Sethi Amrita, Song Louis M Wong Kee
Division of Digestive and Liver Diseases, Columbia University, 161 Fort Washington Avenue, Herbert Irving Pavilion, Suite 862, New York, NY 10032, USA.
Division of Gastroenterology and Hepatology, Mayo Clinic, 200 1st Street Southwest, Rochester, MN 55905, USA.
Gastrointest Endosc Clin N Am. 2015 Jan;25(1):55-69. doi: 10.1016/j.giec.2014.09.007.
Colonoscopy is a commonly performed procedure. The rate of adverse events is 2.8 per 1000 screening colonoscopies. These adverse events include cardiovascular and pulmonary events, abdominal pain, hemorrhage, perforation, postpolypectomy syndrome, infection, and death. Serious adverse events, such as hemorrhage and perforation, occur most frequently when colonoscopy is performed with polypectomy. This article highlights the prevention and management of adverse events associated with polypectomy and endoscopic mucosal resection of colonic lesions.
结肠镜检查是一种常见的操作。每1000例筛查性结肠镜检查的不良事件发生率为2.8。这些不良事件包括心血管和肺部事件、腹痛、出血、穿孔、息肉切除术后综合征、感染和死亡。严重不良事件,如出血和穿孔,最常发生在结肠镜检查联合息肉切除时。本文重点介绍与结肠病变息肉切除和内镜黏膜切除术相关不良事件的预防和管理。