Reiertsen O, Skjøtø J, Jacobsen C D, Rosseland A R
Endoscopy. 1987 Jan;19(1):1-6. doi: 10.1055/s-2007-1013011.
Complications in relation to fiberoptic gastrointestinal endoscopy were recorded prospectively during the five-year period 1980-1984. Diagnostic esophago-gastroduodenoscopy (EGD) had non-fatal complications in ten out of 7,314 procedures (0.14%) and three deaths (0.04%). Therapeutic EGD had non-fatal complications in eight out of 440 procedures (1.8%) and two deaths (0.5%). Diagnostic endoscopic retrograde cholangiopancreatography (ERCP) had non-fatal complications in 15 out of 1,930 procedures (0.8%) and one death (0.05%). Therapeutic ERCP had non-fatal complications in 14 out of 554 procedures (2.5%) and six deaths (1.1%). Diagnostic colonoscopy had non-fatal complications in five out of 3,538 procedures (0.14%) and therapeutic colonoscopy in 21 out of 1,055 procedures (2.0%). There were no deaths in connection with diagnostic or therapeutic colonoscopy. The recommendations based on this series are: Put greater emphasis on a proper evaluation of indications and contraindications. Avoid sedation of patients with respiratory failure. If possible, postpone procedures which may cause bleeding in patients with impaired hemostasis until proper correction has been achieved.
1980年至1984年的五年期间，前瞻性记录了与纤维光学胃肠内镜检查相关的并发症。诊断性食管胃十二指肠镜检查（EGD）在7314例操作中有10例出现非致命并发症（0.14%），3例死亡（0.04%）。治疗性EGD在440例操作中有8例出现非致命并发症（1.8%），2例死亡（0.5%）。诊断性内镜逆行胰胆管造影（ERCP）在1930例操作中有15例出现非致命并发症（0.8%），1例死亡（0.05%）。治疗性ERCP在554例操作中有14例出现非致命并发症（2.5%），6例死亡（1.1%）。诊断性结肠镜检查在3538例操作中有5例出现非致命并发症（0.14%），治疗性结肠镜检查在1055例操作中有21例出现非致命并发症（2.0%）。诊断性或治疗性结肠镜检查均无死亡病例。基于该系列得出的建议是：更加重视对适应证和禁忌证的恰当评估。避免对呼吸衰竭患者进行镇静。如果可能，将可能导致止血功能受损患者出血的操作推迟至止血功能得到适当纠正之后。
