Complications of Diagnostic Gastrointestinal Endoscopy

Hart, R.; Claßen, Martin

doi:10.1055/s-2007-1010734

Cited by 215 publications

(98 citation statements)

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“…The two complications are assumed to occur in 0.15% and 0.2% of the procedures, respectively. 20 The costs represent the payments by the US Health Care Finance Administration (HCFA) during the fiscal year 1998. The cost estimates of proctocolectomy and terminal care of patients with colorectal cancer are taken from a publication by Provenzale et al 21 The benefit of surveillance is measured in terms of life years gained.…”

Section: Transition Probabilitiesmentioning

confidence: 99%

Decision analysis of surveillance for colorectal cancer in ulcerative colitis

Delcò

Sonnenberg²

2000

Gastroenterology

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Background-Patients with long standing, extensive ulcerative colitis have an increased risk of developing colorectal cancer. Aims-To assess the feasibility of surveillance colonoscopy in preventing death from colorectal cancer. Patients-A hypothetical cohort of patients with chronic ulcerative colitis. Methods-The benefits of life years saved were weighted against the costs of biannual colonoscopy and proctocolectomy, and the terminal care of patients dying from colorectal cancer. Two separate Markov processes were modelled to compare the cost-benefit relation in patients with or without surveillance. The cumulative probability of developing colorectal cancer served as a threshold to determine which of the two management strategies is associated with a larger net benefit. Results-If the cumulative probability of colorectal cancer exceeds a threshold value of 27%, surveillance becomes more beneficial than no surveillance. The threshold is only slightly smaller than the actual cumulative cancer rate of 30%. Variations of the assumptions built into the model can raise the threshold above or lower it far below the actual rate. If several of the assumptions are varied jointly, even small changes can lead to extreme threshold values. Conclusions-It is not possible to prove that frequent colonoscopies scheduled at regular intervals are an eVective means to manage the increased risk of colorectal cancer associated with ulcerative colitis. (Gut 2000;46:500-506)

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Section: Transition Probabilitiesmentioning

confidence: 99%

Decision analysis of surveillance for colorectal cancer in ulcerative colitis

Delcò

Sonnenberg²

2000

Gastroenterology

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“…Even in the best hands, complications occur in 2% -10% of cases [1]. Clinically significant hemorrhagic complications associated usually with previous papillotomy are uncommon, although endoscopically visible bleeding is quite frequent [2].…”

Section: Introductionmentioning

confidence: 99%

Subcapsular Hepatic Hematoma after ERCP: A Case Report and Revision of Literature

Klimova¹,

Suárez²,

Asanza³

et al. 2014

CRCM

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Introduction: Endoscopic retrograde cholangiopancreatography (ERCP) is a minimally invasive procedure for diagnosis and treatment of biliary and pancreatic diseases. Even in the best hands, complications may occur. Clinically significant hemorrhagic complications associated usually to previous papillotomy are uncommon. Subcapsular hepatic hematoma is excepcional, with only twenty cases described. We present a case of a 52-year-old man who developed a large subcapsular liver hematoma following a therapeutic ERCP. Due to serious anemization and hemodynamic instability, arterial embolization and finally urgent surgical evacuation of the hematoma were performed. In the postoperative period the patient presented infection of the collection, which indicated colocation of percutaneous drainage and broad-spectrum intravenous antibiotics, and gradually recovered.

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“…It's uses in diagnosis are nearly ended with improvements in CT and MRI [3]. The most common complication post-ERCP is pancreatitis, following with duodenal perforation, haemorrhage and cholangitis.…”

Section: Discussionmentioning

confidence: 99%

Subcapsular liver hematoma due to endoscopic retrograde cholangiopancreatography: case report

Kılıç¹,

Acar²,

Canbak³

et al. 2016

Med-Science

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Subcapsular hematoma due to endoscopic retrograde cholangiopancreatography is a rare complication. There are only a few case reports in this subject in literature. This report's aim is to present subcapsular hematoma due to endoscopic retrograde cholangiopancreatography case and compare it with the literature. A sixty-nine-year-old female patient was admitted to the clinic with abdominal pain and jaundice. In physical examination epigastric tenderness was present. Patient went under ERCP procedure due to choledocholithiasis. 1.5 cm of filling defect was seen in hilar region in ERCP. The gallstone was extracted with endoscopic sphincterotomy, balloon and basket. 12 hours after being discharged, patient admitted to the emergency service presenting low blood pressure, fatigue and abdominal pain. Arterial blood pressure and heart rate was respectively 90/60 mmHg and 100 bpm. Abdominal examination presented tenderness, guarding and rebound in all quadrants. Ultrasonography and general abdominal computed tomography showed subcapsular liver hematoma and subdiaphragmatic free air. The patient was operated due to acute abdomen. During exploration, laceration and subcapsular hematoma was present on the anterior face of the right lobe. Lacerated area was sutured simply. Postoperative day 9 patient was discharged with no complications. Patient was admitted presenting fever and abdominal pain postoperative month 1. USG and CT revealed that an approximately 10x3 cm heterogenic collection adjacent to the left lobe of the liver was reaching out to epigastrium. Percutaneous drainage was performed. Drainage was continued for 1 week. Control USG revealed regression and drainage was terminated. No complications were observed in patients 1 year of follow-up. Subcapsular hematoma of the liver is a rare complication. It should be considered in case of sudden hypotension and abdominal pain after ERCP. Conservative treatment should be considered in the foreground, however, surgery should be scheduled in case of acute abdomen and/or hemodynamic instability.

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Complications of Diagnostic Gastrointestinal Endoscopy

Cited by 215 publications

References 0 publications

Decision analysis of surveillance for colorectal cancer in ulcerative colitis

Decision analysis of surveillance for colorectal cancer in ulcerative colitis

Subcapsular Hepatic Hematoma after ERCP: A Case Report and Revision of Literature

Subcapsular liver hematoma due to endoscopic retrograde cholangiopancreatography: case report

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