Most studies of colonoscopy complications examine adverse event rates at a single time point. The Department of Veterans Affairs Cooperative Study #380 was one of the original screening colonoscopy studies leading to federal reimbursement of screening colonoscopy for Medicare patients. This study examined complication rates over time in patients who had screening and subsequent surveillance colonoscopies. <\/p>\n\n\n\n
The overall rates of major adverse events per 1000 examinations were 6.1 events at examination 2, 4.8 events at examination 3, and 7.2 events at examination 4. Of 21 major events, there was 1 perforation and 3 GI bleeds requiring hospitalization, all related to polypectomy. Most major events (n=17) at follow-up were cardiopulmonary-related, but even these were generally transient, with 10 hypotension events requiring intervention, 1 periprocedural apnea incident, 6 cardiac arrhythmias, with 3 being bradycardia requiring atropine, and 1 vasovagal event. One patient had recurrent major events; this patient developed bradycardia, which responded to atropine, during 3 different colonoscopies.<\/p>\n","protected":false},"excerpt":{"rendered":"
Most studies of colonoscopy complications examine adverse event rates at a single time point. The Department of Veterans Affairs Cooperative Study #380 was one of the original screening colonoscopy studies leading to federal reimbursement of screening colonoscopy for Medicare patients. This study examined complication rates over time in patients who had screening and subsequent surveillance … Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1769],"tags":[3301,2058,3300],"class_list":["post-12257","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-asge-kolon","tag-bradycardia","tag-colon-2","tag-department-of-veterans-affairs-cooperative-study-380"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/12257","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=12257"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=12257"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=12257"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}