ASGE review of adverse events in colonoscopy.
Kothari Shivangi T, Huang Robert J, Shaukat Aasma, Agrawal Deepak, Buxbaum James L, Abbas Fehmi Syed M, Fishman Douglas S, Gurudu Suryakanth R, Khashab Mouen A, Jamil Laith H, Jue Terry L, Law Joanna K, Lee Jeffrey K, Naveed Mariam, Qumseya Bashar J, Sawhney Mandeep S, Thosani Nirav, Yang Julie, DeWitt John M, Wani Sachin, ASGE Standards of Practice Committee Chair
Gastrointestinal endoscopy · 2019 · PMID 31563271 · 인용 205
Colonoscopy is the most commonly performed endoscopic procedure and overall is considered a low-risk procedure. However, adverse events (AEs) related to this routinely performed procedure for screening, diagnostic, or therapeutic purposes are an important clinical consideration. The purpose of this document from the American Society for Gastrointestinal Endoscopy's Standards of Practice Committee is to provide an update on estimates of AEs related to colonoscopy in an evidence-based fashion.
A systematic review and meta-analysis of population-based studies was conducted for the 3 most common and important serious AEs (bleeding, perforation, and mortality). In addition, this document includes an updated systematic review and meta-analysis of serious AEs (bleeding and perforation) related to EMR and endoscopic submucosal dissection for large colon polyps. Finally, a narrative review of other colonoscopy-related serious AEs and those related to specific colonic interventions is included.