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01-09-2015 | Review

Complications during colonoscopy: prevention, diagnosis, and management

Authors: R. Manta, F. Tremolaterra, A. Arezzo, M. Verra, G. Galloro, L. Dioscoridi, F. Pugliese, A. Zullo, M. Mutignani, G. Bassotti

Published in: Techniques in Coloproctology | Issue 9/2015

Abstract

Colonoscopy is largely performed in daily clinical practice for both diagnostic and therapeutic purposes. Although infrequent, different complications may occur during the examination, mostly related to the operative procedures. These complications range from asymptomatic and self-limiting to serious, requiring a prompt medical, endoscopic or surgical intervention. In this review, the complications that may occur during colonoscopy are discussed, with a particular focus on prevention, diagnosis, and therapeutic approaches.

Ko CW, Dominitz JA (2010) Complications of colonoscopy: magnitude and management. Gastrointest Endosc Clin N Am 20:659–671PubMedCrossRef

Ko CW, Riffle S, Shapiro JA et al (2007) Incidence of minor complications and time lost from normal activities after screening or surveillance colonoscopy. Gastrointest Endosc 65:648–656PubMedCrossRef

Zubarik R, Fleischer DE, Mastropietro C et al (1999) Prospective analysis of complications 30 days after outpatient colonoscopy. Gastrointest Endosc 50:322–328PubMedCrossRef

Bini EJ, Firoozi B, Choung RJ, Ali EM, Osman M, Weinshel EH (2003) Systematic evaluation of complications related to endoscopy in a training setting: a prospective 30-day outcomes study. Gastrointest Endosc 57:8–16PubMedCrossRef

Whitlock EP, Lin JS, Liles E, Beil TL, Fu R (2008) Screening for colorectal cancer: a targeted, updated systematic review for the U.S. Preventive Services Task Force. Ann Intern Med 149:638–658PubMedCrossRef

Chukmaitov A, Bradley CJ, Dahman B, Siangphoe U, Warren JL, Klabunde CN (2013) Association of polypectomy techniques, endoscopist volume, and facility type with colonoscopy complications. Gastrointest Endosc 77:436PubMedCrossRef

Rabeneck L, Paszat LF, Hilsden RJ et al (2008) Bleeding and perforation after outpatient colonoscopy and their risk factors in usual clinical practice. Gastroenterology 135:1899–1906PubMedCrossRef

Fisher DA, Maple JT, Ben-Menachem T, ASGE Standards of Practice Committee et al (2011) Complications of colonoscopy. Gastrointest Endosc 74:745PubMedCrossRef

Parra-Blanco A, Ruiz A, Alvarez-Lobos M et al (2014) Achieving the best bowel preparation for colonoscopy. World J Gastroenterol 20:17709–17726PubMedCentralPubMed

10.

Hassan C, Bretthauer M, Kaminski MF et al (2013) Bowel preparation for colonoscopy: European Society of Gastrointestinal Endoscopy (ESGE) guideline. Endoscopy 45:142–150PubMedCrossRef

11.

Cotton PB, Eisen GM, Aabakken L et al (2010) A lexicon for endoscopic adverse events: report of an ASGE workshop. Gastrointest Endosc 71:446–454PubMedCrossRef

12.

Arrowsmith JB, Gerstman BB, Fleischer DE, Benjamin SB (1991) Results from the American Society for Gastrointestinal Endoscopy/U.S. Food and Drug Administration collaborative study on complication rates and drug use during gastrointestinal endoscopy. Gastrointest Endosc 37:421PubMedCrossRef

13.

Sharma VK, Nguyen CC, Crowell MD, Lieberman DA, de Garmo P, Fleischer DE (2007) A national study of cardiopulmonary unplanned events after GI endoscopy. Gastrointest Endosc 66:27PubMedCrossRef

14.

Jurell KR, O’Connor KW, Slack J et al (1994) Effect of supplemental oxygen on cardiopulmonary changes during gastrointestinal endoscopy. Gastrointest Endosc 40:665PubMed

15.

