BACKGROUND: Endoscopists are advised to measure and report their rates of colonoscopy-associated perforation and bleeding. However, evidence from population-based studies is lacking on the time period over which monitoring is needed to detect these adverse events. OBJECTIVE: To determine the time course of perforation or bleeding requiring hospital admission within 30 days after outpatient colonoscopy. DESIGN: Population-based cohort study. SETTING: Ontario, Canada. PATIENTS AND INTERVENTIONS: Men and women, 50 to 75 years old who underwent an outpatient colonoscopy during the period from April 1, 2002 to March 31, 2003. MAIN OUTCOME MEASUREMENTS: Hospitalization for colonoscopy-related perforation or bleeding within 30 days after the procedure. RESULTS: We identified 67,632 patients who had an outpatient colonoscopy, of whom 37 were admitted for hospitalization with perforation and 83 with bleeding within 30 days after the procedure. For those with a perforation, 34 of 37 (92%) were admitted within 2 days and all within 5 days. For those with bleeding, 30 of 83 (36%) were admitted within 2 days and 80 of 83 (96%) within 14 days. LIMITATIONS: Lack of information on medication use. CONCLUSIONS: After outpatient colonoscopy, use of a 14-day time period for reporting would capture all perforations and the majority (96%) of bleeds requiring hospital admission.
BACKGROUND: Endoscopists are advised to measure and report their rates of colonoscopy-associated perforation and bleeding. However, evidence from population-based studies is lacking on the time period over which monitoring is needed to detect these adverse events. OBJECTIVE: To determine the time course of perforation or bleeding requiring hospital admission within 30 days after outpatient colonoscopy. DESIGN: Population-based cohort study. SETTING: Ontario, Canada. PATIENTS AND INTERVENTIONS:Men and women, 50 to 75 years old who underwent an outpatient colonoscopy during the period from April 1, 2002 to March 31, 2003. MAIN OUTCOME MEASUREMENTS: Hospitalization for colonoscopy-related perforation or bleeding within 30 days after the procedure. RESULTS: We identified 67,632 patients who had an outpatient colonoscopy, of whom 37 were admitted for hospitalization with perforation and 83 with bleeding within 30 days after the procedure. For those with a perforation, 34 of 37 (92%) were admitted within 2 days and all within 5 days. For those with bleeding, 30 of 83 (36%) were admitted within 2 days and 80 of 83 (96%) within 14 days. LIMITATIONS: Lack of information on medication use. CONCLUSIONS: After outpatient colonoscopy, use of a 14-day time period for reporting would capture all perforations and the majority (96%) of bleeds requiring hospital admission.
Authors: Saurabh Chandan; Smit Deliwala; Shahab R Khan; Daryl Ramai; Babu P Mohan; Mohammad Bilal; Antonio Facciorusso; Lena L Kassab; Faisal Kamal; Banreet Dhindsa; Abhilash Perisetti; Douglas G Adler Journal: Dig Dis Sci Date: 2022-01-06 Impact factor: 3.487
Authors: Arthur Schmidt; Karl-Hermann Fuchs; Karel Caca; Armin Küllmer; Alexander Meining Journal: Dtsch Arztebl Int Date: 2016-02-26 Impact factor: 5.594
Authors: Karen Chang; Brian S Lee; Timnit Tekeste; Andrew Nguyen; Mopelola Adeyemo; Agathon Girgis; Karl K Kwok; H Michael Crowson; Alicia O Burris; Rajeev Attam; Charles T Chaya; Theodore E Durbin; Andrew Q Giap; Gordon C Hunt; John Iskander; Kevin T Kao; Brian S Lim Journal: BMC Gastroenterol Date: 2020-03-06 Impact factor: 3.067