Bleeding and Perforation Complications after Follow-Up Colonoscopies in Faecal Immunochemical Test-Based Colorectal Cancer Screening: Insights from a Retrospective Case–Control Study

Tran, Thuy Ngan; Bouchat, Joanna; Peeters, Marc; Berghmans, Bea; Van Cutsem, Eric; Van Hal, Guido; Van Herck, Koen; Hoeck, Sarah

doi:10.3390/gidisord6010003

Cited by 2 publications

(1 citation statement)

References 62 publications

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“…Early symptoms include persistent abdominal pain and abdominal distention [5]. Another prominent consequence is GI bleeding, which occurs when polyps are removed during a colonoscopy or when the colon lining is traumatized, necessitating bleeding management procedures [6]. Although rare, sedation-related cardiopulmonary problems such as respiratory depression or cardiovascular events might occur, emphasizing the significance of meticulous monitoring throughout the treatment.…”

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confidence: 99%

Endoscopy of Low BMI Patients Compared to Normal BMI Patients: A Study From the Asser Region, Saudi Arabia

Al-Hagawi,

Alqahtani,

Nasser Alsharif

et al. 2024

Cureus

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Gastrointestinal (GI) endoscopies are essential for detecting and treating various digestive tract problems. While typically safe, these treatments can entail the risk of severe adverse events (SAEs), especially in individuals with a low body mass index (BMI). The current study aimed to evaluate whether post-endoscopy SAEs are more common in patients with low BMI and find risk factors for serious adverse outcomes in Saudi Arabian patients from Khamis Mushait, Aseer region, Saudi Arabia. The data of 398 adult patients with abdominal endoscopies between April and November 2023 were analyzed. Patients were divided into two groups: low BMI (BMI ≤ 18.5) and control (18.5 ≤ BMI ≤ 30). They were matched for age, gender, comorbidities, endoscopy type, and other pertinent characteristics. Low-BMI patients (Group I, n = 108) were substantially younger and had lower levels of albumin and total protein than the control group (Group II, n = 209). Comorbidities varied between groups, with diabetes mellitus more prevalent in Group II and inflammatory bowel disease (IBD) more commonplace in Group I. Treatment options also differed, with Group I receiving more biological treatments, steroids, and feeding tubes. Endoscopic procedures and indications were comparable among groups, with no significant variations in post-endoscopy complications. The endoscopy results varied from gastritis to colon malignancy, with no SAEs recorded in either group. Unlike earlier findings, this study found no higher incidence of SAEs in low-BMI individuals having abdominal endoscopy. This might be because of the restricted guidelines of different medical authorities, including clear informed consent that illustrates any risks, benefits, alternatives, sedation plan, and potential diagnostic or therapeutic interventions. Also, professional endoscopists and consultants who ensure adequate visualization of the GI mucosa, using mucosal cleansing and insufflation as necessary, should avoid any risk of abdominal hemorrhage. These findings highlight the significance of personalized risk assessment and pre-procedural optimization, including nutritional assistance, in this patient population. More prospective research with larger sample sizes is needed to validate these findings and create targeted techniques for improving outcomes in individuals with a low BMI having endoscopic operations.

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Section: Introductionmentioning

confidence: 99%

Endoscopy of Low BMI Patients Compared to Normal BMI Patients: A Study From the Asser Region, Saudi Arabia

Al-Hagawi,

Alqahtani,

Nasser Alsharif

et al. 2024

Cureus

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The Value of Colonoscopy in Assessing Rectal Bleeding in Patients Referred From Outpatient Care Units in Erbil, Iraq

Haweizy,

Qader

2024

Cureus

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Background and objectives: Rectal bleeding denotes bleeding from the lower colon or rectum, specifically from a location distal to the ligament of Treitz. Lower gastrointestinal bleeding (LGIB) is very common in adults of all ages. This study aimed to review the diagnostic findings of colonoscopy in outpatients who had nonurgent rectal bleeding and identify common pathologies causing rectal bleeding in patients at Erbil and Rizgary Teaching Hospitals in Iraq. Methods: We selected 400 male and female patients from outpatient departments with evidence of rectal bleeding, referring them to the gastroenterology units of Erbil and Rizgary Hospitals in Erbil, Iraq. Patients with upper gastrointestinal bleeding (UGIB) sources and other symptoms were excluded from the study. We prepared the bowel, subjected all patients to a colonoscopy, and recorded the findings. Where necessary, biopsies were also taken. A diagnosis was made based on the colonoscopic findings. Results: The total number of patients was 400. Their mean age + SD was 44.9 + 15.9 years, ranging from 18 to 83 years, and the highest proportion of the diagnoses was hemorrhoids, either alone (n = 140, 35%) or in combination with other diseases. The results indicated that 48 (40%) males aged < 45 years had hemorrhoids, compared with 33 (33.7%) males aged ≥ 45 years; for females, 29 (30.9%) in those aged < 45, compared to 30 (34.1%) in those aged ≥ 45. The next two prevalent diagnoses in the total sample were inflammatory bowel disease (n = 31, 7.8%) and colorectal tumor (n = 37, 9.3%). It was observed that around one-fifth (n = 79, 19.8%) of the sample was normal. Conclusion: This study highlights the leading causes of LGIB as diagnosed through colonoscopy. The main causes and patterns of LGIB across gender and age groups in Erbil were generally similar to other settings but with some differences. Hemorrhoids caused the most rectal bleeding, followed by tumors and then inflammatory bowel disease. The older group had more cases of diverticulosis than the younger group. Although most findings were benign, colonoscopy should be strongly considered for outpatients (young and old) with nonurgent rectal bleeding.

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Bleeding and Perforation Complications after Follow-Up Colonoscopies in Faecal Immunochemical Test-Based Colorectal Cancer Screening: Insights from a Retrospective Case–Control Study

Cited by 2 publications

References 62 publications

Endoscopy of Low BMI Patients Compared to Normal BMI Patients: A Study From the Asser Region, Saudi Arabia

Endoscopy of Low BMI Patients Compared to Normal BMI Patients: A Study From the Asser Region, Saudi Arabia

The Value of Colonoscopy in Assessing Rectal Bleeding in Patients Referred From Outpatient Care Units in Erbil, Iraq

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