Triantafillidis JK, Merikas E, Nikolakis D, Papalois AE (2013) Sedation in gastrointestinal endoscopy: current issues. World J Gastroenterol 19:463–481PubMedCentralPubMedCrossRef

16.

Herman LL, Kurtz RC, McKee KJ, Sun M, Thaler HT, Winawer SJ (1993) Risk factors associated with vasovagal reactions during colonoscopy. Gastrointest Endosc 39:388–391PubMedCrossRef

17.

Lieberman DA, Wuerker CK, Katon RM (1985) Cardiopulmonary risk of esophagogastroduodenoscopy. Role of endoscope diameter and systemic sedation. Gastroenterology 88:468–472PubMed

18.

Gupta SC, Gopalswamy N, Sarkar A, Suryaprasad AG, Markert RJ (1990) Cardiac arrhythmias and electrocardiographic changes during upper and lower gastrointestinal endoscopy. Mil Med 155:9–11PubMed

19.

Raju GS, Saito Y, Matsuda T, Kaltenbach T, Soetikno R (2011) Endoscopic management of colonoscopic perforations (with videos). Gastrointest Endosc 74:1380–1388PubMedCrossRef

20.

Heldwein W, Dollhopf M, Rosch T et al (2005) The Munich Polypectomy Study (MUPS): prospective analysis of complications and risk factors in 4000 colonic snare polypectomies. Endoscopy 37:1116–1122PubMedCrossRef

21.

Galloro G, Magno L, Ruggiero S et al (2013) Comparison between tungsten and steel polypectomy snares: evaluation of depth of colonic thermal wall injury in a pig model. Endoscopy 45:121–126PubMedCrossRef

22.

Bielawska B, Day AG, Lieberman DA, Hookey LC (2014) Risk factors for early colonoscopic perforation include non-gastroenterologist endoscopists: a multivariable analysis. Clin Gastroenterol Hepatol 12:85–92PubMedCentralPubMedCrossRef

23.

Dafnis G, Ekbom A, Pahlman L, Blomqvist P (2001) Complications of diagnostic and therapeutic colonoscopy within a defined population in Sweden. Gastrointest Endosc 54:302–329PubMedCrossRef

24.

Iqbal CW, Cullinane DC, Schiller HJ, Sawyer MD, Zietlow SP, Farley DR (2008) Surgical management and outcomes of 165 colonoscopic perforations from a single institution. Arch Surg 143:701–716PubMedCrossRef

25.

Choo WK, Subhani J (2012) Complication rates of colonic polypectomy in relation to polyp characteristics and techniques: a district hospital experience. J Interv Gastroenterol 2:8–11PubMedCentralPubMedCrossRef

26.

Putcha RV, Burdick JS (2003) Management of iatrogenic perforation. Gastroenterol Clin North Am 32:1289–1309PubMedCrossRef

27.

Rex DK, Petrini JL, Baron TH et al (2006) Quality indicators for colonoscopy. Gastrointest Endosc 63(suppl 4):S16–S28PubMedCrossRef

28.

Hassan C, Zullo A, De Francesco V et al (2007) Systematic review: endoscopic dilatation in Crohn’s disease. Aliment Pharmacol Ther 26:1457–1464PubMedCrossRef

29.

Ragg J, Garimella V, Cast J, Hunter IA, Hartley JE (2012) Balloon dilatation of benign rectal anastomotic strictures—a review. Dig Surg 29:287–291PubMedCrossRef

30.

Van Halsema EE, van Hooft JE, Small AJ et al (2014) Perforation in colorectal stenting: a meta-analysis and a search for risk factors. Gastrointest Endosc 79:970–982PubMedCrossRef

31.

Wang J, Zhang XH, Ge J, Yang CM, Liu JY, Zhao SL (2014) Endoscopic submucosal dissection vs endoscopic mucosal resection for colorectal tumors: a meta-analysis. World J Gastroenterol 20:8282–8287PubMedCentralPubMedCrossRef

32.

