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Complications and hazards of gastrointestinal endoscopy

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Abstract

The diagnostic and therapeutic contribution of fiberoptic endoscopy to the advancement of the knowledge of gastrointestinal disease and to its proper management is already established. Technical refinements in the new instruments and extensive acceptance of the advantages of the method makes fiberendoscopy a procedure widely used throughout the world. Therefore, the appreciation of its potential risk of complications and hazards is justified. This review summarizes the complications and hazards of fiberoptic gastrointestinal endoscopy gleaned from reports of endoscopic surveys and individual experiences. Causes and means whereby complications related to upper intestinal and colonic endoscopy can be prevented or treated are discussed.

Résumé

La contribution diagnostique et thérapeutique de la fibroscopie dans la connaissance et l'application du traitement des maladies digestives est déjà bien établie. Les raffinements techniques des instruments modernes et ses avantages font de la fibrsocopie un procédé fort répandu ce qui justifie un exposé des risques et complications éventuels. Cette revue résume les complications et les risques de l'endoscopie digestive à partir d'études par questionnaire et d'expériences personnelles. La manière d'éviter et de traiter les complications dans la fibroscopie digestive supérieure et la coloscopie sont discutées.

Resumen

La contribución de tipo diagnóstico y terapéutico de la endoscopia de fibra óptica al avance del conocimiento sobre las enfermedades gastrointestinales y sobre su adecuado tratamiento está ya bien establecida. Los refinamientos técnicos de los nuevos instrumentos, junto con una extensa divulgación de las ventajas de este método, hacen de la endoscopia de fibra óptica un procedimiento ampliamente utilizado en todo mundo. Es por ello que se justifica divulgar sus peligros y el riesgo potencial de complicaciones, y este artículo revisa tales peligros y riesgos a partir de investigaciones y de experiencias individuales. También se discuten las causas y los mecanismos por los cuales se pueden prevenir o tratar las complicaciones de la endoscopia del tracto gastrointestinal y en la colonoscopia.

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Authors and Affiliations

  1. Department of Colon and Rectal Surgery, Hospital das Clínicas, São Paulo University Medical School, São Paulo, Brazil

    Angelita Habr-Gama M.D. & Jerome D. Waye M.D.

  2. Gastrointestinal Endoscopic Unit, The Mount Sinai Medical Center, New York, New York, USA

    Angelita Habr-Gama M.D. & Jerome D. Waye M.D.

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Habr-Gama, A., Waye, J.D. Complications and hazards of gastrointestinal endoscopy. World J. Surg. 13, 193–201 (1989). https://doi.org/10.1007/BF01658399

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