Masterclass Colonoscopy: Trends and Recommendations Forward (Virtual) | February 2024-Safety in Colonoscopy: Avoiding Complications and Medical/Legal Risk

Safety in Colonoscopy: Avoiding Complications and Medical/Legal Risk

Video Transcription

Video Summary

The video transcript discusses various safety issues and medical-legal risks associated with colonoscopy. The presenter emphasizes the importance of reducing medical-legal risk through safe colonoscopy practices and proper informed consent. Safety issues highlighted include avoiding complications such as splenic injury, perforation, and barotrauma. The presenter emphasizes the need to recognize and repair muscle injuries during resection procedures. The transcript also mentions the importance of minimizing delayed hemorrhage, closing large EMR defects, and avoiding wrong site surgery. The role of accurate tattoo placement and effective communication with surgeons are also highlighted. The transcript stresses the need for adherence to guidelines for post-colonoscopy follow-up intervals and proper management of malignant polyps. The presenter concludes by discussing the management of anticoagulation and antiplatelet agents during colonoscopy. It is recommended to involve prescribing physicians and systematically resume these medications after the procedure to minimize medical-legal risk.

Asset Subtitle

Douglas K. Rex, MD, MASGE

Keywords

colonoscopy safety

medical-legal risks

informed consent

complications prevention

muscle injuries

hemorrhage prevention

tattoo placement

post-colonoscopy follow-up