Church J (1995) Endoscopy of the colon and rectum. Igaku Shoin/Williams and Wilkins Publishers, New York

33.

Woltjen JA (2005) A retrospective analysis of cecal barotrauma caused by colonoscope air flow and pressure. Gastrointest Endosc 61:37–45PubMedCrossRef

34.

Riss S, Akan B, Mikola B et al (2009) CO₂ insufflation during colonoscopy decreases post-interventional pain in deeply sedated patients: a randomized controlled trial. Wien Klin Wochenschr 121:464–468PubMedCrossRef

35.

Leung CW, Kaltenbach T, Soetikno R, Wu KK, Leung FW, Friedland S (2010) Water immersion versus standard colonoscopy insertion technique: randomized trial shows promise for minimal sedation. Endoscopy 42:557–563PubMedCrossRef

36.

Leung JW, Mann SK, Siao-Salera R et al (2009) A randomized, controlled comparison of warm water infusion in lieu of air insufflation versus air insufflations for aiding colonoscopy insertion in sedated patients undergoing colorectal cancer screening and surveillance. Gastrointest Endosc 70:505–510PubMedCrossRef

37.

Leung FW, Amato A, Ell C et al (2012) Water-aided colonoscopy: a systematic review. Gastrointest Endosc 76:657–666PubMedCrossRef

38.

Radaelli F, Paggi S, Amato A, Terruzzi V (2010) Warm water infusion versus air insufflation for unsedated colonoscopy: a randomized, controlled trial. Gastrointest Endosc 72:701–719PubMedCrossRef

39.

Weston AP, Campbell DR (1995) Diminutive colonic polyps: histopathology, spatial distribution, concomitant significant lesions, and treatment complications. Am J Gastroenterol 90:24–28PubMed

40.

Tappero G, Gaia E, De Giuli P, Martini S, Gubetta L, Emanuelli G (1992) Cold snare excision of small colorectal polyps. Gastrointest Endosc 38:310–313PubMedCrossRef

41.

Deenadayalu VP, Rex DK (2005) Colon polyp retrieval after cold snaring. Gastrointest Endosc 62:253–256PubMedCrossRef

42.

Small AJ, Coelho-Prabhu N, Baron TH (2010) Endoscopic placement of self-expandable metal stents for malignant colonic obstruction: long-term outcomes and complication factors. Gastrointest Endosc 71:560–572PubMedCrossRef

43.

Manes G, de Bellis M, Fuccio L et al (2011) Endoscopic palliation in patients with incurable malignant colorectal obstruction by means of self-expanding metal stent: analysis of results and predictors of outcomes in a large multicenter series. Arch Surg 146:1157–1162PubMedCrossRef

44.

Cennamo V, Fuccio L, Mutri V et al (2009) Does stent placement for advanced colon cancer increase the risk of perforation during bevacizumab-based therapy? Clin Gastroenterol Hepatol 7:1174–1176PubMedCrossRef

45.

Harrison ME, Anderson MA, Appalaneni V et al (2010) The role of endoscopy in the management of patients with known and suspected colonic obstruction and pseudo-obstruction. Gastrointest Endosc 71:669–679PubMedCrossRef

46.

Huang C, Huang RX, Xiang P, Qiu ZJ (2012) Current research status of endoscopic submucosal dissection for colorectal neoplasms. Clin Invest Med 35:158–164

47.

Yoshida N, Yagi N, Naito Y, Yoshikawa T (2010) Safe procedure in endoscopic submucosal dissection for colorectal tumors focused on preventing complications. World J Gastroenterol 16:1688–1695PubMedCentralPubMedCrossRef

48.

Kapetanos D, Beltsis A, Chatzimavroudis G, Katsinelos P (2012) Post polypectomy bleeding: incidence, risk factors, prevention, and management. Surg Laparosc Endosc Percutan Tech 22:102–117PubMedCrossRef

49.

