805 Complications of Gastrointestinal Endoscopy in 85,391 Procedures

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dc.catalogadorgjm
dc.contributor.authorEspino Espino, Alberto Antonio
dc.contributor.authorGarcía Astorquiza, Ximena Andrea
dc.contributor.authorMac Namara, Macarena
dc.contributor.authorRichter Roca, Hugo Michael
dc.contributor.authorPimentel Muller, Fernando
dc.contributor.authorBiel Morales, Francisco Javier
dc.contributor.authorRobles García, Camila Fernanda
dc.contributor.authorCallejas, Matías F.
dc.contributor.authorSharp Pittet, Allan Carlos
dc.contributor.authorDonoso, Andrés
dc.contributor.authorCandia Balboa, Roberto Andrés
dc.contributor.authorGonzález Donoso, Robinson
dc.contributor.authorJarufe Cassis, Nicolás
dc.contributor.authorArrese, Marco
dc.contributor.authorÁlvarez Lobos, Manuel
dc.contributor.authorPadilla Pérez, Oslando
dc.date.accessioned2024-11-20T15:19:28Z
dc.date.available2024-11-20T15:19:28Z
dc.date.issued2012
dc.description.abstractBackground: Complications are inherent to GI endoscopy (GIE) and do not necessarily imply endoscopist's negligence. They may occur even using highest standards of practice. Objectives: To analyze the frequency and severity of complications occurring within 30 days after of the GIE at a single university hospital in Chile. Methods: We reviewed the records about patients who underwent GIE from January 2001 through May 2011. Results: A total of 85,391 GIE were evaluated. Procedures: 46,928 (55%) esophagogastroduodenoscopy (EGD); 27,993 (32.8%) diagnostic colonoscopies; 1427 (1.7%) polypectomies; and other procedures (hemostasis, variceal band ligation (VBL), foreign-body removal, dilation, stents, PEG, ERCP, EUS and double balloon endoscopy) 9043 (10.5%). A total of 299 complications were associated with GIE (59 % female, mean age 63 years, range 5 - 99). The overall complications rate was 0.35% (cardiopulmonary (CP) 0.1%, bleeding 0.07%, perforation 0.06%, infection 0.04%, pancreatitis 0.03% and other). The overall complication rate was higher in therapeutic procedures (TP) vs diagnostic procedures (DP) (2.7% v/s 0.16%, p<0.0001). The percentage of severe complications was higher in TP vs DP (52.3% vs 28.4%, p<0.0001). The overall complication rate for EGD was 0.14% (CP 0.07%, perforation 0.017%, bleeding 0.019%); diagnostic colonoscopy, 0.27% (CP 0.1%, perforation 0.06%, bleeding 0.02%); and polypectomy, 1.8% (CP 0.14%, perforation 0.28%, bleeding 0.98%). A total of 15 deaths occurred (overall rate 0.018%, 83% in TP). The overall mortality rate was higher in TP vs DP (0.2% v/s 0.003%, p<0.0001). The mortality rate for PEG was 0.7%; VBL 0.4%; ERCP 0.2%; diagnostic colonoscopy 0.004%; EGD 0.004%; and polypectomy 0%. Conclusions: GIE is associated with complications and mortality. The severity and risk of complications are higher in therapeutic procedures. These risks should be clearly explained to patients and their family before the procedure.
dc.format.extent1 página
dc.fuente.origenWOS
dc.identifier.issn0016-5107
dc.identifier.urihttps://www.giejournal.org/article/S0016-5107(12)01855-X/fulltext
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/88616
dc.identifier.wosidWOS:000304328000196
dc.information.autorucEscuela de Medicina; Espino Espino, Alberto Antonio; 0000-0001-5707-6290; 146018
dc.information.autorucEscuela de Medicina; García Astorquiza, Ximena Andrea; S/I; 166149
dc.information.autorucEscuela de Medicina; Mac Namara, Macarena; S/I; 149919
dc.information.autorucEscuela de Medicina; Richter Roca, Hugo Michael; S/I; 123103
dc.information.autorucEscuela de Medicina; Pimentel Muller, Fernando; S/I; 58222
dc.information.autorucEscuela de Medicina; Biel Morales, Francisco Javier; S/I; 175103
dc.information.autorucEscuela de Medicina; Robles García, Camila Fernanda; S/I; 193473
dc.information.autorucEscuela de Medicina; Callejas, Matías F.; S/I; 172150
dc.information.autorucEscuela de Medicina; Sharp Pittet, Allan Carlos; S/I; 60632
dc.information.autorucEscuela de Medicina; Candia Balboa, Roberto Andrés; 0000-0003-1856-7737; 16705
dc.information.autorucEscuela de Medicina; González Donoso, Robinson; S/I; 74594
dc.information.autorucEscuela de Medicina; Jarufe Cassis, Nicolás; S/I; 104492
dc.information.autorucEscuela de Medicina; Arrese, Marco; 0000-0002-0499-4191; 76095
dc.information.autorucEscuela de Medicina; Álvarez Lobos, Manuel; S/I; 6131
dc.information.autorucEscuela de Medicina; Padilla Pérez, Oslando; S/I; 102063
dc.issue.numero4
dc.language.isoen
dc.nota.accesocontenido parcial
dc.publisherMosby-Elsevier
dc.relation.ispartofDigestive Disease Week (DDW), MAY 19-22, 2012, San Diego, CA
dc.rightsacceso restringido
dc.subject.ddc610
dc.title805 Complications of Gastrointestinal Endoscopy in 85,391 Procedures
dc.typecomunicación de congreso
dc.volumen75
sipa.codpersvinculados146018
sipa.codpersvinculados166149
sipa.codpersvinculados149919
sipa.codpersvinculados123103
sipa.codpersvinculados58222
sipa.codpersvinculados175103
sipa.codpersvinculados193473
sipa.codpersvinculados172150
sipa.codpersvinculados60632
sipa.codpersvinculados16705
sipa.codpersvinculados74594
sipa.codpersvinculados104492
sipa.codpersvinculados76095
sipa.codpersvinculados6131
sipa.codpersvinculados102063
sipa.trazabilidadWOS;05-06-2021
sipa.trazabilidadORCID;2024-11-18
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