title: Colonic gas explosion during therapeutic colonoscopy with electrocautery.
abstract: Therapeutic colonoscopy with electrocautery is widely used around the world. Adequate colonic cleansing is considered a crucial factor for the safety of this procedure. Colonic gas explosion, although rare, is one of the most frightening iatrogenic complications during colonoscopy with electrocautery. This complication is the result of an accumulation of colonic gases to explosive concentrations, but may be prevented by meticulous bowel preparation. The purpose of this review is to discuss the indications and the types of bowel preparations for therapeutic colonoscopy, and to contribute recommendations for the adequate bowel preparation for colonoscopy with electrocautery.
authors: Hepatogastroenterology Unit, 2nd Propedeutic Internal Medicine Department, "ATTIKON" General Hospital, Rimini 1, Athens 12462, Greece. sdladas@otenet.gr
authors: Spiros-D
authors: SD
authors: Ladas
authors: George
authors: G
authors: Karamanolis
authors: Emmanuel
authors: E
authors: Ben-Soussan
mesh_terms: D002400:Cathartics / Q000627:therapeutic use; D003106:Colon / Q000502:physiology*; D003113:Colonoscopy / Q000009:adverse effects* / Q000379:methods; D004564:Electrocoagulation / Q000009:adverse effects* / Q000379:methods; D005107:Explosions / Q000517:prevention & control*; D005740:Gases; D006801:Humans; D012307:Risk Factors
chemical_list: D002400:Cathartics; D005740:Gases