![]() ![]() Overall, procedure-related hospital visits occurred in 1.07% of all esophagogastroduodenoscopies, 0.79% of all endoscopies, 0.84% of colonoscopies, and 0.95% of all screening colonoscopies. The most common reasons for the endoscopy-related ED visits were abdominal pain (47%), gastrointestinal bleeding (12%), and chest pain (11%). "The standard physician reporting greatly underestimated the burden of medical care related to endoscopic procedures and unexpected hospital utilization," Leffler and colleagues wrote. Yet only about 7% of these incidents were recorded by the standard physician reporting system, the researchers said ( P<0.001). ![]() A total of 29% of the 266 subsequent hospitalizations were also procedure-related. Physician reviewers determined 32% of these ED visits to be directly related to the endoscopic procedure. The medical center's electronic reporting system caught 419 ED visits within two weeks of these procedures. ![]() Overall, they found a total of 6,383 esophagogastroduodenoscopies and 11,632 colonoscopies. The gastroenterology department at Beth Israel also maintains a voluntary, paper-based physician reporting system into which each gastroenterologist must submit a monthly form detailing any known complications. "Although the overall rate of severe complications, including perforation, myocardial infarction, and death remained low, the true range of adverse events is much greater than typically appreciated," they wrote.īecause there isn't a clear picture of the number of complications that arise after endoscopic procedures, the researchers developed a component of the EMR system at Beth Israel to capture admissions to the ED within 14 days of endoscopy. Rarely, some people have an allergic reaction to the sedation.In contrast, the physician-reported complication rate for endoscopies was only 7%, Leffler and co-authors reported in the Oct. These serious complications are rare in most people who are otherwise reasonably healthy. These tend to be older people who are already in poor health. (In particular, if it becomes gradually worse, and is different from or more intense than any 'usual' indigestion pains or heartburn that you may have.)Ī small number of people have a heart attack or stroke during, or soon after, a gastroscopy. If any of the following occur within 48 hours after a gastroscopy, consult a doctor immediately: This may cause bleeding, infection and rarely a hole (perforation). Occasionally, the endoscope causes some damage to the gut. There is a slightly increased risk of developing a chest infection or pneumonia following a gastroscopy. You may feel tired or sleepy for several hours if you have a sedative. Some people have a mildly sore throat for a day or so afterwards. Most gastroscopies are done without any problem. The biopsy samples are sent to the laboratory for testing and to look at under the microscope. The operator may take one or more small tissue samples (biopsies) of parts of the inside lining of the gut - depending on why the test is done and what they see. This may cause you to feel bloated and want to belch. Air is passed down a channel in the endoscope into the stomach to make the stomach lining easier to see. The operator watches the screen for abnormalities of the oesophagus, stomach and duodenum. The video camera at the tip of the endoscope sends pictures to a screen. The operator then gently pushes it further down your gullet (oesophagus) and into your stomach and the first part of your gut (small intestine) known as your duodenum. Modern endoscopes are quite thin but some people may find this difficult. The operator will then ask you to swallow the first section of the endoscope. This works to protect your teeth and stops you biting the endoscope. You are asked to put a plastic mouth guard between your teeth. The sedative can make you drowsy but it does not put you to sleep completely. This is usually given by an injection into a vein in the back of your hand. You may be given a sedative to help you to relax. The operator may numb the back of your throat by spraying on some local anaesthetic, or give you an anaesthetic lozenge to suck. Before the test the operator will explain to you what is going to happen and ask you to sign a consent form. It is a routine test which is commonly done. Gastroscopy is usually done as an outpatient 'day case'. ![]()
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