Endoscopic complications. Results of the 1974 American Society for Gastrointestinal Endoscopy Survey

Silvis, Stephen E.

doi:10.1001/jama.235.9.928

Cited by 345 publications

(171 citation statements)

References 14 publications

Supporting

Mentioning

147

Contrasting

Unclassified

Order By: Relevance

“…For example, a study by the American Society for Gastrointestinal Endoscopy involving 25,000 diagnostic colonoscopies reported a complication rate of 0.35%. 4 In another large study, Jentscura et al 5 reported an overall complication rate of 0.4% in 26,695 prospectively registered colonoscopies. The most common complications in adult patients are hemorrhage, preparation-associated complications, adverse effects of sedative medicines, perforation, and bacteremia.…”

Section: Discussionmentioning

confidence: 96%

“…6 Death is a rare complication, occurring in approximately 0.0006% of procedures. 7 Colonoscopy with polypectomy has been reported to have a higher complication rate of up to 3.0%, 4,8 related to postpolypectomy hemorrhage and perforation. 6 Gastrointestinal bleeding has also been reported as the most prevalent complication in adult studies.…”

Section: Discussionmentioning

confidence: 99%

“…The rate of perforation in adult colonoscopies is also very low, estimated at less than 0.2% (range, 0.03%-0.81%). 4,8,9,19,26 Overall, adult studies did not demonstrate a clear association between polypectomy and the rate of perforation. 6 Predisposing factors to perforations included the presence of adhesions, strictures, or severe diverticular disease; these conditions are less common in pediatrics.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Complications of Pediatric Colonoscopy: A Five-Year Multicenter Experience

Thakkar

El–Serag

Mattek

et al. 2008

Clinical Gastroenterology and Hepatology

View full text Add to dashboard Cite

Colonoscopy has become a routine modality for the evaluation and treatment of colonic disorders in children. Although generally considered a safe procedure, colonoscopy has the potential for complications. Most informed consent forms describe adverse effects of sedative medicines, perforation, infection, and bleeding as possible risks of colonoscopy. However, the frequency of these complications remains unclear. There are limited pediatric data showing complication rates, and most prior studies involved small numbers of procedures. Furthermore, there might be additional complications that need to be added to consent protocols, because most current complication data are extrapolated from the much larger experience in adult populations.A review of pediatric literature demonstrated a wide array of potential complications and no large multicenter studies during the past 25 years. The largest study was conducted in [1978][1979] and included a survey of 1400 proctosigmoidoscopies performed during an 18-month period at 25 medical centers in the U.S. 1 This study was only published in abstract form and reported complications in 0.2% of all colonoscopy procedures. These complications included one hemorrhage requiring transfusion and one perforation. In the second largest study, Stringer et al 2 prospectively described a series of 250 flexible colonoscopies done in the United Kingdom during a 3.5-year period with no adverse events. Several other studies reported complications (Table 1) in pediatric colonoscopy, but the majority of these studies examined a small number of procedures.Determination of potential colonoscopy-related complications and their expected frequency in children can lead to enhanced risk-benefit analysis by physicians and patients and improved informed consent. There is a lack of systematic, multicenter studies in the pediatric population. Therefore, we conducted the current study to examine the frequency, type, and clinical determinants of immediate complications encountered during pediatric Address requests for reprints to: Kalpesh Thakkar, MD, 6621 Fannin St CCC 1010, Houston, TX 77030. kthakkar@bcm.tmc.edu; fax: 832-825-3633. Simple logistic regression was used to estimate the crude risk of cardiopulmonary events and gastrointestinal bleeding for variables that were identified as significantly associated with the outcomes during categorical analysis (P < .05). Multiple logistic regression models included all variables determined significant on univariate analysis. In constructing the models, we followed the commonly used heuristic of 10 outcome events for each explanatory variable. The adjusted risks estimate for each independent predictor variable was expressed as odds ratios. All analyses were performed by using SAS software (SAS Institute, Inc, Cary, NC). HHS Public Access ResultsDuring the study period, 8841 colonoscopies were recorded at 12 PEDS-CORI sites, and 1049 (11.9%) were excluded for incomplete procedure notes, duplicate records, or patient age older than 18 years. Thus, a total of 77...

show abstract

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Complications of Pediatric Colonoscopy: A Five-Year Multicenter Experience

Thakkar

El–Serag

Mattek

et al. 2008

Clinical Gastroenterology and Hepatology

View full text Add to dashboard Cite

show abstract

“…Older study in 1974 by American Society for Gastrointestinal Endoscopy Survey showed the overall complication rate was 0.13%. [1] Recent study report of overall complications rate by Mayo Clinic College of Medicine shows decreased overall complications rate as 0.0002 percent for simple diagnostic upper endoscopy. [2] For perforations, esophageal perforation is the most common site of perforation during the upper endoscopy.…”

Section: Discussionmentioning

confidence: 99%

Pneumomediastinum, pneumoperitoneum, and pneumoretroperitoneum secondary to afferent loop perforation after upper endoscopy in patient with Billroth II gastrectomy

Hou

Chen

Shih

2016

CRIM

View full text Add to dashboard Cite

Complications related by upper endoscopy include bleeding, perforation and infections but they are rare on simply diagnostic endoscopy. Duodenal perforation is less common but mortality rates are high. Diagnosis is based on keeping high suspicion that makes early detection to offer optimal treatments and better outcomes. Surgical intervention is standard treatment but some cases could benefit from conservative care. However, there was little literature description of afferent loop perforation after upper endoscopy. Herein, we report a case of pneumomediastinum, pneumoperitoneum, and pneumoretroperitoneum secondary to afferent loop perforation after upper endoscopy in patient with Billroth II gastrectomy. This rare case should be the reminder for physicians carefully performing upper endoscopy in patients with Billroth-II gastrectomy and keeping high suspicion of perforation after endoscopy if abdominal pain.

show abstract

“…Questions relating to procedure assessment should be included on the board examination and should reflect a general knowledge of this content (70)(71)(72)(73)(74)(75)(76)(77)(78)(79)(80)(81)(82)(83)(84)(85).…”

Section: Assessment Of Competencymentioning

confidence: 99%