Hypothermia in endoscopy has not been reported. We examined the incidence of hypothermia in patients having complex endoscopic procedures and examined the use of a warming blanket. Methods: Sixty-eight patients (n = 68) at The Prince Charles Hospital were consented and randomized into two groups: Group 1 (G1 n = 34) received standard care: Group 2 (G2 n = 34) received enhanced care consisting of standard care + Barrier Easy Warm blanket (at time of undressing). Physiological parameters were recorded in both groups, this included
heart rate, blood pressure, oxygen saturations, and aural temperature at T0 (admission), T1 (procedure room pre-test), T2 (admission to recovery area), T3 (discharge from recovery area) and T4 (pre-discharge). Patient comfort scores (0–10 analogue
ATR inhibition score) and 30 day phone follow-up was also recorded. (not yet complete) Palbociclib Results: Patient characteristics: G1 Male = 24/34 (53%) Female = 16/34 (47%): Mean age 57.1+/− 2.5 yrs: Colonoscopy 29/34 (85%), OGD + Colonoscopy 5/40 (15%) G2 Male = 24/34 (53%) Female = 16/34 (47%): Mean age 49.1 +/− 2.1 yrs: Colonoscopy 26/34 (76%), OGD + Colonoscopy 8/34 (24%) Table 1: Temperature at T0 (admission), T1 (procedure room pre-test), T2 (admission to recovery), T3 (discharge from recovery), T4 (pre-discharge). Statistical analysis used students t / Wilcoxon signed rank tests. Standard error of the mean. Statistical significance p < 0.05) Temperature (°C) TO T1 T2 T3 T4 Group 1 (n = 34) 36.44+/−0.08 36.42+/−0.1 35.75+/−0.07 35.76+/−0.07 36.04+/−0.07 Group 2 (n = 34) 36.25+/−0.09 36.53+/−0.09 36.00 +/−0.10 35.9+/−0.09 Fludarabine price 36.43+/−0.08 Conclusions: Decrease in body temperature does occur in patients undergoing prolonged endoscopic procedures. This has not led to an increase in complications in our limited small study. The Barrier Easy Warming blanket prevented a decrease in body temperature. Further larger studies are required to examine complications due to hypothermia. F WEILERT, YM BHAT, KF BINMOELLER, S KANE, IM JAFFEE, R CAMERON, Y HASHIMOTO, JN SHAH
Inventional Endoscopy Services, California Pacific Medical Centre, USA Introduction: Both EUS-FNA and ERCP sampling techniques provide a means for tissue diagnosis in suspected malignant biliary obstruction. However, there are scant comparative data. Aim: Directly compare EUS-FNA and ERCP tissue sampling in single session EUS and ERCP Methods: All patients with suspected malignant biliary obstruction between May 2011 – June 2012 were invited to participate in this prospective comparative study. Patients providing study consent underwent EUS first: masses, localized bile duct wall thickening, lymph nodes, or liver lesions were targeted for FNA with onsite cytopathology. Same session ERCP was then performed, if clinically indicated. Biliary strictures were sampled with a cytology brush and intraductal forceps biopsies by a 2nd endoscopist blinded to the EUS findings. Pathologists interpreting FNA and ERCP samples were not blinded.