1. Management and Treatment of Complications in Diagnostic and Therapeutic Lower Gastrointestinal Tract Endoscopy
- Author
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Giampaolo Angelini and Laura Bernardoni
- Subjects
medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,General surgery ,medicine.medical_treatment ,Sedation ,Perforation (oil well) ,Colonoscopy ,Clipping (medicine) ,Endoscopic Procedure ,Endoscopy ,Therapeutic endoscopy ,medicine ,medicine.symptom ,business ,Complication - 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.
- Published
- 2009
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