Current status in the occurrence of postoperative bleeding, perforation and residual/local recurrence during colonoscopic treatment in Japan

Shiro Oka, Shinji Tanaka, Hiroyuki Kanao, Hideki Ishikawa, Toshiaki Watanabe, Masahiro Igarashi, Yutaka Saito, Hiroaki Ikematsu, Kiyonori Kobayashi, Yuji Inoue, Naohisa Yahagi, Sumio Tsuda, Seiji Simizu, Hiroyasu Iishi, Hiroo Yamano, Shin Ei Kudo, Osamu Tsuruta, Satoshi Tamura, Yusuke Saito, Eisai ChoTakahiro Fujii, Yasushi Sano, Hisashi Nakamura, Kenichi Sugihara, Tetsuichiro Muto

研究成果: Article査読

137 被引用数 (Scopus)

抄録

Bleeding, perforation, and residual/local recurrence are the main complications associated with colonoscopic treatment of colorectal tumor. However, current status regarding the average incidence of these complications in Japan is not available. We conducted a questionnaire survey, prepared by the Colorectal Endoscopic Resection Standardization Implementation Working Group, Japanese Society for Cancer of the Colon and Rectum (JSCCR), to clarify the incidence of postoperative bleeding, perforation, and residual/local recurrence associated with colonoscopic treatment. The total incidence of postoperative bleeding was 1.2% and the incidence was 0.26% with hot biopsy, 1.3% with polypectomy, 1.4% with endoscopic mucosal resection (EMR), and 1.7% with endoscopic submucosal dissection (ESD). The total incidence of perforation was 0.74% (0.01% with the hot biopsy, 0.17% with polypectomy, 0.91% with EMR, and 3.3% with ESD). The total incidence of residual/local recurrence was 0.73% (0.007% with hot biopsy, 0.34% with polypectomy, 1.4% with EMR, and 2.3% with ESD). Colonoscopic examination was used as a surveillance method for detecting residual/local recurrence in all hospitals. The surveillance period differed among the hospitals; however, most of the hospitals reported a surveillance period of 3-6 months with mainly transabdominal ultrasonography and computed tomography in combination with the colonoscopic examination.

本文言語English
ページ(範囲)376-380
ページ数5
ジャーナルDigestive Endoscopy
22
4
DOI
出版ステータスPublished - 2010 10月
外部発表はい

ASJC Scopus subject areas

  • 放射線学、核医学およびイメージング
  • 消化器病学

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