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colonoscopy minor complications

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https://www.readbyqxmd.com/read/27687428/bilateral-tension-pneumothorax-during-colonoscopy-in-a-patient-with-chronic-obstructive-pulmonary-disease-a-case-report
#1
Wei-Cheng Tseng, Chun-Chang Yeh, Shu-Wen Jao, Zhi-Fu Wu, Shinn-Long Lin
Colonoscopy is widely performed for the diagnosis and treatment of various colonic disorders and the screening and surveillance of colorectal neoplasia. According to research evidence, up to one-third of patients had at least 1 minor and transient gastrointestinal symptom after colonoscopy. Although severe complications developed uncommonly, they are potentially serious and life threatening. Here, we present the case of a 95-year-old man with chronic obstructive pulmonary disease who developed bilateral tension pneumothorax during therapeutic colonoscopy for sigmoid volvulus...
November 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27529524/-safety-of-sedation-during-gastroscopy-and-colonoscopy-in-low-risk-patients-results-of-a-retrospective-subgroup-analysis-of-a-registry-study-including-over-170%C3%A2-000-endoscopies
#2
A Behrens, C Ell
INTRODUCTION: Administering sedation is an established standard in gastrointestinal endoscopy, particularly in situations in which sedation is used to make the examination more comfortable for the patient (e. g., during preventive check-up examinations). It is important to have precise information about the risk of sedation-associated complications. AIMS AND METHODS: The aim of this study was to record the incidence and type of sedation-associated complications in a low-risk group of patients (ASA 1 or 2) undergoing elective diagnostic esophagogastroduodenoscopy or colonoscopy...
August 2016: Zeitschrift Für Gastroenterologie
https://www.readbyqxmd.com/read/26832654/capnographic-monitoring-of-moderate-sedation-during-low-risk-screening-colonoscopy-does-not-improve-safety-or-patient-satisfaction-a-prospective-cohort-study
#3
Sheila Barnett, Adelina Hung, Roy Tsao, Julie Sheehan, Bolanle Bukoye, Sunil G Sheth, Daniel A Leffler
OBJECTIVES: Appropriate monitoring during sedation has been recognized as vital to patient safety in procedures outside of the operating room. Capnography can identify hypoventilation prior to hypoxemia; however, it is not clear whether the addition of capnography improves safety or is cost effective during routine colonoscopy, a high volume, low-risk procedure. Our aim was to evaluate the value of EtCO2 monitoring during colonoscopy with moderate sedation. METHODS: We conducted a prospective study of sedation safety and patient satisfaction before and after the introduction of EtCO2 monitoring during outpatient colonoscopy with midazolam and fentanyl using the validated PROcedural Sedation Assessment Survey (PROSAS)...
March 2016: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/26805323/-cases-of-obstructive-colon-cancer-for-which-elective-surgery-was-performed-after-colonic-stent-placement
#4
Hirotoshi Maruo, Koichi Nakamura, Yukihiro Higashi, Tsuyoshi Shoji, Masanori Yamazaki, Raisuke Nishiyama, Kota Koike, Hiroyuki Kubota
The present study investigated the short-term outcomes of 20 patients with obstructive colon cancer who underwent colonic stent placement as a bridge to surgery (BTS) during the 3-year period between April 2012 and March 2015. Subjects comprised 13 men and 7 women, with a mean age of 68.3 years. Placement and decompression were successfully achieved in all of the patients. Oral ingestion became possible from a mean of 2.7 days after placement. No serious complications associated with placement were encountered...
November 2015: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/26183958/the-role-of-single-balloon-colonoscopy-for-patients-with-previous-incomplete-standard-colonoscopy-is-it-worth-doing-it
#5
Michael Christian Sulz, Remus Frei, Gian-Marco Semadeni, Mikael Sawatzki, Jan Borovicka, Christa Meyenberger
BACKGROUND: The rate of cecal intubation is a well-recognized quality measure of successful colonoscopy. Infrequently, the standard colonoscopy techniques fail to achieve complete examination. The role of single-balloon overtube-assisted colonoscopy (SBC) in these situations has only been sparsely studied. This prospective single-center study aimed to investigate the technical success (rate of cecal intubation) and the diagnostic gain of SBC. METHODS: The study recruited consecutive patients with previous incomplete standard colonoscopy who were admitted for SBC at our tertiary center in Eastern Switzerland between February 2008 and October 2014...
