Complications in colonoscopic polypectomy: lessons to learn from an experience with 1576 polyps.
One thousand five hundred and seventy six polyps were removed from 1190 patients. Polyp size ranged from 5 mm to 6 cm. Nineteen complications occurred, an incidence of 1.2 per cent. Bleeding was the most common complication, accounting for 53 per cent of all complications, followed by transmural burn (32%). Other complications included a "silent" free perforation, a snare-wire entrapment, and an ensnared bowel wall. Certain complications can be prevented provided the basic safety features are observed. Some complications require conservative management, others require an operation.
Nivatvongs
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Section of Colon and Rectal Surgery, Mayo Clinic, Rochester, MN 55905.
D003111:Colonic Polyps / Q000601:surgery*; D003113:Colonoscopy / Q000009:adverse effects / Q000379:methods; D004564:Electrocoagulation / Q000009:adverse effects / Q000379:methods; D006801:Humans