Complications of Colonoscopy in an Integrated Health Care Delivery System

@article{Levin2006ComplicationsOC,
  title={Complications of Colonoscopy in an Integrated Health Care Delivery System},
  author={Theodore R Levin and Wei K. Zhao and Carol Conell and Laura C. Seeff and DianeL. Manninen and Jean A. Shapiro and Jane Schulman},
  journal={Annals of Internal Medicine},
  year={2006},
  volume={145},
  pages={880-886}
}
Context Data on the frequency of colonoscopy complications from population-based samples are lacking. Contribution The authors searched electronic health records at Kaiser-Permanente of Northern California for patients who died or who had complications due to colonoscopy within 30 days of the procedure. Almost all procedures were diagnostic or for surveillance of previous abnormal findings. Of16318 eligible procedures, 82 involved serious complications (5 in 1000 procedures). Of the 82… 
Serious complications within 30 days of screening and surveillance colonoscopy are uncommon.
  • C. Ko, S. Riffle, +7 authors D. Lieberman
  • Medicine
    Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association
  • 2010
Efficacy of a nationwide screening colonoscopy program for colorectal cancer.
TLDR
A nationwide colonoscopy screening program that uses highly qualified endoscopists can detect a significant number of adenomas and early-stage carcinomas.
Outcome and Complications of Colonoscopy: A Prospective Multicenter Study in Northern Israel
TLDR
The good quality of examinations, coupled with the low risk for complications and the good acceptance by the patients, encourages us to recommend colonoscopy as a primary screening test for CRC in Israel.
Risk of Colonoscopy-related Complications in a Fecal Immunochemical Test-based Population Colorectal Cancer Screening Program.
TLDR
FIT-colonoscopy was associated with more than two-fold risk of significant bleeding, especially when polypectomy is performed, compared with ordinary colonoscopy.
Colonoscopy-related complications in a nationwide immunochemical fecal occult blood test-based colorectal cancer screening program
TLDR
The Danish Colorectal Cancer Screening Database (DCCSD) has low sensitivity for complications, and improvements in data registration are warranted.
Complications of Colonoscopy
TLDR
Colonoscopy complications are presented in this chapter because they are more frequent than reported and may have an impact on willingness of pa‐ tients and their peers to undergo future colonoscopy.
Characteristics of the Patients Undergoing Colonoscopy in a Single Center within an 8-year Period
TLDR
The fact that colorectal masses ranked third among the colonoscopic diagnoses suggested that cancer screening programs should be handled nationally.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 36 REFERENCES
Procedural success and complications of large-scale screening colonoscopy.
TLDR
Screening colonoscopy can be performed in multiple centers with a high degree of success and safety in large numbers of asymptomatic, average-risk men.
Complications of screening flexible sigmoidoscopy.
TLDR
The risk of serious complications after screening FS in this setting appears to be modest, and although MI occurs after FS, the risk during the 4 weeks after the procedure seems to be similar to expectations for persons of screening age.
Risk of perforation after colonoscopy and sigmoidoscopy: a population-based study.
TLDR
The risk of perforation after colonoscopy is approximately double that after sigmoidoscopy, but this difference appears to be decreasing and should be useful to clinicians making screening and diagnostic decisions for individual patients and to policy officials setting guidelines for colorectal cancer screening programs.
Use of colonoscopy to screen asymptomatic adults for colorectal cancer. Veterans Affairs Cooperative Study Group 380.
TLDR
Colonoscopic screening can detect advanced colonic neoplasms in asymptomatic adults with or without distal neoplasia, and many of these neoplasm would not be detected with sigmoidoscopy.
Perforation during colonoscopy in endoscopic ambulatory surgical centers.
TLDR
Reported perforations for procedures performed in endoscopic ambulatory surgery centers occurred most frequently during diagnostic colonoscopy in older woman with a history of surgery or diverticular disease.
Colonoscopy practice patterns since introduction of medicare coverage for average-risk screening.
  • G. Harewood, D. Lieberman
  • Medicine
    Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association
  • 2004
Colonoscopy: a prospective report of complications.
TLDR
The overall complication rate for therapeutic ambulatory colonoscopy was 5%, with major events requiring hospitalization in 2% of patients, and it is concluded that office Colonoscopy including polypectomy is safe.
Prospective analysis of complications 30 days after outpatient colonoscopy.
TLDR
More complications are detected by means of contacting patients 30 days after outpatient colonoscopy than are discussed at morbidity and mortality conferences.
Screening for Colorectal Cancer in Adults at Average Risk: A Summary of the Evidence for the U.S. Preventive Services Task Force
TLDR
An updated systematic review was performed to help the USPSTF evaluate new evidence on the effectiveness of different colorectal cancer screening tests as it updated its previous recommendation.
Colorectal cancer screening and surveillance: clinical guidelines and rationale-Update based on new evidence.
TLDR
These guidelines differ from those published in 1997 in several ways: the screening interval for double contrast barium enema has been shortened to 5 years, and colonoscopy is the preferred test for the diagnostic investigation of patients with findings on screening and for screening patients with a family history of hereditary nonpolyposis colorectal cancer.
...
1
2
3
4
...