2023 Senior Fellows Program (2nd & 3rd Year) | August 2023-Storm

Storm_Managing Endoscopic Complications

Pdf Summary

In this document, Dr. Andy Storm discusses the management of complications in endoscopy procedures. He begins by emphasizing the importance of being prepared for complications and highlights the need for informed consent, which includes discussing the condition, proposed treatment, risks, and alternatives with the patient. Dr. Storm also encourages healthcare professionals to think through procedures in advance and discuss specific patient factors, such as allergies and medication use, with the procedure team. <br /><br />The document provides an overview of general endoscopy complications, such as bleeding and perforations, and their associated rates. It also mentions complications related to transfusions, including allergic reactions and increased medical costs. The risk factors for post-polypectomy bleeding are discussed, as well as the limitations of tissue closure using clips and the need for alternative closure strategies.<br /><br />Dr. Storm then dives into the topic of perforation repair, specifically endoscopic suturing, and references a study on the effectiveness of suturing in patients with colonoscopy-related perforations. The document also mentions a case study highlighting the importance of not intervening in certain situations where complications may appear but are not severe.<br /><br />The document emphasizes the significance of apologizing to patients after a complication occurs, as it fosters transparency and helps maintain the patient-physician relationship. It also discusses the role of the Morbidity & Mortality Conference in improving patient care and education by learning from adverse outcomes. Dr. Storm shares typical questions discussed during these conferences.<br /><br />Lastly, the document addresses the emotional toll that complications can have on healthcare professionals and provides suggestions for finding support, such as seeking counseling and utilizing available resources. Dr. Storm concludes the document by thanking the audience and offering a platform for questions.

Keywords

endoscopy procedures

complications management

informed consent

patient factors

bleeding

perforations

transfusions

post-polypectomy bleeding

endoscopic suturing

Morbidity & Mortality Conference