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Endoscopic Complications:  Results of the 1974 American Society for Gastrointestinal Endoscopy Survey

Stephen E. Silvis, MD; Otto Nebel, MD; Gerald Rogers, MD; Choichi Sugawa, MD; Paul Mandelstam, MD
JAMA. 1976;235(9):928-930. doi:10.1001/jama.1976.03260350032023.
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Esophagogastroduodenoscopy (211,410 examinations) had a complication rate of 1.3/1,000 cases. Duodenoscopy with cannulation was performed 3,884 times and had a complication rate of 21.6/1,000 examinations. Diagnostic coloscopy (25,298 examinations) had a complication rate of 3.4/1,000. Polypectomies during coloscopy (6,124 cases) had a complication rate of 23.3/1,000 cases. Esophageal dilations (13,139 cases) had a complication rate of 4.25 with mercury bougies, and in 9,431 cases metal olives produced a complication rate of 6.1/1,000 treatments. Dilation for achalasia in 1,224 patients produced a complication rate of 18.4/1,000 procedures. Peritoneoscopy (4,404 examinations) produced a complication rate of 5.4/1,000 patients.

The value of these diagnostic and therapeutic procedures is now well established but must be weighed against a potential risk of complications.

(JAMA 235:928-930, 1976)

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