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Best Pract Res Clin Gastroenterol. 2013 Oct;27(5):783-98. doi: 10.1016/j.bpg.2013.08.012. Epub 2013 Sep 7.

Emergencies after endoscopic procedures.

Author information

1
Department of Gastroenterology, Hospital Braga, Braga, Portugal; Life and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Braga, Portugal; ICVS/3B's - PT Government Associate Laboratory, Braga/Guimar√£es, Portugal. Electronic address: crolanda@ecsaude.uminho.pt.

Abstract

Endoscopy adverse events (AEs), or complications, are a rising concern on the quality of endoscopic care, given the technical advances and the crescent complexity of therapeutic procedures, over the entire gastrointestinal and bilio-pancreatic tract. In a small percentage, not established, there can be real emergency conditions, as perforation, severe bleeding, embolization or infection. Distinct variables interfere in its occurrence, although, the awareness of the operator for their potential, early recognition, and local organized facilities for immediate handling, makes all the difference in the subsequent outcome. This review outlines general AEs' frequencies, important predisposing factors and putative prophylactic measures for specific procedures (from conventional endoscopy to endoscopic cholangio-pancreatography and ultrasonography), with comprehensive approaches to the management of emergent bleeding and perforation.

KEYWORDS:

Bleeding; Diagnosis and management of severe complications; Embolization; GI emergencies; GI endoscopy adverse events; Haemorrhage; Infection; Perforation

PMID:
24160934
DOI:
10.1016/j.bpg.2013.08.012
[Indexed for MEDLINE]

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