May 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/25927678/long-term-results-of-microcoil-embolization-for-colonic-haemorrhage-how-common-is-rebleeding
#6
O Ahmed, D Jilani, S Sheth, M Giger, B Funaki
OBJECTIVE: To determine the long-term results of patients undergoing transcatheter coil embolization for the treatment of acute colonic haemorrhage. METHODS: Patients undergoing angiography for suspected colonic bleeding between January 2002 and December 2012 were reviewed (average age, 60 years; 38.4% male). Baseline, procedural and outcome parameters were recorded following the Society of Interventional Radiology guidelines. Primary outcome measures included early (<30 days) and delayed (>30 days) rebleeding events and adverse procedure-related complication...
July 2015: British Journal of Radiology
https://www.readbyqxmd.com/read/25819127/-managing-side-effects-of-targeted-therapies-in-renal-cancer-surgical-complications
#7
Christine Chevreau, Arnaud Méjean, Marc Pocard
The principal surgical complication feared in a patient under anti-angiogenic targeted therapy is gastrointestinal perforation. It is therefore important to be alert to situations "potentially at risk" of perforation: diverticulitis, carcinomatosis, intra-abdominal abscess, history of external radiotherapy, colonoscopy in the 4 weeks preceding the treatment, inflammatory disease and gastrointestinal mucosal ulceration, colonic stent, NSAID. It is essential to make an early diagnosis, and for treatment to be conservative if possible, with nasogastric aspiration without surgery...
2011: Bulletin du Cancer
https://www.readbyqxmd.com/read/25634931/predictive-factors-for-colonoscopy-complications
#8
Annie O O Chan, Louis N W Lee, Angus C W Chan, W N Ho, Queenie W L Chan, Silvia Lau, Joseph W T Chan
OBJECTIVE: To determine factors predicting complications caused by colonoscopy. DESIGN: Prospective cohort study. SETTING: A private hospital in Hong Kong. PATIENTS: All patients undergoing colonoscopy in the Endoscopy Centre of the Hong Kong Sanatorium & Hospital from 1 June 2011 to 31 May 2012 were included. Immediate complications were those that were recorded by nurses during and up to the day after the examination, while delayed complications were gathered 30 days after the procedure by way of consented telephone interview by trained student nurses...
February 2015: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/25575107/rates-of-minor-adverse-events-and-health-resource-utilization-postcolonoscopy
#9
Vladimir Marquez Azalgara, Maida J Sewitch, Lawrence Joseph, Alan N Barkun
BACKGROUND: Little is known about minor adverse events (MAEs) following outpatient colonoscopies and associated health care resource utilization. OBJECTIVE: To estimate the rates of incident MAE at two, 14 and 30 days postcolonoscopy, and associated health care resource utilization. A secondary aim was to identify factors associated with cumulative 30-day MAE incidence. METHODS: A longitudinal cohort study was conducted among individuals undergoing an outpatient colonoscopy at the Montreal General Hospital (Montreal, Quebec)...
December 2014: Canadian Journal of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/25438874/-characteristics-of-deep-sedation-in-gastrointestinal-endoscopic-procedures-performed-by-intensivists
#10
Ó Martínez, D Ballesteros, B Estébanez, M Chana, B López, C Martín, Á Algaba, L Vigil, R Blancas
OBJECTIVE: To determine tolerance, pain intensity, percentage of tests completed successfully and complications of deep sedation controlled by intensivists during gastrointestinal endoscopic procedures. DESIGN: A one-year, prospective observational study was carried out. SETTING: Department of Intensive Care intervention in the Endoscopy Unit of Hospital Universitario del Tajo (Spain). PATIENTS: Subjects over 15 years of age subjected to endoscopic procedures under deep sedation...
