How Do I Approach Pain or Bleeding After Colonoscopy?

  • W. Nathan DavisEmail author
  • Alejandro Negrete
  • Adam Janicki


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.


Colonoscopy Complications Perforation Post-polypectomy syndrome Hemorrhage Lower gastrointestinal bleeding 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • W. Nathan Davis
    • 1
    Email author
  • Alejandro Negrete
    • 2
  • Adam Janicki
    • 1
  1. 1.Department of Emergency MedicineUniversity of Pittsburgh Medical CenterPittsburghUSA
  2. 2.Case-Western Reserve UniversityClevelandUSA

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