Adverse Event Fatalities Related to GI Endoscopy

Swei, Eric; Heller, J. Christie; Scott, Frank A.; Attwell, Augustin

doi:10.1007/s10620-021-06981-9

Cited by 8 publications

(11 citation statements)

References 26 publications

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“…12,17 Although the risk of perforation when performed by a gastroenterologist is very low (< 1 in 1000), multiple risk factors might lead to this potentially fatal complication of perforation. 12,18 Hence, it should only be used in the 7 Due to the retrospective nature of In our study, the chief indication for colonoscopy was chronic abdominal pain which constituted 81.03% of the total cases. This differs from the most common indication (20.5%) and study by Dinesh et al (24.8%), which was per rectal bleeding in both studies.…”

Section: Discussionmentioning

confidence: 88%

Pattern of Lower Gastrointestinal Diseases on Colonoscopy and Histopathological Examination in a Tertiary Care Center of Nepal

Roka

Jha

et al. 2022

Med. J. Shree Birendra Hosp.

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Introduction: Many patients visiting the medicine outpatient department (OPD) and gastroenterology OPD have lower gastrointestinal (GI) symptoms and substantial would require to undergo colonoscopy. Colonoscopy is an effective endoscopic procedure to evaluate the entire colon from rectum to terminal ileum and perform some known therapeutic procedures. The aim of our study was to see the pattern of lower GI diseases in patients by colonoscopy and histopathological examination. Methods: This was a retrospective observational study conducted at Shree Birendra Hospital, Kathmandu, Nepal, after taking ethical approval from the Institutional Review Committee. Collective data of patients who underwent colonoscopy from October 2017 to September 2020 was evaluated from the endoscopy records. Analysis was done in the form of proportions and percentages and presented in tables and figures. Results: A total of 232 patients were evaluated. The most common indication was chronic abdominal pain 188 (81.03%) followed by per rectal bleeding 14 (6.03%) and chronic constipation 14 (6.03%). Colonoscopy showed normal findings in 182 (78.44%), colitis in 14 (6.03%), hemorrhoids and proctitis in 10 (4.31%) each, polyps in eight (3.44%), and malignancy in six (2.58%). Malignancy was proven in all six suspected patients by histopathological examination. Conclusions: Colonoscopy is an effective diagnostic modality for GI symptoms. Histopathological examination of the colonic biopsy showed a wide spectrum of common lower GI pathology from non-specific inflammation to malignancy with minimal complications. This shows colonoscopy as a safe and effective diagnostic modality for patients with lower gastrointestinal symptoms.

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Section: Discussionmentioning

confidence: 88%

Pattern of Lower Gastrointestinal Diseases on Colonoscopy and Histopathological Examination in a Tertiary Care Center of Nepal

Roka

Jha

et al. 2022

Med. J. Shree Birendra Hosp.

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“…On average there were 4.3 ± 2.3 fatal outcomes detected in an autopsy after an endoscopy per year 1 2 3 4 5 6 7 8 9 .…”

Section: Resultsmentioning

confidence: 99%

“…Similarly, from the coroner`s point of view, about 4 out of 1000 autopsies have to be performed because something went fatally wrong in endoscopy. Looking at it from the clinician`s point of view, a recently published study identified 28 fatal endoscopic events out of 146.010 gastrointestinal endoscopies over a 9-year period (procedure-related fatality rate = 0,018%), with EGDs being the most common endoscopic procedure leading to fatal outcome (n=11) [2].…”

Section: Discussionmentioning

confidence: 99%

Fatal outcomes of endoscopy: an analysis from the coronerʼs point of view

Lock

Püschel

2023

Endosc Int Open

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Objectives: To give a profound analysis on fatalities associated with endoscopic procedures. Methods: Protocols of all autopsies performed within 20 years in a large Department of Forensic Medicine were retrospectively analyzed to identify all fatalities directly related to an endoscopic procedure. Data were further specified focussing on the type of endoscopy and the final cause of death. Results: Out of 22,615 autopsies performed between January 2000 to September 2019, 86 deaths were identified as a complication of an endoscopic procedure. The average age of these 86 cases was 70,9 years (66,4 [26-89] years in male (n=35) and 74,1 [22-94] years in female (n=51) patients). Endoscopic procedures included 29 ERCPs, 27 colonoscopies, 18 PEG placements, 6 gastroscopies, 2 upper endosopic ultrasonographies, and 4 transesophageal echocardiographies. ERCP, colonoscopy and PEG procedures together accounted for 74/86 (86%) endoscopy related deaths. Focussing on the single procedures, post-ERCP-pancreatitis (14/29, 48%), colonoscopy associated perforation (24/27, 89%), and peritonitis after PEG-placement (16/18, 88%) were the most common causes of death. Conclusions: Even in the thought-to-be-safe and screening endoscopic procedures fatalities do occur. This study gives an overview of endoscopy-related fatalities, stressing the role of ERCP, colonoscopy, and PEG. Keywords: Fatal outcomes; Endoscopy; Autopsy; Forensic Medicine; fatality

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“…Crooks et al have reported on unexpected hospital admissions and primary care visits after elective gastroscopy 1 . Previous studies had focused on gastrointestinal complications such as perforation and bleeding following gastroscopy 2,3 . Studies about complications from gastroscopy are scarce compared to colonoscopy 4–6 …”

mentioning

confidence: 99%

“…1 Previous studies had focused on gastrointestinal complications such as perforation and bleeding following gastroscopy. 2,3 Studies about complications from gastroscopy are scarce compared to colonoscopy. [4][5][6] Crooks et al designed their UK population-based study using linked primary, secondary care and death registry data from the Clinical Practice Research Datalink (CPRD).…”

mentioning

confidence: 99%

Editorial: seeing the light at the end of gastroscope—Complications after elective procedures are ready for NICE, bright decision aid tools

Shiratori

Miller

Hutfless

2022

Aliment Pharmacol Ther

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Crooks et al have reported on unexpected hospital admissions and primary care visits after elective gastroscopy. 1 Previous studies had focused on gastrointestinal complications such as perforation and bleeding following gastroscopy. 2,3 Studies about complications from gastroscopy are scarce compared to colonoscopy. [4][5][6] Crooks et al designed their UK population-based study using linked primary, secondary care and death registry data from the Clinical Practice Research Datalink (CPRD). A total of 225,304

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Adverse Event Fatalities Related to GI Endoscopy

Cited by 8 publications

References 26 publications

Pattern of Lower Gastrointestinal Diseases on Colonoscopy and Histopathological Examination in a Tertiary Care Center of Nepal

Pattern of Lower Gastrointestinal Diseases on Colonoscopy and Histopathological Examination in a Tertiary Care Center of Nepal

Fatal outcomes of endoscopy: an analysis from the coronerʼs point of view

Editorial: seeing the light at the end of gastroscope—Complications after elective procedures are ready for NICE, bright decision aid tools

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