Hotta K, Yamaguchi Y, Saito Y, Takao T, Ono H (2012) Current opinions for endoscopic sub-mucosal dissection for colorectal tumors from our experiences: indications, technical aspects and complications. Dig Endosc 24(Suppl. 1):110–116PubMedCrossRef

50.

Burgess NG, Metz AJ, Williams SJ et al (2014) Risk factors for intraprocedural and clinically significant delayed bleeding after wide-field endoscopic mucosal resection of large colonic lesions. Clin Gastroenterol Hepatol 12:651–661PubMedCrossRef

51.

Samalavicius NE, Kazanavicius D, Lunevicius R et al (2013) Incidence, risk, management, and outcomes of iatrogenic full-thickness large bowel injury associated with 56,882 colonoscopies in 14 Lithuanian hospitals. Surg Endosc 27:1628–1635PubMedCrossRef

52.

Luning TH, Keemers-Gels ME, Barendregt WB, Tan AC, Rosman C (2007) Colonoscopic perforations: a review of 30,366 patients. Surg Endosc 21:994–997PubMedCrossRef

53.

Trecca A, Gaj F, Gagliardi G (2008) Our experience with endoscopic repair of large colonoscopic perforations and review of the literature. Tech Coloproctol 12:315–321PubMedCrossRef

54.

Magdeburg R, Collet P, Post S, Kaehler G (2008) Endoclipping of iatrogenic colonic perforation to avoid surgery. Surg Endosc 22:1500–1504PubMedCrossRef

55.

Kirschniak A, Subotova N, Zieker D, Königsrainer A, Kratt T (2011) The Over-The-Scope Clip (OTSC) for the treatment of gastrointestinal bleeding, perforations, and fistulas. Surg Endosc 25:2901–2905PubMedCrossRef

56.

Weiland T, Fehlker M, Gottwald T, Schurr MO (2013) Performance of the OTSC System in the endoscopic closure of iatrogenic gastrointestinal perforations: a systematic review. Surg Endosc 27:2258–2274PubMedCrossRef

57.

Arezzo A, Verra M, Reddavid R, Cravero F, Bonino MA, Morino M (2012) Efficacy of the over-the-scope clip (OTSC) for treatment of colorectal postsurgical leaks and fistulas. Surg Endosc 26:3330–3333PubMedCrossRef

58.

Haito-Chavez Y, Law JK, Kratt T et al (2014) International multicenter experience with an over-the-scope clipping device for endoscopic management of GI defects (with video). Gastrointest Endosc 80:610–622PubMedCrossRef

59.

Pauli EM, Delaney CP, Champagne B, Stein S, Marks JM (2013) Safety and effectiveness of an endoscopic suturing device in a human colonic treat-and-resect model. Surg Innov 20:594–599PubMedCrossRef

60.

González-Panizo-Tamargo F, Rojas-Sánchez A, Miranda-García P, Juzgado-Lucas D, Vázquez-Sequeiros E (2014) Endoscopic management of common patologies with a new suturing system. Rev Esp Enferm Dig 106:413–417PubMed

61.

Wexner SD, Garbus JE, Singh JJ, SAGES Colonoscopy Study Outcomes Group (2001) A prospective analysis of 13,580 colonoscopies. Reevaluation of credentialing guidelines. Surg Endosc 15:251–261PubMedCrossRef

62.

Waye JD, Kahn O, Auerbach ME (1996) Complications of colonoscopy and flexible sigmoidoscopy. Gastrointest Endosc Clin N Am 6:343–377PubMed

63.

Kavic SM, Basson MD (2001) Complications of endoscopy. Am J Surg 181:319–332PubMedCrossRef

64.

Warren JL, Klabunde CN, Mariotto AB et al (2009) Adverse events after outpatient colonoscopy in the Medicare population. Ann Intern Med 150:849–857PubMedCrossRef

65.

Singaram C, Torbey CF, Jacoby RF (1995) Delayed postpolypectomy bleeding. Am J Gastroenterol 90:146–147PubMed

66.

