ASGE guideline on the role of endoscopy for bleeding from chronic radiation proctopathy
Colonoscopy is the most commonly performed endoscopic procedure and overall is considered a low-risk procedure. However, adverse events (AEs) related to this routinely performed procedure for screening, diagnostic,
or therapeutic purposes are an important clinical consideration. The purpose of this document from the American
Society for Gastrointestinal Endoscopy’s Standards of Practice Committee is to provide an update on estimates of
AEs related to colonoscopy in an evidence-based fashion. A systematic review and meta-analysis of populationbased studies was conducted for the 3 most common and important serious AEs (bleeding, perforation, and mortality). In addition, this document includes an updated systematic review and meta-analysis of serious AEs
(bleeding and perforation) related to EMR and endoscopic submucosal dissection for large colon polyps. Finally,
a narrative review of other colonoscopy-related serious AEs and those related to specific colonic interventions is
included. (Gastrointest Endosc 2019;90:863-76.)
Shivangi T. Kothari, MD, FASGE,1,
* Robert J. Huang, MD,2,
* Aasma Shaukat, MD, MPH, FASGE,3
Deepak Agrawal, MD, FASGE,4 James L. Buxbaum, MD, FASGE,5 Syed M. Abbas Fehmi, MD, MSc, FASGE,6
Douglas S. Fishman, MD, FASGE,7 Suryakanth R. Gurudu, MD, FASGE,8 Mouen A. Khashab, MD,9
Laith H. Jamil, MD, FASGE,10 Terry L. Jue, MD, FASGE,11 Joanna K. Law, MD, FASGE,12
Jeffrey K. Lee, MD, MAS,13 Mariam Naveed, MD,14 Bashar J. Qumseya, MD, FASGE,15
Mandeep S. Sawhney, MD, FASGE,16 Nirav Thosani, MD,17 Julie Yang, MD, FASGE,18
John M. DeWitt, MD, FASGE,19 Sachin Wani, MD, FASGE20 ASGE Standards of Practice Committee Chair
Title :
ASGE guideline on the role of endoscopy for bleeding from chronic radiation proctopathy
Doi org link :
https://doi.org/10.1016/j.gie.2019.04.234
Volume :
Gastrointest Endosc August 2019, Volume 90, Issue 2, Pages 171-182.e1
URL :
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Jan 3, 2020, 00:00 AM
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Categories :
- Anatomy
- Colonoscopy
- Disease
- Procedures
- Radiation Proctopathy
- Rectal
Tags :
- colonoscopy
- Radiation Proctopathy
- Rectal
ASGE guideline on the role of endoscopy for bleeding from chronic radiation proctopathy 2019 August GIE