroenterologist on duty, in order to take the appropriate decisions with emergency intensivists, radiologists and surgeons, and to obtain an optimal care for patients.