December 2014: Medicina Intensiva
https://www.readbyqxmd.com/read/24859958/-transanal-endoscopic-microsurgery-by-transanal-glove-port-combined-with-colonoscopy-for-excision-of-rectal-tumors
#11
Qun Deng, Xiujun Liao, Guangen Yang, Weiming Mao, Zhong Shen, Zhiyong Liu, Jing Ding, Xiufeng Zhang, Yanyan Yu
OBJECTIVE: To evaluate the feasibility and efficacy of transanal endoscopic microsurgery (TEM) by transanal glove port combined with colonoscopy for excision of rectal tumors. METHODS: Eight patients with rectal cancer eligible for local resection were chosen to receive a procedure performed via a "glove TEM port" from October 2012 to March 2013. This device was constructed on-table using a circular anal dilator (CAD), standard surgical glove, colonoscopy instruments and straight laparoscopic instruments...
May 2014: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/24847627/-neoplasic-colonic-obstruction-resolution-with-self-expanding-metallic-stents
#12
Gastón Jury, Leandro Amieva, Martín Dolan, Rafael López Fagalde, Diego Naiderman, Martín Pastorino, Rubén Jury
INTRODUCTION: The endoscopic placement of self-expanding metallic stents (SEMS) emerges as a therapeutic option for neoplastic colonic obstruction in two situations: as palliative treatment and as a bridge to surgery. The latter can avoid emergency surgery, thus decreasing the rate of ostomies and the mortality and morbidity associated with them. OBJECTIVES: To evaluate the feasibility, safety and benefits of SEMS placement for the treatment of neoplastic colorectal obstruction...
March 2014: Acta Gastroenterologica Latinoamericana
https://www.readbyqxmd.com/read/24771194/bedside-colonoscopy-in-intensive-care-units-indications-techniques-and-outcomes
#13
James Church, Jeff Kao
BACKGROUND: Colonoscopy performed in critically ill patients is poorly documented in the literature. The clinical setting is completely different from routine outpatient colonoscopy with different aims and techniques. We proposed to examine the role of urgent colonoscopy in critically ill patients. METHODS: This was a retrospective review of patients in a prospectively recorded database. All patients undergoing colonoscopy in an intensive care unit were identified from a colonoscopy database...
September 2014: Surgical Endoscopy
https://www.readbyqxmd.com/read/24686342/presentation-and-management-of-splenic-injury-after-colonoscopy-a-systematic-review
#14
REVIEW
Gaetano Piccolo, Maria Di Vita, Andrea Cavallaro, Antonio Zanghì, Emanuele Lo Menzo, Francesco Cardì, Alessandro Cappellani
This study reviewed all single experience of splenic injuries after colonoscopy in the last 40 years to define the possible risk factors and the management of this complication. A MEDLINE and a PubMed search was undertaken to identify articles in English, French, Spanish, and Italian from 1974 to 2012 using the key words: "splenic injury," "splenic rupture," and "colonoscopy." Data were analyzed using descriptive statistic. A total of 103 cases have been described in 75 reports. The majority of the patients were women (71...
April 2014: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/24623293/endoscopic-submucosal-dissection-for-colorectal-laterally-spreading-tumors
#15
Sadettin Hülagü, Ömer Şentürk, Uğur Korkmaz, Göktuğ Şirin, Ali Erkan Duman, Gökhan Dindar, Altay Çelebi, Deniz Öğütmen Koç, Neslihan Bozkurt, Hasan Yılmaz, Yeşim Gürbüz, Deniz Duman, Orhan Tarçın
BACKGROUND/AIMS: Colorectal laterally spreading tumors are superficial tumors classified into two groups as granular (G-laterally spreading tumor) and non-granular (non-granular-laterally spreading tumor) types. In this study, we aimed to investigate the efficacy and feasibility of endoscopic submucosal dissection in the treatment of laterally spreading tumors. MATERIALS AND METHODS: Forty-four laterally spreading tumors in 40 patients were treated with endoscopic submucosal dissection at a tertiary referral hospital...
