Researchers from the USA conducted a systematic review on the complications of endoscopy.
Drs Stephen Kavic and Marc Basson examined the incidence, prevention, and treatment of complications that may occur after endoscopy procedures.
The procedures assessed were upper endoscopy, colonoscopy, percutaneous endoscopic gastrostomy, and endoscopic retrograde cholangiopancreatography.
- medication effects
|American Journal of Surgery|
Pre-procedural complications included medication effects and adverse effects of bowel preparation.
Major procedural complications were found to consist primarily of perforation and hemorrhage.
Fistula and obstruction were possible complications of percutaneous endoscopic gastrostomy tube placement.
There is also a risk of infectious disease transmission, both to and from the patient.
Dr Kavic, of the Yale University School of Medicine, New Haven, Connecticut, concluded on behalf of colleagues, "Endoscopy, like all invasive procedures, carries significant potential risks for the patient.
"In practiced hands, and with awareness of the problems that may arise, many complications may be avoided, and others successfully managed."