Reducing complications in upper gastrointestinal endoscopy.
This article reviews the principal aspects related to sedation in endoscopy and to the prevention of adverse events in some of the most frequently performed therapeutic upper gastrointestinal (GI) endoscopic procedures (esophageal dilation and stenting, endoscopic resection of upper GI early neoplasia, hemostasis of upper GI bleeding and percutaneous endoscopic gastrostomy insertion). These procedures have an inherent risk of negative outcomes that cannot be entirely avoided. Endoscopic procedures are best performed by well-trained, competent and thoughtful endoscopists in facilities suited to provide for patient safety. Attention to clinical risk management may effectively reduce the frequency and intensity of adverse events, enhance recognition and early detection, and improve responsiveness.
Division of Gastroenterology and Digestive Endoscopy, Hospital Maresca, Torre del Greco, Italy. gianluca.rotondano@virgilio.it
Gianluca
G
Rotondano
D002983:Clinical Competence; D016099:Endoscopy, Gastrointestinal / Q000009:adverse effects* / Q000379:methods*; D006801:Humans; D007258:Informed Consent; D061214:Patient Safety; D012307:Risk Factors; D016896:Treatment Outcome; D041742:Upper Gastrointestinal Tract / Q000601:surgery*