Endoscopic Retrograde Cholangiopancreatography as a “Treatment and Discharge” Daycare Procedure under General Anesthesia: A Retrospective Analysis in a Tertiary Care Cancer Center in Oman

Introduction: ERCP under General anesthesia has been proven safe as a daycare procedure in multiple studies in non-oncological centers. We wanted to study its safety in a Oncological centre. Materials and Methods: To evaluate the efficacy and safety of the “treatment and transfer” policy, a descriptive retrospective analysis of patients who had undergone ERCP from March 2022 to March 2024 in the center was conducted. Data was collected from the hospital information system/ Electronic medical records. Individual patient medical reports were reviewed apart from the anesthesia records and endoscopy procedure notes. Statistical Products and Services Solution (SPSS) software version 29.0 (SPSS, Chicago, IL, USA) was used for data analysis. Continuous data were expressed as a means with standard deviation. Categorical data were represented as percentages and counts. Results: 73 patients who underwent 131 procedures were taken into the study. The average PACU time and discharge from the daycare centre was109±34.22 mins (Max 245 mins, Min 55 mins) and 133±12.76 (Max 264 mins, Min 78 mins). Six patients (4.58%) were admitted due to procedural complications and previous morbidity. Six patients developed hypotension, and two patients developed significant hypoxia. 29 patients had nausea/vomiting, of which only four required medications but none of them were admitted. Conclusion: Establishing a “treatment and discharge” facility as a centre of excellence in SQCCCRC is a beneficial modality for patients undergoing ERCP under GA in Muscat, Oman.