Komplikasi Endoskopi

Oleh dr. Riawati Jahja

Risiko utama adalah:
- Infeksi
- Sedasi yang berlebihan
- Perforasi
- Robekan mukosa lambung, atau esofagus
- Perdarahan

Pada pasien yang mendapatkan sedasi:
- Kemungkinan tempat suntikan dapat terjadi inflamasi, rasa nyeri untuk jangka waktu pendek
- Gangguan kognitif

Meski endoskopi dapat diindikasikan untuk tes diagnostik Barrett’s esophagus, namun penggunaannya yang terlalu sering, malahan telah dilaporkan menimbulkan kondisi ini

Komplikasi lainnya, berupa:
- Perdarahan
- Rasa tidak nyaman
- Nyeri
- Reaksi alergi
- Masalah kardiopulmonal, yang disebabkan oleh efek obat sedasi

Referensi

1. Amornyotin, S. (2013). Sedation-related complications in gastrointestinal endoscopy. World Journal of Gastrointestinal Endoscopy, 5(11), 527-533. doi: 10.4253/wjge.v5.i11.527

2. Anderson, M. A., Ben-Menachem, T., Gan, S. I., Appalaneni, V., Banerjee, S., Cash, B. D., et al. (2009). Management of antithrombotic agents for endoscopic procedures. Gastrointest Endosc, 70(6), 1060-1070. doi: 10.1016/j.gie.2009.09.040

3. Banerjee, S., Shen, B., Nelson, D. B., Lichtenstein, D. R., Baron, T. H., Anderson, M. A., et al. (2008). Infection control during GI endoscopy. Gastrointestinal Endoscopy, 67(6), 781-790. doi: 10.1016/j.gie.2008.01.027

4. Bruno, M. (2003). Magnification endoscopy, high resolution endoscopy, and chromoscopy; towards a better optical diagnosis. Gut, 52(Suppl 4), iv7-iv11. doi: 10.1136/gut.52.suppl_4.iv7

5. Early, D. S., Ben-Menachem, T., Decker, G. A., Evans, J. A., Fanelli, R. D., Fisher, D. A., et al. (2012). Appropriate use of GI endoscopy. Gastrointest Endosc, 75(6), 1127-1131. doi: 10.1016/j.gie.2012.01.011

6. Falk, G. W. (2016). Updated Guidelines for Diagnosing and Managing Barrett Esophagus. Gastroenterology & Hepatology, 12(7), 449-451.

7. Lee, S.-H., Park, Y.-K., Cho, S.-M., Kang, J.-K., & Lee, D.-J. (2015). Technical skills and training of upper gastrointestinal endoscopy for new beginners. World Journal of Gastroenterology : WJG, 21(3), 759-785. doi: 10.3748/wjg.v21.i3.759

8. Matharoo, M., Thomas-Gibson, S., Haycock, A., & Sevdalis, N. (2014). Implementation of an endoscopy safety checklist. [10.1136/flgastro-2013-100393]. Frontline Gastroenterology, 5(4), 260.

9. Nguyen, V. X., Le Nguyen, V. T., & Nguyen, C. C. (2010). Appropriate use of endoscopy in the diagnosis and treatment of gastrointestinal diseases: up-to-date indications for primary care providers. International Journal of General Medicine, 3, 345-357. doi: 10.2147/ijgm.s14555

10. Osawa, H., Yamamoto, H., Yamada, N., Yoshizawa, M., Sunada, K., Kita, H., et al. (2009). Diagnosis of endoscopic Barrett's esophagus by transnasal flexible spectral imaging color enhancement. J Gastroenterol, 44(11), 1125-1132. doi: 10.1007/s00535-009-0121-z

11. Palmer, K. R. (2007). Complications of gastrointestinal endoscopy. Gut, 56(4), 456-457. doi: 10.1136/gut.2006.105577

12. Redondo-Cerezo, E., & García-Cano, J. (2004). Who should perform endoscopic procedures? Gut, 53(3), 469-469.

13. The American Gastroenterological Association. (9 August 2012). Five Things Physicians and Patients Should Question, from https://web.archive.org/web/20120809143636/http://choosingwisely.org/wp-content/uploads/2012/04/5things_12_factsheet_AGA.pdf

14. Wang, K. K., & Sampliner, R. E. (2008). Updated Guidelines 2008 for the Diagnosis, Surveillance and Therapy of Barrett's Esophagus. Am J Gastroenterol, 103(3), 788-797.

Alomedika | Khusus untuk Dokter

Komplikasi Endoskopi

Referensi