Poor risk-benefit ratio of gastrointestinal endoscopy for screening prior to heart or lung transplantation.

ABSTRACT:

Background

Routine pre-transplant evaluations for heart or lung recipients often include upper and lower gastrointestinal endoscopies. However, given that these patients frequently have significant and multiple comorbidities, the risk-benefit ratio of endoscopy with sedation remains uncertain.

Methods

We conducted a retrospective chart review of all patients who underwent esophagogastroduodenoscopy (EGD) and/or colonoscopy as part of the pre-transplant evaluation for heart (HTX) or lung transplantation (LuTX) at our center over a 10-year period. All procedures were performed with either anesthesiologist-assisted sedation or general anesthesia (72%) or physician-assisted sedation (28%). The primary outcomes included the prevalence of pre/neoplastic lesions and the rate of adv

SUBMITTER: Ehlken H 

PROVIDER: S-EPMC12041142 | biostudies-literature | 2025 May

REPOSITORIES: biostudies-literature