How Do I Approach Pain or Bleeding After Colonoscopy?
Colonoscopy utilization has increased significantly over the last 10 years; therefore, acute care providers must be prepared to evaluate and manage complications from this procedure. Major complications include perforation, post-polypectomy syndrome, and bleeding. Perforation, while rare, is a potentially serious complication. It can present with pain (local or generalized), peritonitis, or even frank sepsis/shock. Pain without findings of perforation is the hallmark of post-polypectomy syndrome. Bleeding after colonoscopy is frequently minor and self-limited, but because severe bleeding can occur, patients often require admission for monitoring and repeat colonoscopy for hemostasis.
KeywordsColonoscopy Complications Perforation Post-polypectomy syndrome Hemorrhage Lower gastrointestinal bleeding
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