Complicações da sedação e realização da colonoscopia

Neto, Juvenal da Rocha Torres; Silvino, Cristiane Jesus; Prudente, Ana Carolina Lisboa; Teixeira, Fábio Ramos; Torres, Felipe Augusto do Prado; Quiroz, Jhon

doi:10.1590/s0101-98802010000300007

Cited by 2 publications

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References 6 publications

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“…Sedation during colonoscopy may lead to hypoxemia, bradycardia, hypotension, cardiac arrhythmias, or cerebrovascular events 10 , 11 . Complications specifically related to bowel preparation include poor preparation, kidney injury and hydro-electrolyte disorders 12 - 14 .…”

Section: Introductionmentioning

confidence: 99%

Kidney injury and other complications related to colonoscopy in inpatients at a tertiary teaching hospital

Ivanovic

Silva

Lichtenstein

et al. 2018

Clinics

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OBJECTIVES:To describe clinical complications related to colonoscopy in inpatients with multiple diseases. Among the known complications, acute kidney injury was the primary focus.METHODS:This was an observational retrospective study of 97 inpatients. Data relating to age; gender; comorbidities; current medication; blood tests (renal function, blood glucose and LDL cholesterol levels); length of hospital stay; indication, results, and complications of colonoscopies; and time to the development of kidney injury were collected between June 2011 to February 2012.RESULTS:A total of 108 colonoscopies (9 screening and 88 diagnostic) were conducted in 97 patients. Renal injury occurred in 41.2% of the patients. The univariate analysis revealed that kidney injury was related to the use of diuretics, statins, calcium channel blockers, and angiotensin converting enzyme inhibitor; however, the multivariate analysis showed that only the use of diuretics was associated with kidney injury. The occurrence of kidney injury and the time to its development were independent of the previous glomerular filtration rate as calculated with the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation.CONCLUSIONS:The use of diuretics was the only independent variable associated with the development of kidney injury in inpatients with multiple comorbidities who underwent colonoscopy. The occurrence of kidney injury and the time to its development were independent of previous CKD-EPI-based assessments of renal function. These results highlight the increased risk of colonoscopy in such patients, and its indication should be balanced strictly and perhaps avoided as a screening test.

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Section: Introductionmentioning

confidence: 99%

Kidney injury and other complications related to colonoscopy in inpatients at a tertiary teaching hospital

Ivanovic

Silva

Lichtenstein

et al. 2018

Clinics

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Colonoscopic findings in patients aged 50 years and older: a critical analysis of 1614 exams

Leal

Mendes

Moreira

et al. 2019

Journal of Coloproctology

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Introduction Colonoscopy has shown to be useful in the diagnosis of various pathologies. By allowing the direct visualization of the mucosa, colonoscopy allows the adoption of therapeutic methods, such as the removal of polyps, dilation of stenoses, and biopsies. This method can also be applied in the detection of colorectal cancer, which currently represents an important cause of mortality in the world. Individuals considered to be at medium risk for the development of colorectal cancer should start screening at 50 years of age in order to detect early disease. Objective To describe the main results of the exams for patients at least 50 years old who underwent colonoscopy. Method Descriptive, case-series study of 1614 colonoscopies performed from 2014 to 2017 at a referral hospital in Salvador, Bahia. Results The main indications for the study were intestinal bleeding (26.5%), neoplasia screening (20.7%), and abdominal pain (10.2%). The main results were diverticular disease (38.9%), polyps (38.8%), and normal examination (23.2%). Patients with indications for neoplasia screening had the presence of polyps (41.3%) as their main diagnosis. For patients with normal examination, 28.8% presented intestinal bleeding as an indication. There were 70 (4.3%) patients with a colonoscopic diagnosis of neoplasia. Conclusion The present study, which demonstrated a majority of exams with considerable alterations, shows the usefulness of the examination, besides other advantages, as a form of diagnosis of colorectal cancer.

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Complicações da sedação e realização da colonoscopia

Cited by 2 publications

References 6 publications

Kidney injury and other complications related to colonoscopy in inpatients at a tertiary teaching hospital

Kidney injury and other complications related to colonoscopy in inpatients at a tertiary teaching hospital

Colonoscopic findings in patients aged 50 years and older: a critical analysis of 1614 exams

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