Consultant Corner: Abdominal Pain and the Post-procedure Patient
Pain and/or bleeding after a gastrointestinal procedure may lead a patient to seek unscheduled acute care. Evaluating these patients can pose challenges for the emergency provider, as that provider was not the individual performing the procedure. Endoscopists frequently discharge patients or their families with procedure reports. Reviewing an endoscopy report may give the acute care provider clues to potential complications. Emergency care providers should have a low threshold for contacting the physician who performed the procedure that led to the emergency visit. Complications of upper endoscopy, lower endoscopy, endoscopic retrograde cholangiopancreatography, and liver biopsy are discussed in this chapter.