ASGE review of adverse events in colonoscopy.

Authors :: Kothari ST
Huang RJ
Shaukat A
Agrawal D
Buxbaum JL
Abbas Fehmi SM
Fishman DS
Gurudu SR
Khashab MA
Jamil LH
Jue TL
Law JK
Lee JK
Naveed M
Qumseya BJ
Sawhney MS
Thosani N
Yang J
DeWitt JM
Wani S
Source :: Gastrointestinal endoscopy [Gastrointest Endosc] 2019 Dec; Vol. 90 (6), pp. 863-876.e33. Date of Electronic Publication: 2019 Sep 25.
Publication Year :: 2019
Abstract: Colonoscopy is the most commonly performed endoscopic procedure and overall is considered a low-risk procedure. However, adverse events (AEs) related to this routinely performed procedure for screening, diagnostic, or therapeutic purposes are an important clinical consideration. The purpose of this document from the American Society for Gastrointestinal Endoscopy's Standards of Practice Committee is to provide an update on estimates of AEs related to colonoscopy in an evidence-based fashion. A systematic review and meta-analysis of population-based studies was conducted for the 3 most common and important serious AEs (bleeding, perforation, and mortality). In addition, this document includes an updated systematic review and meta-analysis of serious AEs (bleeding and perforation) related to EMR and endoscopic submucosal dissection for large colon polyps. Finally, a narrative review of other colonoscopy-related serious AEs and those related to specific colonic interventions is included.<br /> (Copyright © 2019. Published by Elsevier Inc.)