Colonoscopy-related colonic ischemia

Sadalla, Sinan; Lisotti, Andrea; Fuccio, Lorenzo; Fusaroli, Pietro

doi:10.3748/wjg.v27.i42.7299

Cited by 9 publications

(3 citation statements)

References 67 publications

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“…The small bowel, which is a large part of the intestines, is inaccessible; it lacks the sensitivity and specificity needed to detect more subtle ischemic changes; the observed ischemia changes do not indicate whether the cause of ischemia is due to occlusive or non-occlusive; the observed mucosal necrosis does not always correspond to transmural necrosis. Moreover, it was also reported that colonoscopy was one of the risk factors for colon ischemia ( Sadalla et al, 2021 ).…”

Section: Survey Methodologymentioning

confidence: 99%

Advances in the diagnosis of non-occlusive mesenteric ischemia and challenges in intra-abdominal sepsis patients: a narrative review

Zhou¹,

Liu²,

Shou³

et al. 2023

PeerJ

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Non-occlusive mesenteric ischemia (NOMI) is a type of acute mesenteric ischemia (AMI) with a high mortality rate mainly because of a delayed or misdiagnosis. Intra-abdominal sepsis is one of the risk factors for developing NOMI, and its presence makes early diagnosis much more difficult. An increase in routine abdominal surgeries carries a corresponding risk of abdominal infection, which is a complication that should not be overlooked. It is critical that physicians are aware of the possibility for intestinal necrosis in abdominal sepsis patients due to the poor survival rate of NOMI. This review aims to summarize advances in the diagnosis of NOMI, and focuses on the diagnostic challenges of mesenteric ischemia in patients with intra-abdominal sepsis.

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Section: Survey Methodologymentioning

confidence: 99%

Advances in the diagnosis of non-occlusive mesenteric ischemia and challenges in intra-abdominal sepsis patients: a narrative review

Zhou¹,

Liu²,

Shou³

et al. 2023

PeerJ

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“…If there is suspicion of an issue in the colon, large intestine, or the lower part of the small intestine, a colonoscope is inserted through the rectum. Colonoscopy is particularly recommended for individuals who cannot undergo a contrast injection, especially those with allergies or kidney problems [47].…”

Section: Colonic Ischemiamentioning

confidence: 99%

The Evolving Landscape of Colonoscopy: Recent Developments and Complication Management

Patel,

Momin

et al. 2024

Colonoscopy - Diagnostic and Therapeutic Advances

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Colorectal cancer is globally recognized as the third most prevalent cancer, highlighting the crucial role of colonoscopy in diagnosis and therapeutic interventions. This medical procedure has demonstrated its effectiveness in preventing colorectal cancer and investigating a wide range of gastrointestinal symptoms. It has long been acknowledged as the gold standard for screening colorectal cancer. The primary objective of this analysis is to outline diverse range of complications associated with preparatory phase of colonoscopy, especially among hospitalized patients, including those with potentially life-threatening conditions. The ultimate aim is to elucidate strategies to prevent complications during the preparatory phase of colonoscopy. The real-time visual feed produced by endoscopic camera allows for the detection of abnormal growth of the colonic wall. This capability facilitates the assessment, biopsy, and removal of mucosal lesions through various biopsy instruments accessible via specialized channels. With its multifaceted utility, colonoscopy has become a frontline approach in making colorectal cancer a preventable and early-detectable disease over the past few decades. Common complications associated with colonoscopy include occurrences like vomiting, nosebleeds, abdominal pain, and acute diarrhoea. This review primarily focuses on developments that have transpired over the past five years, leading to changes in multiple aspects of colonoscopy.

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“…The primary test for secondary CRC prophylaxis is a colonoscopy [8,9]. This examination involves viewing the large intestine from the lumen side using a thin, flexible tube (colonoscope) with a camera on the end, through which the physician obtains an image of the intestinal mucosa on the monitor.…”

Section: Screeningmentioning

confidence: 99%

Colorectal Cancer—The Worst Enemy Is the One We Do Not Know

Furtak–Niczyporuk

Zardzewiały

Balicki

et al. 2023

IJERPH

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Background: Colorectal cancer is one of the most common cancers in humans. It is the third most frequently diagnosed malignant neoplasm and is the second highest cause of cancer mortality in the world. Every year, more and more people die of colorectal cancer because the diagnosis is conducted too late. This shows how important a role screening tests and the awareness of the population about the symptoms play in this aspect. This article aimed to determine the knowledge of the Polish population about morbidity, symptoms, prevention, and subjective feelings about the level of availability of knowledge about colorectal cancer. Methods: In 2020, a study was conducted using an online questionnaire assessing the awareness of the Polish population about colorectal cancer. A self-authored questionnaire including questions about socio-demographic characteristics, and 18 questions related to substantive issues, was used. A research group was selected (n = 633). The substantive part of the questionnaire included questions examining the respondents’ knowledge about morbidity, symptoms, prevention, and subjective feelings about the level of availability of knowledge about colorectal cancer. Results: The respondents’ awareness level was influenced by demographic factors, such as gender: (p < 0.05) and age (p < 0.05) and social factors, such as: level of education (p < 0.05) or professional situation (p < 0.05). Compared to thematic articles from other countries, the research group was divided into smaller subgroups due to the abovementioned factors, due to which it was possible to stratify and analyze the significance of differences between them.

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Colonoscopy-related colonic ischemia

Cited by 9 publications

References 67 publications

Advances in the diagnosis of non-occlusive mesenteric ischemia and challenges in intra-abdominal sepsis patients: a narrative review

Advances in the diagnosis of non-occlusive mesenteric ischemia and challenges in intra-abdominal sepsis patients: a narrative review

The Evolving Landscape of Colonoscopy: Recent Developments and Complication Management

Colorectal Cancer—The Worst Enemy Is the One We Do Not Know

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