Van Gossum A, Cozzoli A, Adler M, Taton G, Cremer M (1992) Colonoscopic snare polypectomy: analysis of 1485 resections comparing two types of current. Gastrointest Endosc 38:472–475PubMedCrossRef

67.

Parra-Blanco A, Kaminaga N, Kojima T, Endo Y, Tajiri A, Fujita R (2000) Colonoscopic polypectomy with cutting current: is it safe? Gastrointest Endosc 51:676–681PubMedCrossRef

68.

Saito Y, Uraoka T, Yamaguchi Y et al (2010) A prospective, multicenter study of 1111 colorectal endoscopic submucosal dissections (with video). Gastrointest Endosc 72:1217–1225PubMedCrossRef

69.

Sorbi D, Norton I, Conio M, Balm R, Zinsmeister A, Gostout CJ (2000) Postpolypectomy lower GI bleeding: descriptive analysis. Gastrointest Endosc 51:690–696PubMedCrossRef

70.

Hurlstone DP, Sanders DS, Cross SS et al (2004) Colonoscopic resection of lateral spreading tumours: a prospective analysis of endoscopic mucosal resection. Gut 53:1334–1339PubMedCentralPubMedCrossRef

71.

Consolo P, Luigiano C, Strangio G et al (2008) Efficacy, risk factors and complications of endoscopic polypectomy: ten year experience at a single center. World J Gastroenterol 14:2364–2369PubMedCentralPubMedCrossRef

72.

Kim HS, Kim TI, Kim WH et al (2006) Risk factors for immediate postpolypectomy bleeding of the colon: a multicenter study. Am J Gastroenterol 101:1333–1341PubMedCrossRef

73.

Watabe H, Yamaji Y, Okamoto M et al (2006) Risk assessment for delayed hemorrhagic complication of colonic polypectomy: polyp-related factors and patient-related factors. Gastrointest Endosc 64:73–78PubMedCrossRef

74.

Buddingh KT, Herngreen T, Haringsma J et al (2011) Location in the right hemi-colon is an independent risk factor for delayed post-polypectomy hemorrhage: a multi-center case-control study. Am J Gastroenterol 106:1119–1124PubMedCrossRef

75.

Sawhney MS, Salfiti N, Nelson DB, Lederle FA, Bond JH (2008) Risk factors for severe delayed postpolypectomy bleeding. Endoscopy 40:115–119PubMedCrossRef

76.

Singh M, Mehta N, Murthy UK, Kaul V, Arif A, Newman N (2010) Postpolypectomy bleeding in patients undergoing colonoscopy on uninterrupted clopidogrel therapy. Gastrointest Endosc 71:998–1005PubMedCrossRef

77.

Witt DM, Delate T, McCool KH et al (2009) Incidence and predictors of bleeding or thrombosis after polypectomy in patients receiving and not receiving anticoagulation therapy. J Thromb Haemost 7:1982–1989PubMedCrossRef

78.

Hsieh YH, Lin HJ, Tseng GY et al (2001) Is submucosal epinephrine injection necessary before polypectomy? A prospective, comparative study. Hepatogastroenterology 48:1379–1382PubMed

79.

Di Giorgio P, De Luca L, Calcagno G, Rivellini G, Mandato M, De Luca B (2004) Detachable snare versus epinephrine injection in the prevention of postpolypectomy bleeding: a randomized and controlled study. Endoscopy 36:860–863PubMedCrossRef

80.

Iishi H, Tatsuta M, Narahara H, Iseki K, Sakai N (1996) Endoscopic resection of large pedunculated colorectal polyps using a detachable snare. Gastrointest Endosc 44:594–597PubMedCrossRef

81.

Luigiano C, Ferrara F, Ghersi S et al (2010) Endoclip-assisted resection of large pedunculated colorectal polyps: technical aspects and outcome. Dig Dis Sci 55:1726–1731PubMedCrossRef

82.

