Video Tip: Perforations and Bleeding in Diagnostic Procedures | June2021-Perforations and Bleeding in Diagnostic Procedures

Perforations and Bleeding in Diagnostic Procedures

Video Transcription

Video Summary

In this video, the speaker discusses the rare occurrence of perforation during diagnostic colonoscopy, which happens in 0.3% to 0.01% of cases. Perforation can occur when attempting to pass through the corners or angulated parts of the colon, applying pressure to the colonic wall and causing it to change color. Ovarian sufflation, bariotrauma, and excessive gas inside the bowel can also lead to perforation. The use of CO2 during the procedure has reduced the occurrence of perforation. For gastroscopy, the perforation rate is even lower than colonoscopy, occurring in one out of 2,500 to 11,000 cases, mainly due to conditions such as zanker diverticulum or anterior cervical osteophytes. Bleeding during diagnostic endoscopy is rare and often caused by conditions like malaria-wise or thrombocytopenia.

Keywords

perforation

colonoscopy

diagnostic

CO2

gastroscopy