ASGE review of adverse events in colonoscopy

Shivangi T Kothari; Robert J Huang; Aasma Shaukat; Deepak Agrawal; James L Buxbaum; Syed M Abbas Fehmi; Douglas S Fishman; Suryakanth R Gurudu; Mouen A Khashab; Laith H Jamil; Terry L Jue; Joanna K Law; Jeffrey K Lee; Mariam Naveed; Bashar J Qumseya; Mandeep S Sawhney; Nirav Thosani; Julie Yang; John M DeWitt; Sachin Wani; ASGE Standards of Practice Committee Chair

doi:10.1016/j.gie.2019.07.033

ASGE review of adverse events in colonoscopy

Gastrointest Endosc. 2019 Dec;90(6):863-876.e33. doi: 10.1016/j.gie.2019.07.033. Epub 2019 Sep 25.

Authors

Shivangi T Kothari¹, Robert J Huang², Aasma Shaukat³, Deepak Agrawal⁴, James L Buxbaum⁵, Syed M Abbas Fehmi⁶, Douglas S Fishman⁷, Suryakanth R Gurudu⁸, Mouen A Khashab⁹, Laith H Jamil¹⁰, Terry L Jue¹¹, Joanna K Law¹², Jeffrey K Lee¹³, Mariam Naveed¹⁴, Bashar J Qumseya¹⁵, Mandeep S Sawhney¹⁶, Nirav Thosani¹⁷, Julie Yang¹⁸, John M DeWitt¹⁹, Sachin Wani²⁰; ASGE Standards of Practice Committee Chair

Affiliations

¹ University of Rochester, Medical Center, Rochester, New York, USA.
² Stanford University Medical Center, Stanford, California, USA.
³ Division of Gastroenterology, Hepatology and Nutrition, University of Minnesota, Minneapolis, Minnesota, USA.
⁴ University of Texas Southwestern Medical Center, Dallas, Texas, USA.
⁵ Division of Gastrointestinal and Liver Diseases, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
⁶ University of California, San Diego, La Jolla, California, USA.
⁷ Baylor College of Medicine/Texas Children's Hospital, Houston, Texas, USA.
⁸ Mayo Clinic Arizona, Scottsdale, Arizona, USA.
⁹ Johns Hopkins Hospital, Towson, Maryland, USA.
¹⁰ Pancreatic and Biliary Diseases Program, Cedars-Sinai Medical Center, West Hollywood, California, USA.
¹¹ The Permanente Medical Group, Kaiser Permanente San Francisco Medical Center, San Francisco, California, USA.
¹² Digestive Disease Institute, Virginia Mason Medical Center, Seattle, Washington, USA.
¹³ Department of Gastroenterology, Kaiser Permanente San Francisco Medical Center, San Francisco, California, USA.
¹⁴ Division of Gastroenterology and Hepatology, University of Iowa Hospitals & Clinics, Coralville, Iowa, USA.
¹⁵ Tallahassee, Florida, USA.
¹⁶ Division of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
¹⁷ University of Texas at Houston, Bellaire, Texas, USA.
¹⁸ Einstein Hospital, New York, New York, USA.
¹⁹ Division of Gastroenterology, Indiana University Health Medical Center, Indianapolis, Indiana, USA.
²⁰ Division of Gastroenterology and Hepatology, University of Colorado Anschutz Medical Center, Aurora, Colorado, USA.

PMID: 31563271
DOI: 10.1016/j.gie.2019.07.033

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.

Publication types

Meta-Analysis
Systematic Review

MeSH terms

Colonoscopy / adverse effects*
Colonoscopy / methods
Humans
Postoperative Complications / etiology*
Severity of Illness Index