2013: Turkish Journal of Gastroenterology: the Official Journal of Turkish Society of Gastroenterology
https://www.readbyqxmd.com/read/24323003/nutrition-and-gastrointestinal-disorders
#16
S K Lin, J R Lambert, M L Wahlqvist
The gastrointestinal tract, including the liver and pancreas, is a complex system whose function is to process a wide range of nutrient and other products enabling their absorption as well as detoxification and excretion. During the process, food is converted into energy and into other substances that are used by cells throughout the entire body. Many diseases can affect the various organs of the gastrointestinal (GI) system and diet plays a relatively minor role in the onset of such GI diseases. Recently it has become clear that glutamine, a 'non-essential' amino acid, is important in the maintenance of intestinal mucosal metabolism, structure and function...
March 1992: Asia Pacific Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/24206547/intermittent-boluses-versus-pump-continuous-infusion-for-endoscopist-directed-propofol-administration-in-colonoscopy
#17
RANDOMIZED CONTROLLED TRIAL
Jesús M González-Santiago, Elisa Martín-Noguerol, Gema Vinagre-Rodríguez, Moisés Hernández-Alonso, Carmen Dueñas-Sadornil, Belén Pérez-Gallardo, José M Mateos-Rodríguez, Miguel Fernández-Bermejo, Pilar Robledo-Andrés, Javier Molina-Infante
BACKGROUND: non-anesthesiologist administration of propofol (NAAP) using continuous infusion systems may achieve a more sustained sedative action. AIM: to compare intermittent boluses (IB) with pump continuous infusion (PCI) for NAAP, targeted to moderate sedation, for colonoscopy. METHODS: 192 consecutive outpatients were randomized to receive IB (20 mg propofol boluses on demand) or PCI (3 mg/kg/h plus 20 mg boluses on demand). Sedation could be stopped at cecal intubation at the discretion of the endoscopist...
August 2013: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/24154770/perceived-risks-and-benefits-of-surveillance-colonoscopy-in-people-undergoing-surveillance-for-family-history-of-colorectal-cancer
#18
Gregory P Tarr, Rebecca A Smith, Rhys A John, Andrew P Crowley, Jonathan B C Kok, Ho-Nam Lee, Mohd Hasif B Mustafa, Kia M Sii, Sung-Eun Son, Lauren J Weaver, Claire Cameron, John D Dockerty, Iain A Murray, Michael Schultz
AIM: To determine perceived risks and benefits of colonoscopy surveillance among patients undergoing surveillance colonoscopy due to family history of colorectal cancer (CRC). METHOD: We conducted a standardised phone interview of 250 randomly selected people who had undergone surveillance colonoscopy at Dunedin Hospital. We assessed perceptions of colonoscopy effectiveness, complication rates, and CRC risk. RESULTS: We included 148 (69%) participants...
September 13, 2013: New Zealand Medical Journal
https://www.readbyqxmd.com/read/23826061/massive-rectal-bleeding-after-prostate-biopsy-controlled-by-endoclipping-in-a-patient-using-acetylsalicylic-acid
#19
Bora Ozveren, Levent Türkeri
A case of severe rectal bleeding following transurethral ultrasound (TRUS)-guided prostate biopsy is reported. Rectal bleeding is considered a minor, transient complication of this standard diagnostic procedure that can usually be controlled successfully by conservative measures. In this case where the patient had been taking acetylsalicylic acid (ASA), massive bleeding required hospitalization and blood transfusions. Conservative treatment attempts were not succesful, and profuse rectal bleeding was eventually treated by colonoscopy and endoclipping of the bleeding vessel...
May 2013: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/23666513/barriers-to-screening-colonoscopy-in-an-urban-population-a-study-to-help-focus-further-efforts-to-attain-full-compliance
#20
Vishal Ghevariya, Sushil Duddempudi, Nehal Ghevariya, Madhavi Reddy, Sury Anand
BACKGROUND: Awareness of colorectal cancer and decision for colorectal cancer screening is influenced by multiple factors including ethnicity, level of education, and adherence to regular medical follow up. OBJECTIVE: Our survey aimed at assessing barriers to colorectal cancer screening among urban population. DESIGN: This study is a survey of the general population. SETTING: This study was made at a local community in the downtown area of a metropolitan city...
November 2013: International Journal of Colorectal Disease
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