The Endoscopic Management of Immediate Complications of Therapeutic Endoscopy

David A. Greenwald, Martin L. Freeman

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


This chapter focuses on training to recognize and manage immediate complications of therapeutic endoscopy. Patients being considered for therapeutic endoscopy need to be assessed pre-procedure for risks that can be anticipated, and then steps can be taken to minimize or mitigate those risks. Issues to be addressed pre-procedure include a number of factors related to the cardiopulmonary risk of sedation, analgesia, or anesthesia; and risks related to the specific procedure such as bleeding for polypectomy, endoscopic mucosal resection, endoscopic submucosal dissection, peroral endoscopic myotomy, or sphincterotomy; or pancreatic risks related to endoscopic retrograde cholangiopancreatography. Perforation during colonoscopy can occur for a variety of reasons, including barotrauma, direct bowing, and force against the colon wall, or as a result of therapeutic procedures. Management of perforation begins with immediate recognition, and early recognition and prompt intervention may decrease patient morbidity and mortality.

Original languageEnglish
Title of host publicationSuccessful Training in Gastrointestinal Endoscopy, Second Edition
Number of pages6
ISBN (Electronic)9781119529675
ISBN (Print)9781119529644
StatePublished - 1 Jan 2021


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