Complications of surgical endoscopy |
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| Authors: | P R Schauer W H Schwesinger C P Page R M Stewart B A Levine K R Sirinek |
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| Institution: | (1) Department of Surgery, University of Pittsburgh Medical Center, 300 Kaufmann Building, 3471 Fifth Avenue, Pittsburgh, PA 15213-3221, USA, US;(2) Department of Surgery, University of Texas Health Science Center at San Antonio, TX, USA, US;(3) Department of Surgery, Albert Einstein College of Medicine, Yeshiva University, Bronx, NY, USA, US |
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| Abstract: | Background: This study examines the notion that gastrointestinal endoscopy performed by supervised surgical residents is safe.
Methods: We reviewed all gastrointestinal endoscopic procedures performed by surgical residents with faculty supervision for complications
and deaths occurring up to 30 days following the procedures.
Results: The overall complication rate for 9,201 upper and lower endoscopy procedures was 1.4% and 0.42%, respectively. Overall mortality
rate was 0.76% for upper endoscopy and 0.6% for lower endoscopy. No mortality was a direct result of a procedure-related complication.
Intestinal perforation, drug overdose, bleeding, and aspiration were the most common procedure-related complications. Each
resident completed an average of 75 upper endoscopies and 79 lower endoscopies during their training period.
Conclusions: Gastrointestinal endoscopy can be performed safely by surgical residents with appropriate supervision. The higher morbidity
and mortality of upper endoscopy are most likely related to the underlying disease rather than the procedure. Awareness of
common complications and application of appropriate precautions and instruction are critical for minimizing complications.
Received 25 March 1996/Accepted: 24 April 1996 |
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| Keywords: | : Endoscopy — Complications — Training — Credentialing — Colonoscopy — Gastroscopy |
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