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Risk factors for complications and mortality related to endoscopic procedures in adults

Journal Volume 79 - 2016
Issue Fasc.1 - Case series
Author(s) Tom Verschoore, Stefan Vandecandelaere, Pieter Vandecandelaere, Tine Vanderplancke, Jochen Bergs
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(1) VIVES University College, Kortrijk, Belgium ; (2) AZ Delta General Hospital, Roeselare, Belgium ; (3) Department of Health Economics, UHasselt, Belgium.

Background / study aims : The objective of this study is to iden- tify and describe risk factors and complications in Methods : This review presents the complications and the accom- panying risk factors that were described in the selected full-text articles. The relevant full-text articles were found in Pubmed, ISI Web of Science and the CINAHL database. endoscopic procedures. Results : The search resulted in 238 abstracts, 50 of which were finally selected for full-text analysis. The different types of endoscopic procedures each have specific complications, but bleeding and perforation occur in all proce- dures. It was found that bleeding, perforation, cardiovascular and respiratory complications were common complications. Furthermore, morbidity and mortality have been associated with risk factors such as older age, high ASA class and sedation. Conclusion : Endoscopy is not without risk, although the preva- lence of complications is low. Most complications seen in this analy- sis, are linked to known risk factors. Some complications might be preventable or avoidable, given a more systematic and compre- hensive approach pre-, per- and postprocedural. The creation and implementation of an endoscopic safety checklist could be an important supportive tool in lowering complications. (Acta gastro-enterol. belg., 2016, 79, 39-46).

© Acta Gastro-Enterologica Belgica.
PMID 26852762