Complications of colonoscopy in a large public county hospital in Greece. A 10-year study

Paspatis, Grigorios; Vardas, Emmanouil; Theodoropoulou, Anǵeliki; Manolaraki, Maria; Charoniti, Ioanna; Papanikolaou, Nikolaos; Chroniaris, N.; Chlouverakis, Gregorios

doi:10.1016/j.dld.2008.02.041

Cited by 32 publications

(28 citation statements)

References 37 publications

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“…Perforation of the colon is one of the possible complications of a diagnostic colonoscopy, and appears with a frequency ranging from 0.04 to 0.16% (1,2). The most commonly perforated area is the sigmoid colon and depends on age and gender (it is more likely in elderly patients and women), administration of endoscopic therapy, and the experience of the endoscopist (2).…”

Section: Discussionmentioning

confidence: 99%

Massive Pneumoperitoneum After Colonoscopy

Villafáñez-García

Gil

Ortega-Abengozar

et al. 2012

The Journal of Emergency Medicine

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Section: Discussionmentioning

confidence: 99%

Massive Pneumoperitoneum After Colonoscopy

Villafáñez-García

Gil

Ortega-Abengozar

et al. 2012

The Journal of Emergency Medicine

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“…Independent predictors of bleeding after colonoscopy include advanced age (odds ratio [OR] 1.4-1.6), 3-6 male sex (somewhat unexplained, perhaps caused by unreported/ unaccounted medications, but found to be an independent predictor in 4 studies) (OR 1.2-9.2), 4,6-8 nonscreening/ nonsurveillance indication (OR 1.3), 6 cardiovascular or renal disease (OR 2.1-3.3), 3 polypectomy (OR 10.3 vs no polypectomy) 4,6,7,9,10 (especially large-polyp [Ͼ10 mm] polypectomy [OR 2.4-5.6 vs small polypectomy]), 3,6,7,9,[11][12][13] and coagulopathy (OR 3.7-13.4) 3,8,12,14 or resumption of anticoagulation within 1 week (OR 5.2). 14 A risk increase has not been seen with aspirin (although some studies stopped aspirin 3 days or more before colonoscopy).…”

Section: Colonoscopymentioning

confidence: 97%

“…16 The risk of bleeding AEs in general may also have been decreasing over the past decades. 7,10 Technique may also play a role, as pure cutting current may increase risk, 3 and pure coagulation current may trade off a decrease in immediate bleeding for an equal increase in delayed bleeding. 17 Detachable snares and clips may be helpful for larger polyps.…”

Section: Colonoscopymentioning

confidence: 98%

Identifying and reporting risk factors for adverse events in endoscopy. Part II: noncardiopulmonary events

Romagnuolo

Cotton

Eisen

et al. 2011

Gastrointestinal Endoscopy

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The risks of endoscopy procedures are likely affected by the competence of the endoscopist and the team (nursing, anesthesia, and technicians), the details of the specific procedure being performed, and the patient's anatomy, demographics, and health status. In 2008, the American Society for Gastrointestinal Endoscopy (ASGE) convened a workshop to recommend a lexicon to define and describe the adverse events (AEs) (previously commonly referred to as complications) that can result from endoscopy procedures. 1 One additional goal of this workshop was to standardize the reporting of factors that may predict AEs, in clinical practice and in research. This list of such factors might enable the creation of risk strata (allowing comparison of AE rates by risk groups). In addition, AE rates among different groups of endoscopists and different groups of patients might be more appropriately compared by strata. Last, prospective risk assessment might enhance the quality of informed consent and facilitate decisions regarding procedural appropriateness.As stated in part I, the aim of this 2-part article is to summarize the body of work that has been published on this topic and to suggest the types of risk factors that need to be considered for inclusion in endoscopy reporting/database systems. Possible, but unproven, risk factors were also considered to guide further research into candidate factors and their relationship with AEs. Establishing and recording the competency of the team are beyond the scope of this article.AEs are often organized by type of event (eg, cardiopulmonary, bleeding, perforation). However, their frequency and type clearly vary by procedure (the risks of colonoscopy are different than those of ERCP), and some events (pancreatitis, infection) rarely or never apply to some procedures. Equally, the factors that predict those AEs also vary among procedures (eg, demographics may predict post-ERCP pancreatitis, but may have little influence on EGD complications).Because many noncardiopulmonary AEs are closely linked to the type of intervention (eg, bleeding or perforation, related to polypectomy), each procedure (eg, colonoscopy, upper endoscopy) would have to be discussed separately under each AE heading. For a more efficient presentation of the data, we elected to discuss them organized by procedure type rather than by AE type. In contrast, most predictors of cardiopulmonary AEs are patient-centered factors and do not vary significantly from procedure to procedure (although admittedly procedural complexity and duration may influence event rates). In addition, comorbidities do not generally predict the noncardiopulmonary events. Therefore, the cardiopulmonary AEs and their predictors, which are relatively constant across procedure types and which require a discussion of the various comorbidity indices, are discussed separately from the other AEs and their potential predictors in part I of this 2-part article. Part II discusses predictors of noncardiopulmonary events and contains a summary and final recommen...

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“…Surgical consultation should not be delayed as early surgical intervention when indicated, substantially impacts the post-perforation outcome [4]. Our patient underwent an immediate exploratory laparotomy, which revealed the site perforation was the small bowel which had sealed spontaneously.…”

Section: Discussionmentioning

confidence: 99%

Visual Diagnosis: A Young Woman with Acute Abdominal Pain

Dosani¹,

Beattie²,

Ryan³

2017

OJEM

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A 27-year-old female with a history of Crohn's disease and familial adenomatous polyposis (FAP) presented to the emergency department (ED) with severe abdominal pain after an endoscopic exam. Chest and abdominal radiographs revealed massive pneumoperitoneum and the patient underwent emergent exploratory surgery. Herein, we discuss the management and outcomes of this case. The importance of a thorough history and physical exam when evaluating for an acute abdomen and thus the development of a successful management plan is also underscored.

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Complications of colonoscopy in a large public county hospital in Greece. A 10-year study

Cited by 32 publications

References 37 publications

Massive Pneumoperitoneum After Colonoscopy

Massive Pneumoperitoneum After Colonoscopy

Identifying and reporting risk factors for adverse events in endoscopy. Part II: noncardiopulmonary events

Visual Diagnosis: A Young Woman with Acute Abdominal Pain

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