Shioji K, Suzuki Y, Kobayashi M et al (2003) Prophylactic clip application does not decrease delayed bleeding after colonoscopic polypectomy. Gastrointest Endosc 57:691–694PubMedCrossRef

83.

Feagins LA, Nguyen AD, Iqbal R, Spechler SJ (2014) The prophylactic placement of hemoclips to prevent delayed post-polypectomy bleeding: an unnecessary practice? A case control study. Dig Dis Sci 59:823–828PubMedCrossRef

84.

Quintanilla E, Castro JL, Rabago LR et al (2012) Is the use of prophylactic hemoclips in the endoscopic resection of large pedunculated polyps useful? A prospective and randomized study. J Interv Gastroenterol 2:183–188PubMedCentralPubMedCrossRef

85.

Liaquat H, Rohn E, Rex DK (2013) Prophylactic clip closure reduced the risk of postpolypectomy hemorrhage: experience in 277 clipped large sessile or flat colorectal lesions and 247 control lesions. Gastrointest Endosc 77:401–407PubMedCrossRef

86.

Parikh ND, Zanocco K, Keswani RN, Gawron AJ (2013) A cost-efficacy decision analysis of prophylactic clip placement after endoscopic removal of large polyps. Clin Gastroenterol Hepatol 11:1319–1324PubMedCentralPubMedCrossRef

87.

Gilbert DA, DiMarino AJ, Jensen DM et al (1992) Status evaluation: hot biopsy forceps. Gastrointest Endosc 38:753–756PubMedCrossRef

88.

Hui AJ, Wong RM, Ching JY, Hung LC, Chung SC, Sung JJ (2004) Risk of colonoscopic polypectomy bleeding with anticoagulants and antiplatelet agents: analysis of 1657 cases. Gastrointest Endosc 59:44–48PubMedCrossRef

89.

Anderson MA, Ben-Menachem T, Gan SI et al (2009) Management of antithrombotic agents for endoscopic procedures. Gastrointest Endosc 70:1060–1070PubMedCrossRef

90.

Zuckerman MJ, Hirota WK, Adler DG et al (2005) ASGE guideline: the management of low-molecular-weight heparin and nonaspirin antiplatelet agents for endoscopic procedures. Gastrointest Endosc 61:189–194PubMedCrossRef

91.

Jacques J, Legros R, Chaussade S, Sautereau D (2014) Endoscopic haemostasis: an overview of procedures and clinical scenarios. Dig Liver Dis 46:766–776PubMedCrossRef

92.

Arezzo A, Verra M, Cravero F, Reddavid R, Morino M (2011) How to place hemoclips to achieve hemostasis of a bleeding diverticulum. Dig Dis Sci 56:1589–1590PubMedCrossRef

93.

Manta R, Galloro G, Mangiavillano B et al (2013) Over-the-scope clip (OTSC) represents an effective endoscopic treatment for acute GI bleeding after failure of conventional techniques. Surg Endosc 27:3162–3164PubMedCrossRef

94.

Takizawa K, Oda I, Gotoda T et al (2008) Routine coagulation of visible vessels may prevent delayed bleeding after endoscopic submucosal dissection—an analysis of risk factors. Endoscopy 40:179–183PubMedCrossRef

95.

Waye JD (1981) The postpolypectomy coagulation syndrome. Gastrointest Endosc 27:184CrossRef

96.

Nelson DB (2003) Infectious disease complications of GI endoscopy: part II, exogenous infections. Gastrointest Endosc 57:695–711PubMedCrossRef

97.

Dwyer DM, Klein EG, Istre GR, Robinson MG, Neumann DA, McCoy GA (1987) Salmonella newport infections transmitted by fiberoptic colonoscopy. Gastrointest Endosc 33:84–87PubMedCrossRef

98.

Nelson DB, Barkun AN, Block KP et al (2001) Technology status evaluation report. Transmission of infection by gastrointestinal endoscopy. Gastrointest Endosc 54:824–828PubMedCrossRef

99.

