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Management and Treatment of Complications in Diagnostic and Therapeutic Lower Gastrointestinal Tract Endoscopy

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Intestinal Polyps and Polyposis

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Abstract

Safe and efficient performance of endoscopy depends on the availability not only of expert endoscopists, but also of properly trained personnel and adequate facilities and equipment. Complications are inherent to all phases of the endoscopic procedure (preparation, sedation and analgesia, diagnostic or, more frequently, therapeutic endoscopy, and reprocessing post-procedure), immediately or within 30 days of the procedure. The most important complications are perforation and intestinal bleeding, which can be lethal if not properly diagnosed. Frequently, surgical exploration is still the treatment of choice, but new endoscopic techniques, such as clipping, argon plasma coaguation, endoloop or injection of drug, can allow patients to be treated conservatively.

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Authors and Affiliations

  1. Unit of Digestive Endoscopy, Institute of Gastroenterology, University of Verona, Verona, Italy

    Giampaolo Angelini MD (Director of Unit of Digestive Endoscopy) & Laura Bernardoni MD

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  1. Giampaolo Angelini MD
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  2. Laura Bernardoni MD
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Editors and Affiliations

  1. Department of Surgery and Gastroenterology, University of Verona, Verona, Italy

    Gian Gaetano Delaini

  2. Department of Surgery, Masaryk Memorial Cancer Institute, Brno, Czech Republic

    Tomáš Skřička

  3. Department of Surgery and Gastroenterology, University of Verona, Verona, Italy

    Gianluca Colucci

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Angelini, G., Bernardoni, L. (2009). Management and Treatment of Complications in Diagnostic and Therapeutic Lower Gastrointestinal Tract Endoscopy. In: Delaini, G.G., Skřička, T., Colucci, G. (eds) Intestinal Polyps and Polyposis. Springer, Milano. https://doi.org/10.1007/978-88-470-1124-3_13

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