American Society for Gastrointestinal Endoscopy (2003) Multi-society guideline for reprocessing flexible gastrointestinal endoscopes. Gastrointest Endosc 58:1–8CrossRef

100.

Wilson W, Taubert KA, Gewitz M et al (2007) Prevention of infective endocarditis. Circulation 116:1736–1754PubMedCrossRef

101.

Petersen BT, Chennat J, Cohen J et al (2011) Multisociety guideline on reprocessing flexible gastrointestinal endoscopes: 2011. Gastrointest Endosc 73:1075–1084PubMedCrossRef

102.

Banerjee S, Shen B, Baron TH et al (2008) Antibiotic prophylaxis for GI endoscopy. Gastrointest Endosc 67:791–798PubMedCrossRef

103.

Schembre DB (2000) Infectious complications associated with gastrointestinal endoscopy. Gastrointest Endosc Clin N Am 10:215–232PubMed

104.

Ladas SD, Karamanolis G, Ben-Soussan E (2007) Colonic gas explosion during therapeutic colonoscopy with electrocautery. World J Gastroenterol 13:5295–5298PubMedCentralPubMedCrossRef

105.

Avgerinos A, Kalantzis N, Rekoumis G, Pallikaris G, Arapakis G, Kanaghinis T (1984) Bowel preparation and the risk of explosion during colonoscopic polypectomy. Gut 25:361–364PubMedCentralPubMedCrossRef

106.

La Brooy SJ, Avgerinos A, Fendick CL, Williams CB, Misiewicz JJ (1981) Potentially explosive colonic concentrations of hydrogen after bowel preparation with mannitol. Lancet 1:634–636PubMedCrossRef

107.

Monahan DW, Peluso FE, Goldner F (1992) Combustible colonic gas levels during flexible sigmoidoscopy and colonoscopy. Gastrointest Endosc 38:40–43PubMedCrossRef

108.

Hofstad B (2007) Explosion in rectum. Tidsskr Nor Laegeforen 127:1789–1790PubMed

109.

Rao KV, Beri GD, Sterling MJ, Salen G (2009) Splenic injury as a complication of colonoscopy: a case series. Am J Gastroenterol 104:1604–1605PubMedCrossRef

110.

Izzedine H, Thauvin H, Maisel A, Bourry E, Deschamps A (2005) Post-colonoscopy appendicitis: case report and review of the literature. Am J Gastroenterol 100:2815–2817PubMedCrossRef

111.

Arhan M, Onal IK, Odemis B, Ibiş M, Saşmaz N (2009) Colonoscopy-induced ischemic colitis in a young patient with no risk factor. Am J Gastroenterol 104:250–251PubMedCrossRef

112.

Chae HS, Kim SS, Han SW et al (2002) Herniation of the large bowel through a post traumatic diaphragmatic defect during colonoscopy: report of a case. Dis Colon Rectum 45:1261–1262PubMedCrossRef

113.

Ahishali E, Uygur-Bayramicli O, Dolapcioglu C et al (2009) Chemical colitis due to glutaraldehyde: case series and review of the literature. Dig Dis Sci 54:2541–2545PubMedCrossRef

114.

Morini S, Campo SM, Zullo A, Guarini A, Ridola L, Hassan C (2009) Chemical colitis induced by peracetic acid: further evidence. Endoscopy 41:383PubMedCrossRef

Title: Complications during colonoscopy: prevention, diagnosis, and management
Authors: R. Manta
F. Tremolaterra
A. Arezzo
M. Verra
G. Galloro
L. Dioscoridi
F. Pugliese
A. Zullo
M. Mutignani
G. Bassotti
Publication date: 01-09-2015
Publisher: Springer Milan
Published in: Techniques in Coloproctology / Issue 9/2015
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI: https://doi.org/10.1007/s10151-015-1344-z

At a glance: The STEP trials

Springer Medicine

Complications during colonoscopy: prevention, diagnosis, and management

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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